MedicaidBilling CodesLow impact
DME Addition of Code T4544
Kentucky Medicaid·KY · Urology, Family Medicine, Internal Medicine +1 more·Coding
Effective date
Nov 15, 2023
We identified it
Jun 20, 2026
Summary
Kentucky Medicaid has added new HCPCS code T4544 for adult extra-large disposable incontinence underwear to their DME fee schedule, effective immediately. The code pays $1.35 per unit with a limit of 180 units per month and requires a diagnosis of fecal or urinary incontinence but no prior authorization.
Action Required
Immediately: DME billing staff should add HCPCS code T4544 to billing system for Kentucky Medicaid patients with reimbursement rate of $1.35 per unit and 180 unit monthly limit. Ensure claims include required diagnosis of fecal or urinary incontinence. No prior authorization setup needed.