Question 1

What is HCPCS code A6199?

Accepted Answer

HCPCS code A6199 is "Alginate drsg wound filler". Alginate or other fiber gelling dressing, wound filler, sterile, per 6 inches

Question 2

What category is A6199 in?

Accepted Answer

A6199 belongs to HCPCS Category A (Transportation, Medical/Surgical Supplies, Miscellaneous).

Question 3

When should I use HCPCS code A6199?

Accepted Answer

Use A6199 when billing for alginate drsg wound filler. 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 A6199 covered by Medicare?

Accepted Answer

Coverage for A6199 (Alginate drsg wound filler) 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 A6199?

Accepted Answer

Documentation for A6199 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).