How To Use HCPCS Code A4246

HCPCS code A4246 describes the use of Betadine or phisohex solution per pint. This code is used to identify the specific solution and quantity used in medical procedures or treatments. In this article, we will explore the details of HCPCS code A4246, including its official description, procedure, when to use it, billing guidelines, historical information, Medicare and insurance coverage, and provide examples of when this code should be billed.

1. What is HCPCS A4246?

HCPCS code A4246 is used to identify the specific solution, Betadine or phisohex, and the quantity per pint used in medical procedures or treatments. It is important to use this code accurately to ensure proper documentation and billing for the solution provided.

2. Official Description

The official description of HCPCS code A4246 is “Betadine or phisohex solution, per pint.” The short description for this code is “Betadine/phisohex solution.”

3. Procedure

1. Prepare the necessary equipment and supplies for the procedure.
2. Measure the required quantity of Betadine or phisohex solution per pint.
3. Ensure proper sterilization and handling of the solution.
4. Administer or apply the solution as directed by the healthcare provider.
5. Document the procedure and the quantity of solution used in the patient’s medical record.

4. When to use HCPCS code A4246

HCPCS code A4246 should be used when Betadine or phisohex solution is provided in a medical procedure or treatment. It is important to use this code when billing for the specific solution and quantity used to ensure accurate documentation and reimbursement.

5. Billing Guidelines and Documentation Requirements

When billing for HCPCS code A4246, healthcare providers need to document the specific procedure or treatment where the Betadine or phisohex solution was used. They should also include the quantity of solution used per pint. Proper documentation is essential for accurate billing and reimbursement.

6. Historical Information and Code Maintenance

HCPCS code A4246 was added to the Healthcare Common Procedure Coding System on January 01, 1985. There have been no maintenance actions taken for this code, as indicated by the action code N, which means no maintenance for this code. It is important to note that this code has an effective date of January 01, 2007.

7. Medicare and Insurance Coverage

Medicare and insurance coverage for HCPCS code A4246 may vary. The pricing indicator code for this code is 00, which means the service is not separately priced by Part B. This indicates that the service may not be covered or may be bundled with other services. The multiple pricing indicator code is 9, which means it is not applicable as HCPCS is not priced separately by Part B. It is important to check with Medicare or the specific insurance provider for coverage and reimbursement details.

8. Examples

Here are five examples of when HCPCS code A4246 should be billed:

1. A patient undergoes a surgical procedure where Betadine solution is used for preoperative skin preparation. The healthcare provider documents the use of one pint of Betadine solution and bills using HCPCS code A4246.
2. A wound care clinic uses phisohex solution for wound cleansing and dressing changes. The healthcare provider documents the use of half a pint of phisohex solution and bills using HCPCS code A4246.
3. A patient receives Betadine solution for a vaginal irrigation procedure. The healthcare provider documents the use of three pints of Betadine solution and bills using HCPCS code A4246.
4. A healthcare facility uses phisohex solution for equipment sterilization. The healthcare provider documents the use of two pints of phisohex solution and bills using HCPCS code A4246.
5. A patient undergoes a procedure where Betadine solution is used for oral rinsing. The healthcare provider documents the use of one-fourth pint of Betadine solution and bills using HCPCS code A4246.