A4640 – Replacement pad for use with medically necessary alternating pressure pad owned by patient

HCPCS Level II code · A codes: Transportation, Medical & Surgical Supplies, Miscellaneous & Experimental

Active code Special coverage instructions apply

HCPCS codeA4640
Long description
Replacement pad for use with medically necessary alternating pressure pad owned by patient
Short description
Alternating pressure pad
Pricing indicator
32 DME – inexpensive & routinely purchased
Medicare coverage
D Special coverage instructions apply
BETOS category
D1E Other DME
Added
January 1, 1991
Last change
January 1, 1991 – No change

Frequently asked questions

What is HCPCS code A4640?

A4640 is a HCPCS Level II code for replacement pad for use with medically necessary alternating pressure pad owned by patient.

Does Medicare cover A4640?

The HCPCS file lists coverage code D: Special coverage instructions apply. Coverage and payment also depend on local coverage determinations and the patient’s plan.

Nearby A codes

Source: CMS HCPCS Level II quarterly file, October 2026. Reference only – check payer policy before billing.