Question 1

What is HCPCS code A4385?

Accepted Answer

HCPCS code A4385 is "Ost skn barrier sld ext wear". Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each

Question 2

What category is A4385 in?

Accepted Answer

A4385 belongs to HCPCS Category A (Transportation, Medical/Surgical Supplies, Miscellaneous).

Question 3

When should I use HCPCS code A4385?

Accepted Answer

Use A4385 when billing for ost skn barrier sld ext wear. 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 A4385 covered by Medicare?

Accepted Answer

Coverage for A4385 (Ost skn barrier sld ext wear) 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 A4385?

Accepted Answer

Documentation for A4385 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).