T4528 — Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each
T4528 is a HCPCS Level II code for adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each. It belongs to the National Codes for State Medicaid Agencies section. Medicare does not pay it — see the coverage note below before you bill it.
Medicare coverage: Non-covered by Medicare
Medicare does not cover the item or service this code describes.
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 statusN
Non-covered service. Medicare does not cover 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 T4528
- Long descriptor
- Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each
- Short descriptor
- Adult size pull-on xl
- Added
- January 1, 2005
- BETOS
- D1A
- Pricing indicator
- 00 — Not priced by Part B
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.
Service not separately priced by Part B — not covered, bundled into another service, or used by Part A only.
Codes adjacent to T4528
HCPCS has no hierarchy — related items simply sit next to each other in the numbering. If T4528 is not quite right, the correct code is very often within a few positions of it.
- T2101Human breast milk processing, storage and distribution only
- T4521Adult sized disposable incontinence product, brief/diaper, small, each
- T4522Adult sized disposable incontinence product, brief/diaper, medium, each
- T4523Adult sized disposable incontinence product, brief/diaper, large, each
- T4524Adult sized disposable incontinence product, brief/diaper, extra large, each
- T4525Adult sized disposable incontinence product, protective underwear/pull-on, small size, each
- T4526Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each
- T4527Adult sized disposable incontinence product, protective underwear/pull-on, large size, each
- T4529Pediatric sized disposable incontinence product, brief/diaper, small/medium size, each
- T4530Pediatric sized disposable incontinence product, brief/diaper, large size, each
- T4531Pediatric sized disposable incontinence product, protective underwear/pull-on, small/medium size, each
- T4532Pediatric sized disposable incontinence product, protective underwear/pull-on, large size, each
- T4533Youth sized disposable incontinence product, brief/diaper, each
- T4534Youth sized disposable incontinence product, protective underwear/pull-on, each
- T4535Disposable liner/shield/guard/pad/undergarment, for incontinence, each
- T4536Incontinence product, protective underwear/pull-on, reusable, any size, each
Questions about T4528
What is HCPCS code T4528?
T4528 is a HCPCS Level II code for adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each. It sits in the National Codes for State Medicaid Agencies section.
Does Medicare cover T4528?
The CMS HCPCS file marks T4528 as "Non-covered by Medicare". Medicare does not cover the item or service this code describes.
How is T4528 paid under the physician fee schedule?
T4528 carries PFS status code N. Non-covered service. Medicare does not cover it.