How To Use HCPCS Code A6605

HCPCS code A6605 describes a specific type of gradient compression bandaging supply. This code is used to identify padded foam bandages that are used for lymphedema compression treatment. In this article, we will explore the details of HCPCS code A6605, 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 A6605?

HCPCS code A6605 is used to identify gradient compression bandaging supplies that are made of padded foam. These bandages are used to provide compression therapy for patients with lymphedema. The code represents the specific type of bandage and can be used to bill for the supply.

2. Official Description

The official description of HCPCS code A6605 is “Gradient compression bandaging supply, padded foam, per linear yard, any width, each.” The short description is “G com bandage padded foam.” This description accurately represents the type of bandage that is covered by this code.

3. Procedure

1. Measure the length and width of the area that needs to be bandaged.
2. Cut the padded foam bandage to the appropriate length and width.
3. Apply the bandage to the affected area, ensuring that it provides even compression.
4. Secure the bandage in place using medical tape or other appropriate methods.
5. Instruct the patient on how to properly care for and maintain the bandage.

4. When to use HCPCS code A6605

HCPCS code A6605 should be used when providing gradient compression bandaging supplies that are made of padded foam. These bandages are typically used for patients with lymphedema to provide compression therapy. It is important to ensure that the patient meets the eligibility criteria for using this code and that the bandage is medically necessary for their condition.

5. Billing Guidelines and Documentation Requirements

When billing for HCPCS code A6605, healthcare providers need to document the medical necessity of the bandage and the specific details of the service provided. This may include the length and width of the bandage, the number of bandages used, and any additional supplies or services that were provided in conjunction with the bandage. It is important to follow the billing guidelines set forth by the payer to ensure accurate and timely reimbursement.

6. Historical Information and Code Maintenance

HCPCS code A6605 was added to the Healthcare Common Procedure Coding System on January 01, 2024. As of this date, it became available for use in medical coding and billing. There have been no maintenance actions taken for this code since its addition, indicating that no updates or revisions have been made.

7. Medicare and Insurance Coverage

HCPCS code A6605 is covered by Medicare and other insurance providers. The pricing indicator code for this code is 40, which indicates that it is part of the Lymphedema Compression Treatment Items category. The multiple pricing indicator code is A, which means that the code is not applicable as HCPCS priced under one methodology. Medicare and other insurers determine the reimbursement rates for this code based on their fee schedules and coverage policies.

8. Examples

Here are five examples of when HCPCS code A6605 should be billed:

1. A patient with lymphedema requires a padded foam bandage for compression therapy on their lower leg. The healthcare provider measures and cuts the bandage to the appropriate length and applies it to the affected area.
2. A patient with lymphedema needs a padded foam bandage for compression therapy on their arm. The healthcare provider measures and cuts the bandage to the appropriate length and applies it to the affected area.
3. A patient with lymphedema requires a padded foam bandage for compression therapy on their abdomen. The healthcare provider measures and cuts the bandage to the appropriate length and applies it to the affected area.
4. A patient with lymphedema needs a padded foam bandage for compression therapy on their chest. The healthcare provider measures and cuts the bandage to the appropriate length and applies it to the affected area.
5. A patient with lymphedema requires a padded foam bandage for compression therapy on their back. The healthcare provider measures and cuts the bandage to the appropriate length and applies it to the affected area.