Question 1

What is HCPCS code A4250?

Accepted Answer

HCPCS code A4250 is "Urine reagent strips/tablets". Urine test or reagent strips or tablets (100 tablets or strips)

Question 2

What category is A4250 in?

Accepted Answer

A4250 belongs to HCPCS Category A (Transportation, Medical/Surgical Supplies, Miscellaneous).

Question 3

When should I use HCPCS code A4250?

Accepted Answer

Use A4250 when billing for urine reagent strips/tablets. 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 A4250 covered by Medicare?

Accepted Answer

Coverage for A4250 (Urine reagent strips/tablets) 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 A4250?

Accepted Answer

Documentation for A4250 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).