How To Use HCPCS Code A6022

HCPCS code A6022 describes a collagen dressing that is sterile and has a size greater than 16 square inches but less than or equal to 48 square inches. This code is used to identify and bill for the specific type of dressing used in medical procedures or wound care. In this article, we will explore the details of HCPCS code A6022, 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 A6022?

HCPCS code A6022 is used to identify collagen dressings that are sterile and have a size greater than 16 square inches but less than or equal to 48 square inches. This code is specific to the type of dressing used and is not applicable for other types of dressings or wound care supplies. It is important to use this code accurately to ensure proper billing and reimbursement.

2. Official Description

The official description of HCPCS code A6022 is “Collagen dressing, sterile, size more than 16 sq. in. but less than or equal to 48 sq. in., each.” This description clearly defines the type of dressing, its sterility, and the size range it falls under. The short description for this code is “Collagen drsg>16<=48 sq in."

3. Procedure

1. Prepare the wound or area where the dressing will be applied according to standard medical practices.
2. Open the sterile packaging of the collagen dressing.
3. Ensure that the size of the dressing is appropriate for the wound or area being treated.
4. Apply the collagen dressing directly to the wound or area, ensuring full coverage.
5. Secure the dressing in place using appropriate medical tape or bandages.
6. Document the application of the collagen dressing in the patient’s medical record.

4. When to use HCPCS code A6022

HCPCS code A6022 should be used when a healthcare provider applies a collagen dressing that meets the specified size criteria (more than 16 square inches but less than or equal to 48 square inches). It is important to accurately document the use of this specific dressing in the patient’s medical record to support the billing of this code.

5. Billing Guidelines and Documentation Requirements

When billing for HCPCS code A6022, healthcare providers should ensure that the following documentation requirements are met:

• Medical record documentation supporting the use of a collagen dressing with the specified size range.
• Date of service and duration of the dressing application.
• Any additional relevant information, such as the reason for the dressing application or any complications encountered.

6. Historical Information and Code Maintenance

HCPCS code A6022 was added to the Healthcare Common Procedure Coding System on January 01, 2001. As of the effective date of January 01, 2013, 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 system.

7. Medicare and Insurance Coverage

HCPCS code A6022 is subject to Medicare coverage and reimbursement. The pricing indicator code for this code is 35, which indicates that it falls under the category of surgical dressings and is subject to pricing floors and ceilings. The multiple pricing indicator code is A, which means it is not applicable as HCPCS priced under one methodology. Healthcare providers should refer to the Medicare Carriers Manual Reference Section Number 2079 for specific guidelines and instructions regarding the coverage and billing of HCPCS code A6022.

8. Examples

Here are five examples of when HCPCS code A6022 should be billed:

1. A patient with a large surgical wound requiring a collagen dressing measuring 20 square inches.
2. A patient with a chronic ulcer on their leg that requires a collagen dressing measuring 30 square inches.
3. A patient undergoing a skin graft procedure who needs a collagen dressing measuring 40 square inches.
4. A patient with a burn injury requiring a collagen dressing measuring 25 square inches.
5. A patient with a traumatic wound that requires a collagen dressing measuring 35 square inches.