Question 1

What is HCPCS code A6591?

Accepted Answer

HCPCS code A6591 is "Urinary cath suc pump". External urinary catheter; non-disposable, for use with suction pump, per month

Question 2

What category is A6591 in?

Accepted Answer

A6591 belongs to HCPCS Category A (Transportation, Medical/Surgical Supplies, Miscellaneous).

Question 3

When should I use HCPCS code A6591?

Accepted Answer

Use A6591 when billing for urinary cath suc pump. 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 A6591 covered by Medicare?

Accepted Answer

Coverage for A6591 (Urinary cath suc pump) 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 A6591?

Accepted Answer

Documentation for A6591 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).