HCPCS code A4456: Adhesive remover, wipes, any type, each

Yes, adhesive remover wipes (A4456) are typically covered by Medicare when they are deemed reasonable and necessary for an individual with a permanent impairment that requires an ostomy (colostomy, ileostomy, or urostomy).

The usual maximum quantity covered by Medicare policies is typically 50 wipes per month. More than this amount requires specific documentation in the patient's medical record justifying the increased need (e.g., severe skin breakdown requiring more frequent pouch changes).

A4456 (Adhesive remover, wipes) is for removing the adhesive materials from the skin. On the other hand, A5120 (Skin barrier, wipes or swabs) is for protecting the skin before applying the new adhesive barrier. They serve opposite purposes in the ostomy appliance change process.