Question 1

What is HCPCS code A4543?

Accepted Answer

HCPCS code A4543 is "Supply trans elec nerve stim". Supplies for transcutaneous electrical nerve stimulator, for nerves in the auricular region, per month

Question 2

What category is A4543 in?

Accepted Answer

A4543 belongs to HCPCS Category A (Transportation, Medical/Surgical Supplies, Miscellaneous).

Question 3

When should I use HCPCS code A4543?

Accepted Answer

Use A4543 when billing for supply trans elec nerve stim. 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 A4543 covered by Medicare?

Accepted Answer

Coverage for A4543 (Supply trans elec nerve stim) 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 A4543?

Accepted Answer

Documentation for A4543 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).