Q: What category is A6212 in?

A6212 belongs to HCPCS Category A (Transportation, Medical/Surgical Supplies, Miscellaneous).

Q: When should I use HCPCS code A6212?

Use A6212 when billing for foam drg <=16 sq in w/border. 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.

Q: Is A6212 covered by Medicare?

Coverage for A6212 (Foam drg <=16 sq in w/border) 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.

Q: What documentation is required for A6212?

Documentation for A6212 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).

Question 1

What is HCPCS code A6212?

Accepted Answer

HCPCS code A6212 is "Foam drg <=16 sq in w/border". Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing

Question 2

What category is A6212 in?

Accepted Answer

A6212 belongs to HCPCS Category A (Transportation, Medical/Surgical Supplies, Miscellaneous).

Question 3

When should I use HCPCS code A6212?

Accepted Answer

Use A6212 when billing for foam drg <=16 sq in w/border. 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 A6212 covered by Medicare?

Accepted Answer

Coverage for A6212 (Foam drg <=16 sq in w/border) 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 A6212?

Accepted Answer

Documentation for A6212 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).