HCPCS code A4563 — Vag inser rectal control sys.
Status: Active.
Effective Jan 1, 2019.
Source: CMS HCPCS Level II.
A4563
ActiveVag inser rectal control sys
Rectal control system for vaginal insertion, for long term use, includes pump and all supplies and accessories, any type each
Category:
Transportation & Supplies
Section:
A-codes: Transportation, Medical & Surgical Supplies
Effective:
Jan 1, 2019
Code type:
alphanumeric
OPPS Status:
A
— Paid under a separate fee schedule (not OPPS)
MUE — Medically Unlikely Edits
Maximum units of A4563 Medicare will pay for one beneficiary on one date of service. Claims exceeding the MUE are denied or returned for review.
| Service Type | Max Units / Day |
|---|---|
| Outpatient Hospital | 1 |
| Practitioner Services | 1 |
Source: CMS Medicare NCCI Medically Unlikely Edits