RETIRED - PureWick Urine Collection System - Coding and Billing Instructions - Revised

IMPORTANT: THIS DOCUMENT CONTAINS OUTDATED INFORMATION.

Content Provided on this page contains outdated information and instruction and should not be considered current. Noridian is providing this archived information for research purposes only. This archived article contains previously issued instructions that have since been updated or are no longer applicable for Medicare billing purposes.

DME MAC Joint Publication
Posted April 13, 2023

In 2020, PureWick Urine Collection System™ manufactured by Becton-Dickinson (BD) was assigned a new Healthcare Common Procedure Coding System code (HCPCS), K1006 (SUCTION PUMP, HOME MODEL, PORTABLE OR STATIONARY, ELECTRIC, ANY TYPE, FOR USE WITH EXTERNAL URINE MANAGEMENT SYSTEM), effective October 1, 2020. The system contains five components as described by the manufacturer:

  1. A urine suction pump
  2. A urine collection canister
  3. Tubing from collection canister to the suction pump
  4. Tubing from collection canister to the external catheter
  5. An external urine collection device

Effective for dates of service on or after October 1, 2020, the HCPCS code for use when billing the urine suction pump is:
K1006 (SUCTION PUMP, HOME MODEL, PORTABLE OR STATIONARY, ELECTRIC, ANY TYPE, FOR USE WITH EXTERNAL URINE MANAGEMENT SYSTEM)

Effective for dates of service on or after September 23, 2021 through March 31, 2023, the HCPCS code for use when billing the accessories is:
A9999 (MISCELLANEOUS DME SUPPLY OR ACCESSORY, NOT OTHERWISE SPECIFIED)

When multiple accessories are provided (for example, the urine collection canister, collector tubing, pump tubing, and external collection device), you must code the accessories on separate claim lines. In this scenario, A9999 would appear on multiple claim lines. See below:

Urine Collection Canister
Coding: A9999 (MISCELLANEOUS DME SUPPLY OR ACCESSORY, NOT OTHERWISE SPECIFIED)

Collector Tubing
Coding: A9999 (MISCELLANEOUS DME SUPPLY OR ACCESSORY, NOT OTHERWISE SPECIFIED)

Pump Tubing
Coding: A9999 (MISCELLANEOUS DME SUPPLY OR ACCESSORY, NOT OTHERWISE SPECIFIED)

External Urine Collection Device
Coding: A9999 (MISCELLANEOUS DME SUPPLY OR ACCESSORY, NOT OTHERWISE SPECIFIED)

For billing of code A9999, the supplier must enter a description of the item, manufacturer name, product name/number, supplier price list, and HCPCS of related item in loop 2300 (claim note) and/or 2400 (line note), segment NTE02 (NTE01=ADD) of the ANSI X12N, version 5010A1 professional electronic claim format or in Item 19 of the paper claim form.

Effective for dates of service on or after April 1, 2023, the HCPCS codes for use when billing the accessories are:

A6590 (EXTERNAL URINARY CATHETERS; DISPOSABLE, WITH WICKING MATERIAL, FOR USE WITH SUCTION PUMP, PER MONTH)

A7001 (CANISTER, NON-DISPOSABLE, USED WITH SUCTION PUMP, EACH)

A7002 (TUBING, USED WITH SUCTION PUMP, EACH)

According to CMS’ Final HCPCS Coding Decision, released with the Second Biannual (B2), 2022 HCPCS Coding Cycle, the newly established (effective April 1, 2023) A6590 HCPCS code is for use when billing monthly external catheter supplies. Pre-existing HCPCS codes A7001 and A7002 are for use when billing the canister and tubing (respectively).

Correct coding is an essential element for correct claim payment. The Pricing, Data Analysis and Coding (PDAC) contractor maintains a variety of resources to assist suppliers in determining the appropriate code for Medicare billing. For questions about correct coding, contact the PDAC HCPCS Helpline at (877) 735-1326 during the hours of 9:30 am to 5:00 pm ET, Monday through Friday. You may also visit the PDAC website to chat with a representative, or select the Contact Us website button at the top of the PDAC website for email, FAX, or postal mail information.

Publication History

Date of Change Description
10/07/21 Originally Published
04/13/23 Revised to add instructions for coding and billing of accessories used with K1006, effective for claims with dates of service on or after April 1, 2023
12/28/23 Retired. See revised article published 12/28/23

 

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