How To Use HCPCS Code A6455

HCPCS code A6455 describes a self-adherent bandage that is elastic and non-knitted/non-woven, with a width greater than or equal to five inches, per yard. This code is used to identify and bill for the specific type of bandage that falls under this description. In this article, we will explore the details of HCPCS code A6455, 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 A6455?

HCPCS code A6455 is a specific code used in medical coding to identify a self-adherent bandage that is elastic and non-knitted/non-woven, with a width greater than or equal to five inches, per yard. This code is essential for accurately documenting and billing for this particular type of bandage.

2. Official Description

The official description of HCPCS code A6455 is “Self-adherent bandage, elastic, non-knitted/non-woven, width greater than or equal to five inches, per yard.” The short description is “Self-adher band >=5″/yd.” These descriptions provide a clear understanding of the characteristics and specifications of the bandage that falls under this code.

3. Procedure

1. Start by preparing the self-adherent bandage and ensuring it is clean and sterile.
2. Measure the required length of the bandage based on the patient’s needs.
3. Carefully unroll the bandage, ensuring it does not become tangled or twisted.
4. Begin applying the bandage to the desired area, starting from one end and gradually wrapping it around.
5. Ensure the bandage is applied with appropriate tension to provide support and compression.
6. Continue wrapping the bandage until the desired coverage is achieved.
7. Secure the end of the bandage by pressing it firmly against the wrapped area, allowing it to adhere to itself.
8. Trim any excess bandage if necessary.
9. Document the application of the self-adherent bandage in the patient’s medical records.

4. When to use HCPCS code A6455

HCPCS code A6455 should be used when providing or billing for a self-adherent bandage that meets the specific criteria outlined in the official description. This code is applicable when the bandage used is elastic, non-knitted/non-woven, and has a width greater than or equal to five inches per yard. It is important to ensure that the bandage being used matches the description provided in the code.

5. Billing Guidelines and Documentation Requirements

When billing for HCPCS code A6455, healthcare providers need to document the usage of the self-adherent bandage in the patient’s medical records. This documentation should include the specific details of the bandage used, such as its width, length, and any additional information relevant to the patient’s condition. It is crucial to accurately record the usage of the bandage to support the billing process.

6. Historical Information and Code Maintenance

HCPCS code A6455 was added to the Healthcare Common Procedure Coding System on January 01, 2004. 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 A6455 falls under the pricing indicator code 35, which indicates that it is classified as a surgical dressing and its price is subject to floors and ceilings. The multiple pricing indicator code A signifies that it is not applicable as HCPCS priced under one methodology. This code is typically used for billing purposes and is payable by Medicare and other insurance providers, subject to their specific coverage policies and guidelines.

8. Examples

Here are five examples of when HCPCS code A6455 should be billed:

1. A patient with a sprained ankle requires a self-adherent bandage with a width of six inches to provide support and compression during the healing process.
2. A post-operative patient needs a self-adherent bandage with a width of five inches to secure the surgical dressing and promote proper wound healing.
3. A patient with a chronic wrist injury requires a self-adherent bandage with a width of seven inches to stabilize the joint and reduce pain during daily activities.
4. A healthcare facility orders a supply of self-adherent bandages with a width of six inches per yard to stock their inventory for various patient needs.
5. A patient with a large leg ulcer requires a self-adherent bandage with a width of eight inches to provide adequate coverage and compression for effective wound healing.