How To Use HCPCS Code A4369

HCPCS code A4369 describes the use of an ostomy skin barrier in liquid form, which can be applied using a spray, brush, or other similar methods. This code is used to identify and bill for the per ounce measurement of the skin barrier liquid. In this article, we will explore the details of HCPCS code A4369, 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 A4369?

HCPCS code A4369 is used to identify and bill for the per ounce measurement of an ostomy skin barrier in liquid form. This code specifically refers to the liquid form of the skin barrier, which can be applied using various methods such as spraying or brushing. It is important to note that this code is not applicable for other forms of skin barriers, such as powders or pastes.

2. Official Description

The official description of HCPCS code A4369 is “Ostomy skin barrier, liquid (spray, brush, etc.), per oz.” The short description for this code is “Skin barrier liquid per oz.” This description accurately represents the purpose and usage of this specific HCPCS code.

3. Procedure

1. Prepare the ostomy site by cleaning and drying the area.
2. Shake the ostomy skin barrier liquid container well before use.
3. Apply the liquid to the ostomy site using the preferred method, such as spraying or brushing.
4. Allow the liquid to dry completely before applying any other ostomy products.
5. Dispose of any unused liquid properly according to local regulations.

4. When to use HCPCS code A4369

HCPCS code A4369 should be used when billing for the per ounce measurement of an ostomy skin barrier in liquid form. This code is specifically for the liquid form of the skin barrier and should not be used for other forms, such as powders or pastes. It is important to ensure that the documentation supports the use of the liquid form and the per ounce measurement when using this code.

5. Billing Guidelines and Documentation Requirements

When billing for HCPCS code A4369, healthcare providers need to document the usage of the ostomy skin barrier in liquid form and the per ounce measurement. The documentation should include the quantity of liquid used, the method of application (spray, brush, etc.), and the specific ostomy site where the barrier was applied. It is also important to include any relevant medical necessity documentation to support the use of this code.

6. Historical Information and Code Maintenance

HCPCS code A4369 was added to the Healthcare Common Procedure Coding System on January 01, 2000. It has an effective date of January 01, 2003. 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 addition to the HCPCS.

7. Medicare and Insurance Coverage

HCPCS code A4369 is covered by Medicare and other insurance providers. The pricing indicator code for this code is 37, which indicates that it falls under the category of ostomy, tracheostomy, and urological supplies. The pricing for this code is subject to floors and ceilings, which means that there may be limitations on the reimbursement amount. The multiple pricing indicator code for this 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 A4369 should be billed:

1. A patient with an ostomy requires a liquid skin barrier for daily use. The healthcare provider applies 2 ounces of the liquid barrier using a spray method. HCPCS code A4369 should be billed for 2 units.
2. A patient with an ostomy needs a liquid skin barrier for a specific event. The healthcare provider applies 1 ounce of the liquid barrier using a brush method. HCPCS code A4369 should be billed for 1 unit.
3. A patient with an ostomy requires a liquid skin barrier for a week-long trip. The healthcare provider applies 7 ounces of the liquid barrier using a spray method. HCPCS code A4369 should be billed for 7 units.
4. A patient with an ostomy needs a liquid skin barrier for a month. The healthcare provider applies 30 ounces of the liquid barrier using a brush method. HCPCS code A4369 should be billed for 30 units.
5. A patient with an ostomy requires a liquid skin barrier for a post-operative recovery period. The healthcare provider applies 14 ounces of the liquid barrier using a spray method. HCPCS code A4369 should be billed for 14 units.