How To Use HCPCS Code A4674

HCPCS code A4674 describes a chemical/antiseptic solution used for cleaning and sterilizing dialysis equipment. This code is specifically for an 8 oz solution. In this article, we will delve into the details of HCPCS code A4674, 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 A4674?

HCPCS code A4674 is used to identify a chemical/antiseptic solution that is utilized in the cleaning and sterilization of dialysis equipment. It is important to note that this code specifically refers to an 8 oz solution. This code is used by medical coders to accurately document and bill for the use of this particular solution in dialysis procedures.

2. Official Description

The official description of HCPCS code A4674 is “Chemicals/antiseptics solution used to clean/sterilize dialysis equipment, per 8 oz.” The short description for this code is “Chem/antisept solution, 8oz.” These descriptions provide a clear understanding of the purpose and quantity associated with this HCPCS code.

3. Procedure

1. The provider begins by preparing the dialysis equipment for cleaning and sterilization.
2. The 8 oz chemical/antiseptic solution, identified by HCPCS code A4674, is then measured and prepared for use.
3. The solution is applied to the dialysis equipment, ensuring thorough coverage.
4. The equipment is then scrubbed or wiped down using appropriate cleaning tools.
5. After the cleaning process, the equipment is rinsed to remove any residue from the solution.
6. Once the equipment is cleaned and rinsed, it is ready for sterilization.
7. Proper sterilization techniques are applied to ensure the equipment is free from any potential contaminants.
8. After sterilization, the equipment is ready for use in dialysis procedures.

4. When to use HCPCS code A4674

HCPCS code A4674 should be used when documenting and billing for the use of an 8 oz chemical/antiseptic solution in the cleaning and sterilization of dialysis equipment. It is important to ensure that the specific quantity and purpose of this code align with the service provided.

5. Billing Guidelines and Documentation Requirements

When billing for HCPCS code A4674, healthcare providers need to document the use of the 8 oz chemical/antiseptic solution in the cleaning and sterilization of dialysis equipment. This documentation should include the date of service, the quantity of solution used, and any relevant patient information. It is crucial to follow the specific billing guidelines set forth by the payer to ensure accurate reimbursement.

6. Historical Information and Code Maintenance

HCPCS code A4674 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 inception.

7. Medicare and Insurance Coverage

Medicare coverage for HCPCS code A4674 is determined by the pricing indicator code and multiple pricing indicator code. The pricing indicator code for this code is 00, which indicates that the service is not separately priced by Part B. This means that the cost of the solution is bundled or not covered by Medicare. The multiple pricing indicator code is 9, which signifies that the code is not applicable for separate pricing by Part B or that the value is not established.

8. Examples

Here are five examples of when HCPCS code A4674 should be billed:

1. A patient undergoes a dialysis procedure, and an 8 oz chemical/antiseptic solution is used to clean and sterilize the dialysis equipment.
2. A dialysis center purchases an 8 oz chemical/antiseptic solution for use in their daily cleaning and sterilization processes.
3. A supplier provides an 8 oz chemical/antiseptic solution to a dialysis facility for their ongoing use in equipment maintenance.
4. A healthcare provider orders an 8 oz chemical/antiseptic solution for a patient who performs dialysis at home.
5. An 8 oz chemical/antiseptic solution is used during a dialysis training session to demonstrate proper cleaning and sterilization techniques to patients.