How To Use HCPCS Code A6262

HCPCS code A6262 describes a wound filler in dry form, per gram, that is not otherwise specified. This code is used to identify the specific medical supply or service provided by healthcare providers. In this article, we will explore the details of HCPCS code A6262, 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 A6262?

HCPCS code A6262 is used to identify a wound filler in dry form, per gram, that is not otherwise specified. This code is specific to the medical supply or service being provided and helps in accurately documenting and billing for the service.

2. Official Description

The official description of HCPCS code A6262 is “Wound filler, dry form, per gram, not otherwise specified.” This description clearly defines the nature of the medical supply or service being provided.

3. Procedure

1. Prepare the wound filler in dry form.
2. Weigh the wound filler to determine the quantity in grams.
3. Apply the wound filler to the specified wound area.
4. Ensure proper coverage and adherence of the wound filler.
5. Document the procedure and quantity used for accurate billing.

4. When to use HCPCS code A6262

HCPCS code A6262 should be used when healthcare providers are using a wound filler in dry form, per gram, that is not otherwise specified. This code is applicable in various wound care scenarios where a dry form wound filler is required.

5. Billing Guidelines and Documentation Requirements

When billing for HCPCS code A6262, healthcare providers need to document the following:

• The quantity of wound filler used in grams.
• The specific wound area where the filler was applied.
• The date of the procedure.
• Any additional relevant information or complications.

Proper documentation ensures accurate billing and reimbursement for the medical supply or service provided.

6. Historical Information and Code Maintenance

HCPCS code A6262 was added to the Healthcare Common Procedure Coding System on January 01, 1997. 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 inception.

7. Medicare and Insurance Coverage

HCPCS code A6262 is eligible for coverage under Medicare. The pricing indicator code 46 indicates that the carrier determines the pricing for this code. This means that the reimbursement amount may vary depending on the carrier’s discretion and individual determination. The multiple pricing indicator code A signifies that this code is not applicable as HCPCS priced under one methodology.

8. Examples

Here are five examples of scenarios where HCPCS code A6262 should be billed:

1. A patient with a deep, non-healing wound requires the application of a wound filler in dry form. The healthcare provider applies 10 grams of the filler to the wound area.
2. A post-surgical wound requires the use of a wound filler in dry form. The healthcare provider applies 5 grams of the filler to the wound area.
3. A patient with a chronic ulcer needs a wound filler in dry form to promote healing. The healthcare provider applies 15 grams of the filler to the wound area.
4. A diabetic patient with a foot ulcer requires the application of a wound filler in dry form. The healthcare provider applies 8 grams of the filler to the wound area.
5. A patient with a traumatic injury needs a wound filler in dry form to aid in the healing process. The healthcare provider applies 12 grams of the filler to the wound area.