How To Use HCPCS Code A4773

HCPCS code A4773 describes occult blood test strips used for dialysis. In this article, we will explore the meaning and usage of this code, as well as provide detailed information on its official description, procedure, when to use it, billing guidelines, historical information, and Medicare and insurance coverage. Additionally, we will provide examples of when this code should be billed.

1. What is HCPCS A4773?

HCPCS code A4773 is used to identify occult blood test strips specifically designed for use during dialysis. These test strips are used to detect the presence of blood in the dialysate, which can indicate potential complications or issues during the dialysis procedure. It is important to accurately assign this code when billing for the use of occult blood test strips in dialysis settings.

2. Official Description

The official description of HCPCS code A4773 is “Occult blood test strips, for dialysis, per 50.” The short description for this code is “Occult blood test strips.” This description accurately reflects the purpose and usage of this code.

3. Procedure

1. Before initiating the dialysis procedure, the healthcare provider should ensure that the dialysis machine is properly set up and calibrated.
2. The provider should then obtain the occult blood test strips and ensure that they are within their expiration date.
3. During the dialysis procedure, the provider should carefully monitor the dialysate for any signs of blood.
4. If blood is detected in the dialysate, the provider should take appropriate measures to address the underlying cause and ensure patient safety.
5. After the dialysis procedure is completed, the provider should properly dispose of the used occult blood test strips according to medical waste disposal guidelines.

4. When to use HCPCS code A4773

HCPCS code A4773 should be used when occult blood test strips are specifically used during dialysis procedures. These test strips are designed to detect the presence of blood in the dialysate, which can indicate potential complications or issues during the dialysis treatment. It is important to accurately assign this code when billing for the use of occult blood test strips in dialysis settings.

5. Billing Guidelines and Documentation Requirements

When billing for HCPCS code A4773, healthcare providers should ensure that the following documentation requirements are met:

• Accurate and detailed medical records documenting the use of occult blood test strips during dialysis
• Proof of medical necessity for using these test strips
• Proper coding and billing documentation, including the use of the correct HCPCS code A4773

6. Historical Information and Code Maintenance

HCPCS code A4773 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. This code has remained unchanged since its inclusion in the coding system.

7. Medicare and Insurance Coverage

HCPCS code A4773 is covered by Medicare. 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 occult blood test strips is bundled or included in the overall payment for the dialysis procedure. 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 cost of the test strips is not separately priced.

8. Examples

Here are five examples of when HCPCS code A4773 should be billed:

1. A patient undergoing dialysis treatment requires the use of occult blood test strips to monitor for any signs of blood in the dialysate.
2. A healthcare provider performs a dialysis procedure and utilizes occult blood test strips to ensure the absence of blood in the dialysate.
3. A patient with a history of bleeding disorders undergoes dialysis, and the provider uses occult blood test strips to closely monitor for any signs of bleeding during the procedure.
4. A dialysis center regularly includes the use of occult blood test strips as part of their standard protocol to ensure patient safety and early detection of any complications.
5. A patient receiving home dialysis is provided with occult blood test strips to use during their dialysis sessions, as instructed by their healthcare provider.