T4528 Adult size pull-on xl
Also known as: Adult pull-on XL, Pull-up diaper XL
Adult size pull-on incontinence garment, extra-large size. Disposable pull-on style incontinence brief for adults in extra-large dimensions.
In Plain Language
Adult pull-up incontinence product, extra-large; Easy-on XL brief
Clinical Context
Medicaid-covered disposable pull-on incontinence brief in extra-large adult sizing offering ease of application and removal for larger individuals with incontinence.
RVU Information
CPT T4528 does not have a physician work RVU assigned by CMS. Reimbursement for this code is determined by payer-specific fee schedules.
Billing & Documentation
This HCPCS code requires documentation of medical necessity and a valid physician order. Coverage and reimbursement policies vary by payer. Check with the specific insurer for prior authorization requirements.
Specialties
Frequently Asked Questions
What is CPT code T4528?
CPT T4528 (Adult size pull-on xl) is a Other HCPCS code. Adult size pull-on incontinence garment, extra-large size. Disposable pull-on style incontinence brief for adults in extra-large dimensions.
Does Medicare cover T4528?
Medicare coverage for T4528 depends on medical necessity and applicable Local Coverage Determinations (LCDs). Medicaid-covered disposable pull-on incontinence brief in extra-large adult sizing offering ease of application and removal for larger individuals with incontinence. A physician order is typically required.
When is CPT T4528 used?
Medicaid-covered disposable pull-on incontinence brief in extra-large adult sizing offering ease of application and removal for larger individuals with incontinence.
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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.