How To Use HCPCS Code A4707

HCPCS code A4707 describes a bicarbonate concentrate in powder form that is used for hemodialysis. This code is specifically for the per packet quantity of the bicarbonate concentrate. In this article, we will explore the details of HCPCS code A4707, 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 A4707?

HCPCS code A4707 is used to identify the bicarbonate concentrate in powder form that is used for hemodialysis. This code specifically refers to the per packet quantity of the bicarbonate concentrate. It is important to note that this code is not applicable for other forms or quantities of bicarbonate concentrate.

2. Official Description

The official description of HCPCS code A4707 is “Bicarbonate concentrate, powder, for hemodialysis, per packet.” This description accurately reflects the nature of the product and its intended use. The short description of this code is “Bicarbonate conc pow per pac.”

3. Procedure

  1. The provider prepares the hemodialysis machine for the patient’s treatment.
  2. The provider measures the appropriate quantity of the bicarbonate concentrate powder per packet.
  3. The provider mixes the bicarbonate concentrate powder with the appropriate amount of sterile water to create a bicarbonate solution.
  4. The provider administers the bicarbonate solution to the patient during the hemodialysis treatment.

4. When to use HCPCS code A4707

HCPCS code A4707 should be used when billing for the per packet quantity of bicarbonate concentrate used in hemodialysis. It is important to ensure that the documentation supports the use of this specific code and that the patient’s medical condition necessitates the use of bicarbonate concentrate in powder form.

5. Billing Guidelines and Documentation Requirements

When billing for HCPCS code A4707, healthcare providers should ensure that the following documentation requirements are met:

  • Documentation of the patient’s medical condition necessitating the use of bicarbonate concentrate in powder form.
  • Documentation of the quantity of bicarbonate concentrate powder per packet used during the hemodialysis treatment.
  • Documentation of the administration of the bicarbonate solution to the patient.

Providers should also follow the appropriate billing guidelines and submit the claim with the necessary supporting documentation to ensure accurate reimbursement.

6. Historical Information and Code Maintenance

HCPCS code A4707 was added to the Healthcare Common Procedure Coding System on January 01, 2002. 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

HCPCS code A4707 is covered by Medicare and other insurance providers. The pricing indicator code for this code is 00, which means that the service is not separately priced by Part B. This indicates that the cost of the bicarbonate concentrate in powder form is bundled or included in the overall reimbursement for the hemodialysis treatment. The multiple pricing indicator code is 9, which means that the value for this code is not established. This further supports the fact that the pricing for this code is not separate from the overall reimbursement for the hemodialysis treatment.

8. Examples

Here are five examples of when HCPCS code A4707 should be billed:

  1. A patient with end-stage renal disease (ESRD) undergoes a hemodialysis treatment using bicarbonate concentrate in powder form. The provider administers one packet of the bicarbonate concentrate during the treatment.
  2. A patient with ESRD receives home hemodialysis and requires bicarbonate concentrate in powder form. The provider supplies the patient with a month’s worth of bicarbonate concentrate packets.
  3. A patient undergoes a hemodialysis treatment at a dialysis center. The provider uses bicarbonate concentrate in powder form to prepare the bicarbonate solution for the treatment.
  4. A patient with ESRD receives hemodialysis at a hospital. The provider documents the use of bicarbonate concentrate in powder form during the treatment and includes it in the billing claim.
  5. A patient with ESRD receives hemodialysis at a renal facility. The provider uses bicarbonate concentrate in powder form to prepare the bicarbonate solution and bills for the per packet quantity used.

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