Incontinence Supply Quantity Limit Updates
Effective 10/19/2026, The incontinence supply codes below have been updated to align with MDHHS Fee schedule quantity limits.
| Supply Code | Code Description |
|---|---|
T4521 | ADLT SIZED DISPBL INCONT PROD BRF/DIAPER SM EA |
T4522 | ADLT SIZED DISPBL INCONT PROD BRF/DIAPER MED EA |
T4523 | ADLT SIZED DISPBL INCONT PROD BRF/DIAPER LG EA |
T4524 | ADLT SZD DISPBL INCONT PROD BRF/DIAPER X-LG EA |
T4525 | ADLT SZD DISPBL INCONT PROD UNDWEAR/PULLON SM EA |
T4526 | ADLT SZD DISPBL INCONT PROD UNDWEAR MED EA |
T4527 | ADLT SZD DISPBL INCONT PROD UNDWEAR/PULLON LG EA |
T4528 | ADLT SZD DISPBL INCONT PROD UNDWEAR XTRA LG EA |
T4529 | PED SZD DISPBL INCONT PROD BRF/DIAPER SM/MED EA |
T4530 | PED SZD DISPBL INCONT PROD BRF/DIAPER LG SZ EA |
T4531 | PED SZD DISPBL INCONT PROD UNDWEAR SM/MED EA |
T4532 | PED SZD DISPBL INCONT PROD UNDWEAR/PULLON LG EA |
T4533 | YOUTH SIZED DISPBL INCONT PRODUCT BRF/DIAPER EA |
T4534 | YOUTH SZD DISPBL INCONT PROD UNDWEAR/PULLON EA |
T4535 | DISPBL LINER/SHIELD/GUARD/PAD/UNDGRMNT INCONT EA |
T4536 | INCONT PROD PROTVE UNDWEAR/PULLON REUSBL SIZE EA |
T4541 | INCONTINENCE PRODUCT DISPOSABLE UNDPAD LARGE EA |
T4542 | INCONTINENCE PRODUCT DISPBL UNDPAD SMALL SIZE EA |
T4543 | DISPOSABLE INCONTINENCE PRODUCT, BRIEF/DIAPER, BARIATRIC, EACH |
T4544 | ADLT DISP UND/PULL ON ABV XL |
The following incontinence supply codes are not covered Medicaid benefits:
| Supply Code | Code Description |
|---|---|
T4537 | INCONT PROD PROTVE UNDPAD REUSABLE BED SIZE EA |
T4538 | DIAPER SERVICE REUSABLE DIAPER EACH DIAPER |
T4539 | INCONTINENCE PRODUCT DIAPER/BRF REUSABLE SIZE EA |
T4540 | INCONT PROD PROTVE UNDPAD REUSABLE CHAIR SIZE EA |
All policies and procedures are regularly reviewed as part of our commitment to deliver quality, cost-effective care for Meridian members. To check if an authorization is needed, please utilize our Medicaid Pre-Auth Check Tool.