T4543 Adult disp brief/diap abv xl
Also known as: Adult diaper XXL, Large capacity brief
Adult disposable brief or diaper, above extra-large size. Extra-capacity disposable incontinence brief for adults requiring sizing larger than standard extra-large.
In Plain Language
Extra-large adult incontinence product; High-capacity adult diaper
Clinical Context
Medicaid-covered disposable incontinence brief in above extra-large sizing for larger individuals with urinary or fecal incontinence requiring maximum absorbency.
RVU Information
CPT T4543 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 T4543?
CPT T4543 (Adult disp brief/diap abv xl) is a Other HCPCS code. Adult disposable brief or diaper, above extra-large size. Extra-capacity disposable incontinence brief for adults requiring sizing larger than standard extra-large.
Does Medicare cover T4543?
Medicare coverage for T4543 depends on medical necessity and applicable Local Coverage Determinations (LCDs). Medicaid-covered disposable incontinence brief in above extra-large sizing for larger individuals with urinary or fecal incontinence requiring maximum absorbency. A physician order is typically required.
When is CPT T4543 used?
Medicaid-covered disposable incontinence brief in above extra-large sizing for larger individuals with urinary or fecal incontinence requiring maximum absorbency.
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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.