tci Medicare Compliance & Reimbursement - 2020 Issue Q3

Reader Questions: Use This Insight to Bill for N95 Masks

Question: One safety measure our practice has implemented during the COVID-19 pandemic is providing N95 masks to patients during their visits. What CPT®or HCPCS Level II code can we bill for these masks along with the follow-up visits? Illinois Subscriber Answer: The current HCPCS Level II code book does not include a specific code for N95 masks. The manual does include code A4928 (Surgical mask, per 20), but that only applies to masks that you purchase in bulk for use by your own staff during procedures — not masks that you will be billing to patients. One potential...

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