Q: What category is A4407 in?

A4407 belongs to HCPCS Category A (Transportation, Medical/Surgical Supplies, Miscellaneous).

Q: When should I use HCPCS code A4407?

Use A4407 when billing for ext wear ost skn barr <=4sq". 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.

Q: Is A4407 covered by Medicare?

Coverage for A4407 (Ext wear ost skn barr <=4sq") 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.

Q: What documentation is required for A4407?

Documentation for A4407 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).

Question 1

What is HCPCS code A4407?

Accepted Answer

HCPCS code A4407 is "Ext wear ost skn barr <=4sq"". Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each

Question 2

What category is A4407 in?

Accepted Answer

A4407 belongs to HCPCS Category A (Transportation, Medical/Surgical Supplies, Miscellaneous).

Question 3

When should I use HCPCS code A4407?

Accepted Answer

Use A4407 when billing for ext wear ost skn barr <=4sq". 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 A4407 covered by Medicare?

Accepted Answer

Coverage for A4407 (Ext wear ost skn barr <=4sq") 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 A4407?

Accepted Answer

Documentation for A4407 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).