Q: What category is A6460 in?

A6460 belongs to HCPCS Category A (Transportation, Medical/Surgical Supplies, Miscellaneous).

Q: When should I use HCPCS code A6460?

Use A6460 when billing for synthetic drsg <= 16 sq 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 A6460 covered by Medicare?

Coverage for A6460 (Synthetic drsg <= 16 sq 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 A6460?

Documentation for A6460 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 A6460?

Accepted Answer

HCPCS code A6460 is "Synthetic drsg <= 16 sq in". Synthetic resorbable wound dressing, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing

Question 2

What category is A6460 in?

Accepted Answer

A6460 belongs to HCPCS Category A (Transportation, Medical/Surgical Supplies, Miscellaneous).

Question 3

When should I use HCPCS code A6460?

Accepted Answer

Use A6460 when billing for synthetic drsg <= 16 sq 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 A6460 covered by Medicare?

Accepted Answer

Coverage for A6460 (Synthetic drsg <= 16 sq 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 A6460?

Accepted Answer

Documentation for A6460 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).