Summary & Overview
HCPCS A4626: Tracheostomy Cleaning Brush, Single
HCPCS Level II code A4626 represents a single tracheostomy cleaning brush, a disposable medical supply used in routine tracheostomy maintenance. Nationally, accurate coding for this durable medical supply supports appropriate claims processing for home health agencies, long-term care facilities, outpatient clinics, and pharmacies that furnish tracheostomy supplies.
Key payers addressed in this overview include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise explanation of what the code covers, typical sites of service, and the clinical context for use. The publication also summarizes common billing modifiers provided in the input and outlines where benchmarks and policy guidance would apply.
This report is intended to help revenue cycle professionals, clinical supply coordinators, and policy analysts understand the purpose of HCPCS Level II code A4626, the service settings where the item is used, and the payer landscape relevant for reimbursement and coverage considerations. Data not provided in the input—such as associated taxonomies, ICD-10 pairings, and utilization benchmarks—are noted as unavailable and are not inferred.
Billing Code Overview
HCPCS Level II code A4626 describes a tracheostomy cleaning brush, each. This item is a single tracheostomy care device intended for cleaning tracheostomy tubes and stoma sites.
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Service type: Medical supply for tracheostomy care
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Typical site of service: Long-term care settings, home health, outpatient clinics, and other ambulatory care locations where tracheostomy maintenance is performed
Data not available in the input.
Clinical & Coding Specifications
Clinical Context
A tracheostomy cleaning brush (A4626) is typically used by home health nurses, respiratory therapists, or caregivers for routine cleaning and maintenance of a tracheostomy tube and inner cannula. A common patient scenario involves an adult or pediatric patient with a long-term tracheostomy for chronic airway protection or prolonged ventilator dependence who requires periodic removal of secretions and cleaning of the tracheostomy inner cannula to reduce infection risk and maintain tube patency. The clinical workflow starts with assessment of the stoma and tube, hand hygiene and PPE, suctioning as needed, temporary removal of the inner cannula if present, use of the tracheostomy cleaning brush to remove crusts and secretions, irrigation or wiping per facility protocol, inspection of the cannula and stoma for irritation or granulation tissue, replacement of the cleaned inner cannula or tube, and documentation of the procedure, findings, and any patient tolerance issues. Supplies billed with durable medical equipment or separately may include the brush (A4626) dispensed per unit, along with suction catheters, humidification, and replacement inner cannulas as clinically indicated. Typical sites of service include inpatient acute care, long‑term acute care hospitals, skilled nursing facilities, outpatient clinics, and patient homes under home health services.
Coding Specifications
| Modifier | Description | When to Use |
|---|---|---|
00 |