Question 1

What is HCPCS code A4415?

Accepted Answer

HCPCS code A4415 is "Ost skn barr w/o conv >4 sqi". Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, larger than 4 x 4 inches, each

Question 2

What category is A4415 in?

Accepted Answer

A4415 belongs to HCPCS Category A (Transportation, Medical/Surgical Supplies, Miscellaneous).

Question 3

When should I use HCPCS code A4415?

Accepted Answer

Use A4415 when billing for ost skn barr w/o conv >4 sqi. 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 A4415 covered by Medicare?

Accepted Answer

Coverage for A4415 (Ost skn barr w/o conv >4 sqi) 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 A4415?

Accepted Answer

Documentation for A4415 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).