Q: What category is A6254 in?

A6254 belongs to HCPCS Category A (Transportation, Medical/Surgical Supplies, Miscellaneous).

Q: When should I use HCPCS code A6254?

Use A6254 when billing for absorpt drg <=16 sq in w/bdr. 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 A6254 covered by Medicare?

Coverage for A6254 (Absorpt drg <=16 sq in w/bdr) 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 A6254?

Documentation for A6254 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 A6254?

Accepted Answer

HCPCS code A6254 is "Absorpt drg <=16 sq in w/bdr". Specialty absorptive dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing

Question 2

What category is A6254 in?

Accepted Answer

A6254 belongs to HCPCS Category A (Transportation, Medical/Surgical Supplies, Miscellaneous).

Question 3

When should I use HCPCS code A6254?

Accepted Answer

Use A6254 when billing for absorpt drg <=16 sq in w/bdr. 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 A6254 covered by Medicare?

Accepted Answer

Coverage for A6254 (Absorpt drg <=16 sq in w/bdr) 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 A6254?

Accepted Answer

Documentation for A6254 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).