How To Use HCPCS Code A4755

HCPCS code A4755 describes the blood tubing used in hemodialysis procedures. This code is specifically for arterial and venous combined blood tubing, which is essential for the successful completion of hemodialysis treatments. In this article, we will explore the details of HCPCS code A4755, 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 A4755?

HCPCS code A4755 is used to identify the specific type of blood tubing used in hemodialysis procedures. It represents arterial and venous combined blood tubing, which is necessary for the proper functioning of the hemodialysis machine. This code is essential for accurate billing and reimbursement purposes.

2. Official Description

The official description of HCPCS code A4755 is “Blood tubing, arterial and venous combined, for hemodialysis, each.” The short description is “Comb art/venous blood tubing.”

3. Procedure

1. Prepare the hemodialysis machine and ensure all necessary equipment is available.
2. Verify the patient’s identity and confirm the need for hemodialysis treatment.
3. Assemble the arterial and venous combined blood tubing according to the manufacturer’s instructions.
4. Connect one end of the blood tubing to the arterial access site of the patient.
5. Connect the other end of the blood tubing to the hemodialysis machine.
6. Ensure proper blood flow and monitor the patient throughout the hemodialysis procedure.
7. After the completion of the treatment, disconnect the blood tubing from the patient and dispose of it properly.

4. When to use HCPCS code A4755

HCPCS code A4755 should be used when billing for the arterial and venous combined blood tubing used in hemodialysis procedures. It is important to use this code accurately to ensure proper reimbursement and documentation of the services provided. This code is applicable for patients undergoing hemodialysis treatments and requires the use of arterial and venous combined blood tubing.

5. Billing Guidelines and Documentation Requirements

When billing for HCPCS code A4755, healthcare providers need to ensure proper documentation of the hemodialysis procedure and the use of arterial and venous combined blood tubing. The documentation should include the patient’s medical records, the date of the procedure, the duration of the treatment, and any relevant clinical information. It is important to follow the billing guidelines set by Medicare or other insurance providers to ensure accurate reimbursement.

6. Historical Information and Code Maintenance

HCPCS code A4755 was added to the Healthcare Common Procedure Coding System on January 01, 1986. 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. It has an effective date of January 01, 2015. This code has been consistently used for billing arterial and venous combined blood tubing in hemodialysis procedures.

7. Medicare and Insurance Coverage

HCPCS code A4755 is covered by Medicare and other insurance providers. The pricing indicator code for this code is 00, which means the service is not separately priced by Part B. It is typically bundled with other services and supplies related to hemodialysis. The multiple pricing indicator code is 9, which indicates that the value is not established or the code is not priced separately by Part B. Healthcare providers should refer to the Medicare Carriers Manual Reference Section Number 4270 for specific coverage and billing guidelines.

8. Examples

Here are five examples of when HCPCS code A4755 should be billed:

1. A patient with end-stage renal disease undergoing a hemodialysis treatment using arterial and venous combined blood tubing.
2. A patient receiving hemodialysis at a dialysis center and requiring the use of arterial and venous combined blood tubing.
3. A patient undergoing a home hemodialysis procedure with the need for arterial and venous combined blood tubing.
4. A patient receiving hemodialysis treatment during a hospital stay and utilizing arterial and venous combined blood tubing.
5. A patient with a history of kidney disease receiving hemodialysis treatments multiple times a week, using arterial and venous combined blood tubing.