2025 HCPCS code A4246
(Active) Effective Date: N/A Revision Date: N/A Medical Supplies - Other Supplies Including Diabetes Supplies and Contraceptives Medical and Surgical Supplies Feed
Betadine or pHisoHex solution, per pint, used as an antiseptic to clean a patient's skin before procedures like blood glucose monitoring.
Modifier AX (Item furnished in conjunction with dialysis services) can be appended if applicable.
Medical necessity is established by the need to prepare the skin for a medical procedure, preventing contamination and ensuring accurate test results.This is generally accepted medical practice for any procedure requiring a clean sample.
The clinical responsibility lies with the healthcare provider who uses the antiseptic solution to prepare the patient's skin before a procedure (such as blood glucose monitoring).This ensures accurate results and minimizes the risk of infection.
- Medical and Surgical Supplies
- A4206-A8004 (Other Supplies Including Diabetes Supplies and Contraceptives)
In simple words: This code is for a pint of Betadine or pHisoHex, which are used to clean the skin before a medical test, such as checking blood sugar.This helps keep the area clean for an accurate test result and prevents infection.
HCPCS code A4246 represents one pint of Betadine or pHisoHex solution used as a skin antiseptic.It's applied before procedures requiring a clean sample, such as blood glucose monitoring in patients with diabetes mellitus. The antiseptic helps prevent skin infections and ensures sample accuracy.The code specifically refers to a pint of solution; different codes exist for other antiseptic forms (e.g., swabs, wipes).
Example 1: A patient with diabetes mellitus requires a blood glucose test.The provider uses Betadine solution (A4246) to clean the puncture site before drawing blood., A patient is undergoing a capillary blood test to assess their hemoglobin levels.The provider uses pHisoHex solution (A4246) to clean the fingertip before performing the puncture to obtain a blood sample., A patient is receiving hemodialysis, and the provider cleans the vascular access site with A4246 prior to accessing the vessel to start dialysis.Modifier AX would be appended due to it's use in conjunction with dialysis services.
Documentation should include the type of antiseptic used (Betadine or pHisoHex), the amount used (one pint), the date of service, the reason for use (preparation for a specific procedure), and the patient's diagnosis.
** Coverage for this code may vary widely among payers. Some payers may not cover it unless specific medical necessity criteria are met.
- Payment Status: Active (Coverage may vary by payer)
- Modifier TC rule: Not applicable.
- Fee Schedule : Information on historical fee schedules is not available in the provided data.Check with your specific payer for relevant fee information.
- Specialties:Endocrinology, Diabetology, Nephrology, General Practice
- Place of Service:Office, Clinic, Hospital (Inpatient and Outpatient), Dialysis Center