How To Use HCPCS Code A4256

HCPCS code A4256 describes the use of normal, low, and high calibrator solution/chips in medical procedures. This code is used to identify and bill for the specific calibrator solution or chips used in various healthcare settings. In this article, we will explore the details of HCPCS code A4256, 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 A4256?

HCPCS code A4256 is used to identify normal, low, and high calibrator solution/chips. These solutions or chips are used in medical procedures to calibrate and ensure the accuracy of diagnostic devices or equipment. The code specifically refers to the solution or chips used for calibration purposes.

2. Official Description

The official description of HCPCS code A4256 is “Normal, low and high calibrator solution/chips.” The short description for this code is “Calibrator solution/chips.”

3. Procedure

1. The provider prepares the diagnostic device or equipment that requires calibration.
2. The provider obtains the normal, low, or high calibrator solution/chips.
3. The provider follows the manufacturer’s instructions for using the calibrator solution/chips.
4. The provider applies the calibrator solution/chips to the diagnostic device or equipment as directed.
5. The provider ensures that the diagnostic device or equipment is properly calibrated.

4. When to use HCPCS code A4256

HCPCS code A4256 should be used when calibrator solution/chips are used in medical procedures to calibrate diagnostic devices or equipment. It is important to note that this code is specific to the calibrator solution/chips and should not be used for other purposes or supplies.

5. Billing Guidelines and Documentation Requirements

When billing for HCPCS code A4256, healthcare providers need to document the specific calibrator solution/chips used and the purpose of the calibration. It is important to include the manufacturer’s instructions for using the calibrator solution/chips in the documentation. The billing should accurately reflect the quantity of calibrator solution/chips used.

6. Historical Information and Code Maintenance

HCPCS code A4256 was added to the Healthcare Common Procedure Coding System on January 01, 1985. It has an effective date of January 01, 2002. 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 A4256 is eligible for coverage by Medicare and other insurance providers. The pricing indicator code for this code is 34, which indicates that it falls under DME supplies and is subject to pricing floors and ceilings. The multiple pricing indicator code is A, which means it is not applicable as HCPCS priced under one methodology.

8. Examples

Here are five examples of when HCPCS code A4256 should be billed:

1. A laboratory uses calibrator solution/chips to calibrate a blood glucose monitoring device.
2. A radiology department uses calibrator solution/chips to calibrate a CT scanner.
3. A cardiology clinic uses calibrator solution/chips to calibrate an echocardiogram machine.
4. An ophthalmology practice uses calibrator solution/chips to calibrate a tonometer.
5. A respiratory therapy department uses calibrator solution/chips to calibrate a spirometer.