Question 1

What is HCPCS code A4545?

Accepted Answer

HCPCS code A4545 is "Suppl accessor tibial stim". Supplies and accessories for external tibial nerve stimulator (e.g., socks, gel pads, electrodes, etc.), needed for one month

Question 2

What category is A4545 in?

Accepted Answer

A4545 belongs to HCPCS Category A (Transportation, Medical/Surgical Supplies, Miscellaneous).

Question 3

When should I use HCPCS code A4545?

Accepted Answer

Use A4545 when billing for suppl accessor tibial 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 A4545 covered by Medicare?

Accepted Answer

Coverage for A4545 (Suppl accessor tibial 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 A4545?

Accepted Answer

Documentation for A4545 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).