T4543 — Adult sized disposable incontinence product, protective brief/diaper, above extra large, each
T4543 is a HCPCS Level II code for adult sized disposable incontinence product, protective brief/diaper, above extra large, 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 T4543
- Long descriptor
- Adult sized disposable incontinence product, protective brief/diaper, above extra large, each
- Short descriptor
- Adult disp brief/diap abv xl
- Added
- January 1, 2007
- 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 T4543
HCPCS has no hierarchy — related items simply sit next to each other in the numbering. If T4543 is not quite right, the correct code is very often within a few positions of it.
- T4535Disposable liner/shield/guard/pad/undergarment, for incontinence, each
- T4536Incontinence product, protective underwear/pull-on, reusable, any size, each
- T4537Incontinence product, protective underpad, reusable, bed size, each
- T4538Diaper service, reusable diaper, each diaper
- T4539Incontinence product, diaper/brief, reusable, any size, each
- T4540Incontinence product, protective underpad, reusable, chair size, each
- T4541Incontinence product, disposable underpad, large, each
- T4542Incontinence product, disposable underpad, small size, each
- T4544Adult sized disposable incontinence product, protective underwear/pull-on, above extra large, each
- T4545Incontinence product, disposable, penile wrap, each
- T5001Positioning seat for persons with special orthopedic needs
- T5999Supply, not otherwise specified
- U0001Cdc 2019 novel coronavirus (2019-ncov) real-time rt-pcr diagnostic panel
- U00022019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc
- U0003Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-rterminated
- U00042019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-rterminated
Questions about T4543
What is HCPCS code T4543?
T4543 is a HCPCS Level II code for adult sized disposable incontinence product, protective brief/diaper, above extra large, each. It sits in the National Codes for State Medicaid Agencies section.
Does Medicare cover T4543?
The CMS HCPCS file marks T4543 as "Non-covered by Medicare". Medicare does not cover the item or service this code describes.
How is T4543 paid under the physician fee schedule?
T4543 carries PFS status code N. Non-covered service. Medicare does not cover it.