How To Use HCPCS Code A4217

HCPCS code A4217 describes the use of sterile water/saline in a 500 ml quantity. This code is used to identify the supply of sterile water or saline solution for medical purposes. In this article, we will explore the details of HCPCS code A4217, including its official description, procedure, usage guidelines, billing requirements, historical information, and coverage by Medicare and other insurance providers.

1. What is HCPCS A4217?

HCPCS code A4217 is used to identify the supply of sterile water or saline solution in a 500 ml quantity. It is commonly used in medical settings for various purposes, such as wound irrigation, medication dilution, or as a vehicle for intravenous medications. This code is essential for accurate medical coding and billing, ensuring proper reimbursement for the provided services or supplies.

2. Official Description

The official description of HCPCS code A4217 is “Sterile water/saline, 500 ml.” This description precisely defines the nature and quantity of the supplied sterile water or saline solution. It is crucial to use the exact description when assigning this code to ensure accurate documentation and billing.

3. Procedure

1. Ensure the availability of sterile water or saline solution in a 500 ml quantity.
2. Verify the sterility and integrity of the packaging before use.
3. Follow proper aseptic techniques when handling the sterile water or saline solution.
4. Use the supplied sterile water or saline solution for the intended medical purpose, such as wound irrigation or medication dilution.
5. Document the usage of the sterile water or saline solution in the patient’s medical record.

4. When to use HCPCS code A4217

HCPCS code A4217 should be used when supplying sterile water or saline solution in a 500 ml quantity for medical purposes. It is essential to ensure that the usage of this code aligns with the specific eligibility criteria or guidelines set by the payer or insurance provider. Medical coders should review the payer’s policies and guidelines to determine the appropriate use of this code.

5. Billing Guidelines and Documentation Requirements

When billing for HCPCS code A4217, healthcare providers need to document the usage of sterile water or saline solution in the patient’s medical record. The documentation should include the purpose of usage, quantity administered, and any relevant clinical indications. Additionally, the billing claim should accurately reflect the provided service or supply, including the code A4217, along with any other relevant codes for associated procedures or services.

6. Historical Information and Code Maintenance

HCPCS code A4217 was added to the Healthcare Common Procedure Coding System on January 01, 2004. Since its addition, there have been no maintenance actions taken for this code, as indicated by the action code N, which means no maintenance for this code. This code has remained unchanged since its inclusion in the coding system.

7. Medicare and Insurance Coverage

HCPCS code A4217 is subject to Medicare coverage. The pricing indicator code 37 indicates that this code falls under the category of ostomy, tracheostomy, and urological supplies, with the price subject to floors and ceilings. The multiple pricing indicator code A signifies that this code is not applicable as HCPCS priced under one methodology. Healthcare providers should consult the Medicare Carriers Manual Reference Section Number 2049 for specific guidelines and instructions regarding the coverage and reimbursement of HCPCS code A4217.

8. Examples

Here are five examples of scenarios where HCPCS code A4217 should be billed:

1. A patient with a deep wound requires sterile water for wound irrigation.
2. A healthcare professional dilutes a medication using sterile saline solution.
3. A patient undergoing intravenous therapy needs a 500 ml bag of sterile saline solution.
4. A healthcare provider flushes a patient’s catheter with sterile water.
5. A surgical procedure requires the use of sterile saline solution for irrigation purposes.