How To Use HCPCS Code A0398

HCPCS code A0398 describes the routine disposable supplies used in the treatment of Amyotrophic Lateral Sclerosis (ALS). This code is not payable by Medicare and does not require any maintenance. It was added to the Healthcare Common Procedure Coding System on January 01, 1995, and its pricing indicator code indicates that it is not separately priced by Part B. The multiple pricing indicator code is not applicable for this code.

1. What is HCPCS A0398?

HCPCS code A0398 is used to identify the routine disposable supplies required for the treatment of ALS. These supplies are essential for managing the symptoms and providing care to patients with this progressive neurodegenerative disease. It is important to note that this code specifically refers to routine disposable supplies and not any other type of medical equipment or services.

2. Official Description

The official description of HCPCS code A0398 is “Als routine disposable supplies.” The short description is “Als routine disposble suppls.”

3. Procedure

1. Providers should ensure that the necessary routine disposable supplies are available for ALS patients.
2. These supplies may include items such as gloves, syringes, catheters, wound dressings, and other disposable medical supplies.
3. The supplies should be used according to the specific needs of each ALS patient and in accordance with the established treatment plan.
4. Proper disposal of these supplies should be followed to maintain hygiene and prevent the spread of infections.

4. When to use HCPCS code A0398

HCPCS code A0398 should be used when billing for routine disposable supplies specifically related to the treatment of ALS. It is important to ensure that the supplies are directly related to the management and care of ALS patients and are not used for any other purposes.

5. Billing Guidelines and Documentation Requirements

When billing for HCPCS code A0398, healthcare providers should ensure that the following guidelines and documentation requirements are met:

• Include the HCPCS code A0398 on the claim form or billing statement.
• Provide a detailed description of the routine disposable supplies provided.
• Include the quantity and cost of each supply item.
• Ensure that the supplies are medically necessary and directly related to the treatment of ALS.
• Maintain proper documentation of the supplies provided, including the date of service and the patient’s medical record.

6. Historical Information and Code Maintenance

HCPCS code A0398 was added to the Healthcare Common Procedure Coding System on January 01, 1995. There have been no maintenance actions taken for this code, as indicated by the action code N, which means no maintenance for this code.

7. Medicare and Insurance Coverage

HCPCS code A0398 is not payable by Medicare. The pricing indicator code 00 indicates that the service is not separately priced by Part B. The multiple pricing indicator code 9 indicates that the value for this code is not established.

8. Examples

Here are five examples of when HCPCS code A0398 should be billed:

1. A patient with ALS requires routine disposable wound dressings for the management of pressure ulcers.
2. An ALS patient needs routine disposable catheters for bladder management.
3. A healthcare provider supplies routine disposable gloves for an ALS patient’s caregivers to ensure proper hygiene during caregiving activities.
4. An ALS patient requires routine disposable syringes for the administration of medication.
5. A healthcare facility provides routine disposable supplies, such as gauze and bandages, for the treatment of skin breakdown in ALS patients.