How To Use HCPCS Code A6248

HCPCS code A6248 describes a hydrogel dressing that is used as a wound filler. This gel is applied to the wound to provide moisture and promote healing. It is available in a fluid ounce measurement and is commonly used in medical settings for wound care.

1. What is HCPCS A6248?

HCPCS code A6248 is a specific code that is used to identify hydrogel dressing, wound filler, gel, per fluid ounce. It is used to indicate the use of a hydrogel dressing as a wound filler. This code is important for medical coders and billers to accurately document and bill for the use of this specific wound care product.

2. Official Description

The official description of HCPCS code A6248 is “Hydrogel dressing, wound filler, gel, per fluid ounce.” This description accurately represents the product and its purpose. The short description for this code is “Hydrogel drsg gel filler.” Both descriptions provide a clear understanding of the product and its use.

3. Procedure

1. Prepare the wound by cleaning it thoroughly.
2. Apply the hydrogel dressing gel to the wound, ensuring that it covers the entire wound area.
3. Secure the dressing in place with appropriate medical tape or bandages.
4. Monitor the wound regularly and change the dressing as needed, following healthcare provider instructions.

The procedure for using HCPCS code A6248 involves the application of the hydrogel dressing gel to the wound. It is important to follow proper wound care protocols and guidelines when using this product.

4. When to use HCPCS code A6248

HCPCS code A6248 should be used when a healthcare provider applies a hydrogel dressing gel as a wound filler. This code is specific to the use of hydrogel dressings and should not be used for other types of wound care products. It is important to ensure that the documentation accurately reflects the use of this specific product to support proper billing and reimbursement.

5. Billing Guidelines and Documentation Requirements

When billing for HCPCS code A6248, healthcare providers need to document the use of the hydrogel dressing gel as a wound filler. This documentation should include the date of service, the quantity of gel used, and the specific wound being treated. It is important to follow the billing guidelines set forth by Medicare and other insurance providers to ensure proper reimbursement.

6. Historical Information and Code Maintenance

HCPCS code A6248 was added to the Healthcare Common Procedure Coding System on January 01, 1997. It has an effective date of January 01, 2011. 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 consistent since its addition to the coding system.

7. Medicare and Insurance Coverage

HCPCS code A6248 is covered by Medicare and other insurance providers. The pricing indicator code for this code is 35, which indicates that it falls under the category of surgical dressings and is subject to price floors and ceilings. The multiple pricing indicator code for this code is A, which means it is not applicable as HCPCS priced under one methodology. Healthcare providers should follow the specific guidelines and requirements set forth by Medicare and other insurance providers when billing for this code.

8. Examples

Here are five examples of when HCPCS code A6248 should be billed:

1. A patient with a deep, non-healing wound receives treatment with a hydrogel dressing gel as a wound filler.
2. A post-operative patient requires wound care, and a hydrogel dressing gel is used to promote healing.
3. A diabetic patient with a foot ulcer receives regular wound care, including the application of a hydrogel dressing gel.
4. A patient with a burn injury undergoes treatment with a hydrogel dressing gel to aid in the healing process.
5. A patient with a pressure ulcer receives ongoing wound care, which includes the use of a hydrogel dressing gel as a wound filler.