Correct Coding - Cast Covers

Joint DME MAC

Recently the DME MACs have received inquiries about coverage of covers for casts. These are typically constructed of latex or rubber and are designed to fit over a cast to allow bathing, showering or swimming without water infiltration. Medicare considers cast covers a convenience item; therefore, these items are non-covered. The proper HCPCS code for cast covers is:

A9270 – Non-covered item or service

For questions about correct coding, contact the Pricing, Data Analysis and Coding (PDAC) Contact Center at (877) 735-1326 during the hours of 8:30 a.m. to 4 p.m. CT, Monday through Friday, or e-mail the PDAC by completing the DME PDAC Contact Form.

 

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