Q: What category is A6258 in?

A6258 belongs to HCPCS Category A (Transportation, Medical/Surgical Supplies, Miscellaneous).

Q: When should I use HCPCS code A6258?

Use A6258 when billing for transparent film >16<=48 in. 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 A6258 covered by Medicare?

Coverage for A6258 (Transparent film >16<=48 in) 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 A6258?

Documentation for A6258 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 A6258?

Accepted Answer

HCPCS code A6258 is "Transparent film >16<=48 in". Transparent film, sterile, more than 16 sq. in. but less than or equal to 48 sq. in., each dressing

Question 2

What category is A6258 in?

Accepted Answer

A6258 belongs to HCPCS Category A (Transportation, Medical/Surgical Supplies, Miscellaneous).

Question 3

When should I use HCPCS code A6258?

Accepted Answer

Use A6258 when billing for transparent film >16<=48 in. 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 A6258 covered by Medicare?

Accepted Answer

Coverage for A6258 (Transparent film >16<=48 in) 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 A6258?

Accepted Answer

Documentation for A6258 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).