A4563 Vag inser rectal control sys
Also known as: rectal control system, vaginal insert with control
Vaginal insert with rectal control system function.
In Plain Language
vaginal or rectal support insert
Clinical Context
Used for dual-function pelvic floor support addressing both urinary and fecal incontinence. Integrated design manages multiple incontinence types.
RVU Information
CPT A4563 does not have a physician work RVU assigned by CMS. This is typical for supply, drug, and equipment codes — reimbursement is based on Average Sales Price (ASP), fee schedules, or payer contracts rather than the RVU system.
Billing & Documentation
HCPCS A-codes cover medical supplies, equipment, and transport services. Documentation must establish medical necessity and include a physician order. For durable medical equipment (DME), a Certificate of Medical Necessity (CMN) or detailed written order may be required.
Specialties
Frequently Asked Questions
What is CPT code A4563?
CPT A4563 (Vag inser rectal control sys) is a A Codes code. Vaginal insert with rectal control system function.
Does Medicare cover A4563?
Medicare coverage for A4563 depends on medical necessity and applicable Local Coverage Determinations (LCDs). Used for dual-function pelvic floor support addressing both urinary and fecal incontinence. Integrated design manages multiple incontinence types. A physician order is typically required.
When is CPT A4563 used?
Used for dual-function pelvic floor support addressing both urinary and fecal incontinence. Integrated design manages multiple incontinence types.
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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.