How To Use HCPCS Code A5200

HCPCS code A5200 describes a percutaneous catheter/tube anchoring device with an adhesive skin attachment. This code is used to identify the specific medical supply or device that is used to secure a percutaneous catheter or tube to the patient’s skin. It is important for medical coders to understand the meaning and usage of this code in order to accurately report and bill for the services provided.

1. What is HCPCS A5200?

HCPCS code A5200 is used to identify a percutaneous catheter anchor device that is attached to the patient’s skin using an adhesive. This device is designed to secure a percutaneous catheter or tube in place, preventing it from being dislodged or accidentally removed. It provides stability and support to the catheter, allowing for proper functioning and minimizing the risk of complications.

2. Official Description

The official description of HCPCS code A5200 is “Percutaneous catheter/tube anchoring device, adhesive skin attachment.” The short description for this code is “Percutaneous catheter anchor.” These descriptions accurately reflect the purpose and function of the device.

3. Procedure

1. Prepare the patient and the catheter insertion site according to standard medical protocols.
2. Select an appropriate percutaneous catheter anchor device that is compatible with the patient’s needs and the type of catheter being used.
3. Clean and disinfect the patient’s skin surrounding the catheter insertion site.
4. Remove the protective backing from the adhesive side of the anchor device.
5. Position the anchor device over the catheter insertion site and press firmly to ensure proper adhesion.
6. Secure any additional tubing or connectors to the anchor device as needed.
7. Monitor the patient for any signs of discomfort, irritation, or complications related to the catheter or the anchor device.

4. When to use HCPCS code A5200

HCPCS code A5200 should be used when a percutaneous catheter anchor device with an adhesive skin attachment is utilized during a medical procedure. This code is applicable when the device is used to secure a percutaneous catheter or tube to the patient’s skin. It is important to ensure that the device meets the specific requirements outlined in the code description in order to accurately report its usage.

5. Billing Guidelines and Documentation Requirements

When billing for HCPCS code A5200, healthcare providers should ensure that the following documentation is included:

• Medical records indicating the need for a percutaneous catheter anchor device
• Documentation supporting the medical necessity of the device
• Details of the procedure performed and the specific catheter or tube being secured
• Any additional information required by the payer or insurer

6. Historical Information and Code Maintenance

HCPCS code A5200 was added to the Healthcare Common Procedure Coding System on January 01, 1999. 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 A5200 is classified under the pricing indicator code 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, meaning that there may be limitations on the reimbursement amount. The multiple pricing indicator code A indicates that the code is not applicable as HCPCS priced under one methodology.

8. Examples

Here are five examples of when HCPCS code A5200 should be billed:

1. A patient undergoes a percutaneous nephrostomy tube placement, and a percutaneous catheter anchor device is used to secure the tube to the patient’s skin.
2. A percutaneous gastrostomy tube is inserted, and a percutaneous catheter anchor device is applied to prevent the tube from dislodging.
3. A patient receives a percutaneous tracheostomy tube, and a percutaneous catheter anchor device is used to secure the tube in place.
4. A percutaneous biliary drainage catheter is inserted, and a percutaneous catheter anchor device is applied to ensure the stability of the catheter.
5. A percutaneous jejunostomy tube is placed, and a percutaneous catheter anchor device is utilized to keep the tube securely in position.