Summary & Overview
HCPCS Level II A4244: Alcohol or Peroxide, Per Pint
HCPCS Level II code A4244 denotes a pint of alcohol or peroxide antiseptic solution used for topical cleansing and wound care. As a supply code, it captures a commonly furnished item across ambulatory and facility outpatient settings and is relevant for billing of minor procedures, wound management, and routine antisepsis. Nationally, accurate reporting of supply codes like A4244 supports consistent claims adjudication and inventory costing.
Key payers included in the analysis are Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise overview of coding context and clinical use, payer coverage considerations, and common modifiers associated with HCPCS Level II supply billing. The publication provides benchmarks for how this supply code is applied in service lines involving wound care and minor procedures, highlights payer coverage patterns, and summarizes policy considerations that affect documentation and claim processing.
This summary is intended for healthcare billing professionals, revenue cycle managers, and clinicians involved in ambulatory care and supply administration who need a national-level reference for how HCPCS Level II code A4244 is used and reimbursed across major payers.
Billing Code Overview
HCPCS Level II code A4244 describes Alcohol or peroxide, per pint. This item represents a supply of antiseptic solution commonly used for wound cleansing and skin disinfection.
Service type: Medical supply — antiseptic solution
Typical site of service: Outpatient clinics, physician offices, emergency departments, long-term care facilities, and other ambulatory care settings where wound care or topical antisepsis is performed.
Clinical & Coding Specifications
Clinical Context
A typical patient is an adult presenting to an outpatient clinic, urgent care, or emergency department with a superficial wound, minor abrasion, or need for topical antisepsis. The clinician selects A4244 (Alcohol or peroxide, per pint) when applying or dispensing isopropyl alcohol or hydrogen peroxide solution for wound cleansing, dressing preparation, or antiseptic use. Workflow: patient assessment (history, allergy check), wound inspection and cleansing using sterile technique, application of antiseptic solution from a pint-size supply for the visit or to be provided to the patient for home use, documentation of product identity and quantity, and billing the HCPCS Level II supply code A4244 when applicable per payer rules. Typical sites of service include physician offices, urgent care centers, outpatient clinics, and emergency departments where minor wound care or topical antisepsis is performed.
Coding Specifications
| Modifier | Description | When to Use |
|---|---|---|
00 | No modifier | Use when no modifier-specific circumstances apply to the supply billing. |
22 |