Summary & Overview
HCPCS A4247: Betadine or Iodine Swabs/Wipes, Per Box
HCPCS Level II code A4247 denotes a boxed supply of Betadine or iodine swabs/wipes used for topical antisepsis. Nationally, this code matters because it identifies a common, low-cost supply item used across outpatient and ambulatory care settings for skin preparation, minor procedures, and wound care. Accurate coding of such supplies supports supply tracking, billing consistency, and clinical documentation.
Key payers discussed include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise overview of clinical context, typical sites of service, and the role of A4247 in procedure and supply billing. The publication outlines benchmarking expectations for unit reporting and common billing practices tied to antiseptic supplies, and it highlights policy considerations affecting coverage and documentation requirements.
This resource helps billing managers, clinical coders, and revenue leaders understand where A4247 fits into supply charge capture and outpatient billing workflows, what to expect from major payers on coverage and coding recognition, and which operational areas (inventory, documentation, and claim submission) commonly reference this HCPCS Level II code. Data not provided in the input is noted where applicable.
Billing Code Overview
HCPCS Level II code A4247 describes Betadine or iodine swabs/wipes, per box. This code represents a supply item used for topical antisepsis in clinical and outpatient settings. The service type is a disposable antiseptic supply for skin preparation and wound cleaning. The typical site of service includes outpatient clinics, physician offices, urgent care centers, and other ambulatory care settings where topical antisepsis is required.
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Clinical & Coding Specifications
Clinical Context
A typical scenario involves a patient in an outpatient or ambulatory setting requiring skin antisepsis prior to minor procedures. For example, a 45-year-old patient presents to a primary care clinic for removal of a small skin lesion. The nurse or medical assistant prepares the procedural field by cleansing the site with povidone-iodine antiseptic swabs from a box billed under A4247. The workflow: triage and consent → patient positioned → provider marks procedure site → sterile prep using A4247 swabs/wipes → local anesthesia and procedure (e.g., lesion excision, minor wound repair, or intravenous line placement) → dressing applied and discharge instructions given. Typical sites of service include physician offices, outpatient clinics, ambulatory surgical centers, and emergency departments. The product is single-use per patient and is billed per box when institutional or practice supply chains track use and billing of antiseptic swab boxes separately.
Coding Specifications
| Modifier | Description | When to Use |
|---|---|---|
00 | No modifier | Standard reporting when no special circumstances apply |
22 |