Question 1

What is HCPCS code A4431?

Accepted Answer

HCPCS code A4431 is "Ost pch urine w barrier/tapv". Ostomy pouch, urinary; with barrier attached, with faucet-type tap with valve (1 piece), each

Question 2

What category is A4431 in?

Accepted Answer

A4431 belongs to HCPCS Category A (Transportation, Medical/Surgical Supplies, Miscellaneous).

Question 3

When should I use HCPCS code A4431?

Accepted Answer

Use A4431 when billing for ost pch urine w barrier/tapv. 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 A4431 covered by Medicare?

Accepted Answer

Coverage for A4431 (Ost pch urine w barrier/tapv) 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 A4431?

Accepted Answer

Documentation for A4431 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).