A4564 — Pessary, disposable, any type
A4564 is a HCPCS Level II code for pessary, disposable, any type. It belongs to the Transportation, Medical & Surgical Supplies, Administrative section. Whether Medicare pays it depends on the coverage rule below.
Medicare coverage: Carrier judgment
Coverage is decided by your Medicare contractor, not by national policy. Whether this is paid depends on the LCD for your jurisdiction and on what the documentation supports.
From the coverage field of the CMS Alpha-Numeric HCPCS File, release 2026Q3-Jul. This states Medicare’s position on the code, not on your particular claim.
Physician fee schedule statusX
Statutory exclusion. The item or service is not within the statutory definition of 'physician services', so the fee schedule never pays it.
Global period: XXX
Want the dollar amount for your locality? The fee calculator applies your GPCI and the current conversion factor.
The CMS record for A4564
- Long descriptor
- Pessary, disposable, any type
- Short descriptor
- Pessary, disposable any type
- Added
- April 1, 2024
- BETOS
- D1F
- Pricing indicator
- 46 — DMEPOS
The official wording. This is what the code means.
CMS's 28-character form, which is what shows up on a remittance advice.
When CMS introduced the code.
Berenson-Eggers Type of Service — CMS's own analytic grouping.
Carrier priced — not otherwise classified, individual determination, carrier discretion, or gap-filled amounts.
Codes adjacent to A4564
HCPCS has no hierarchy — related items simply sit next to each other in the numbering. If A4564 is not quite right, the correct code is very often within a few positions of it.
- A4556Electrodes, (e.g., apnea monitor), per pair
- A4557Lead wires, (e.g., apnea monitor), per pair
- A4558Conductive gel or paste, for use with electrical device (e.g., tens, nmes), per oz
- A4559Coupling gel or paste, for use with ultrasound device, per oz
- A4560Neuromuscular electrical stimulator (nmes), disposable, replacement only
- A4561Pessary, reusable, rubber, any type
- A4562Pessary, reusable, non rubber, any type
- A4563Rectal control system for vaginal insertion, for long term use, includes pump and all supplies and accessories, any type each
- A4565Slings
- A4566Shoulder sling or vest design, abduction restrainer, with or without swathe control, prefabricated, includes fitting and adjustment
- A4570Splint
- A4575Topical hyperbaric oxygen chamber, disposable
- A4580Cast supplies (e.g., plaster)
- A4590Special casting material (e.g., fiberglass)
- A4593Neuromodulation stimulator system, adjunct to rehabilitation therapy regime, controller
- A4594Neuromodulation stimulator system, adjunct to rehabilitation therapy regime, mouthpiece each
Questions about A4564
What is HCPCS code A4564?
A4564 is a HCPCS Level II code for pessary, disposable, any type. It sits in the Transportation, Medical & Surgical Supplies, Administrative section.
Does Medicare cover A4564?
The CMS HCPCS file marks A4564 as "Carrier judgment". Coverage is decided by your Medicare contractor, not by national policy. Whether this is paid depends on the LCD for your jurisdiction and on what the documentation supports.
How is A4564 paid under the physician fee schedule?
A4564 carries PFS status code X. Statutory exclusion. The item or service is not within the statutory definition of 'physician services', so the fee schedule never pays it.