HCPCS Codes are numbers assigned to every task and service a medical practitioner may provide to a Medicare patient, including medical, surgical and diagnostic services. Under the Level II code set is a code set for medical services such as durable medical equipment, prosthetics, orthotics and supplies. These codes are alpha-numeric in that they begin with a single letter, followed by 4 numbers. The Tapeless dressing system products have been approved for a Medicare billing designation: the 2 codes are A4463 (SURGICAL DRESSING HOLDER, REUSABLE) and A4221 (SUPPLIES FOR MAINTENANCE OF DRUG INFUSION CATHETER, PER WEEK). HCPCS Codes are used by public and private health plans for patients recovering in a home health program, after hospitalization or from treatment at outpatient clinics.
Health plans using the HCPCS codes are:
A group health plan, health insurance issuer or HMO
Part A or B of the Medicare program
The Medicaid program
An issuer if a Medicare supplemental policy
An issuer of a long-term care policy, excluding a nursing home fixed-indemnity policy
An employee welfare benefit plan or any other arrangement that is established or maintained for the purpose of offering or providing health benefits to the employees of two or more employers
The health care program for active military personnel
The veterans health care program
The Civilian Health and Medical Program of the Uniformed Services (CHAMPUS); the Indian Health service program
The Federal Employees Health Benefits Program
An approved state child health plan
The Medicare Plus Choice program
Any other individual or group plan or combination of individual or group plans that provides or pays for the cost of medical care: and a high risk pool that is a mechanism established under a state law to provide health insurance coverage or comparable coverage to eligible individuals.
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