Question 1

What is HCPCS code A4230?

Accepted Answer

HCPCS code A4230 is "Infus insulin pump non needl". Infusion set for external insulin pump, non needle cannula type

Question 2

What category is A4230 in?

Accepted Answer

A4230 belongs to HCPCS Category A (Transportation, Medical/Surgical Supplies, Miscellaneous).

Question 3

When should I use HCPCS code A4230?

Accepted Answer

Use A4230 when billing for infus insulin pump non needl. HCPCS Level II codes like this are used for items and services not covered by CPT codes, including medical supplies, equipment, drugs administered in clinical settings, and certain healthcare services.

Question 4

Is A4230 covered by Medicare?

Accepted Answer

Coverage for A4230 (Infus insulin pump non needl) depends on medical necessity and specific Medicare guidelines. Check the applicable Local Coverage Determination (LCD) or National Coverage Determination (NCD) for detailed coverage criteria. Private insurers may have different coverage policies.

Question 5

What documentation is required for A4230?

Accepted Answer

Documentation for A4230 should include: the medical necessity for the item or service, supporting diagnosis codes (ICD-10), prescription or order from the treating physician, and proof that the item meets quality standards. Some items may require additional documentation like a Certificate of Medical Necessity (CMN).