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HCPCS Codes
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Transportation, Medical & Surgical Supplies, Miscellaneous & Experimental
HCPCS Code: A0021
Short Description: Outside state ambulance serv
Long Description: Ambulance service, outside state per mile, transport (medicaid only)
HCPCS Code: A0080
Short Description: Noninterest escort in non er
Long Description: Non-emergency transportation, per mile - vehicle provided by volunteer (individual or organization), with no vested interest
HCPCS Code: A0090
Short Description: Interest escort in non er
Long Description: Non-emergency transportation, per mile - vehicle provided by individual (family member, self, neighbor) with vested interest
HCPCS Code: A0100
Short Description: Nonemergency transport taxi
Long Description: Non-emergency transportation; taxi
HCPCS Code: A0110
Short Description: Nonemergency transport bus
Long Description: Non-emergency transportation and bus, intra or inter state carrier
HCPCS Code: A0120
Short Description: Noner transport mini-bus
Long Description: Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems
HCPCS Code: A0130
Short Description: Noner transport wheelch van
Long Description: Non-emergency transportation: wheelchair van
HCPCS Code: A0140
Short Description: Nonemergency transport air
Long Description: Non-emergency transportation and air travel (private or commercial) intra or inter state
HCPCS Code: A0160
Short Description: Noner transport case worker
Long Description: Non-emergency transportation: per mile - case worker or social worker
HCPCS Code: A0170
Short Description: Transport parking fees/tolls
Long Description: Transportation ancillary: parking fees, tolls, other
HCPCS Code: A0180
Short Description: Noner transport lodgng recip
Long Description: Non-emergency transportation: ancillary: lodging-recipient
HCPCS Code: A0190
Short Description: Noner transport meals recip
Long Description: Non-emergency transportation: ancillary: meals-recipient
HCPCS Code: A0200
Short Description: Noner transport lodgng escrt
Long Description: Non-emergency transportation: ancillary: lodging escort
HCPCS Code: A0210
Short Description: Noner transport meals escort
Long Description: Non-emergency transportation: ancillary: meals-escort
HCPCS Code: A0225
Short Description: Neonatal emergency transport
Long Description: Ambulance service, neonatal transport, base rate, emergency transport, one way
HCPCS Code: A0380
Short Description: Basic life support mileage
Long Description: Bls mileage (per mile)
HCPCS Code: A0382
Short Description: Basic support routine suppls
Long Description: Bls routine disposable supplies
HCPCS Code: A0384
Short Description: Bls defibrillation supplies
Long Description: Bls specialized service disposable supplies; defibrillation (used by als ambulances and bls ambulances in jurisdictions where defibrillation is permitted in bls ambulances)
HCPCS Code: A0390
Short Description: Advanced life support mileag
Long Description: Als mileage (per mile)
HCPCS Code: A0392
Short Description: Als defibrillation supplies
Long Description: Als specialized service disposable supplies; defibrillation (to be used only in jurisdictions where defibrillation cannot be performed in bls ambulances)
HCPCS Code: A0394
Short Description: Als iv drug therapy supplies
Long Description: Als specialized service disposable supplies; iv drug therapy
HCPCS Code: A0396
Short Description: Als esophageal intub suppls
Long Description: Als specialized service disposable supplies; esophageal intubation
HCPCS Code: A0398
Short Description: Als routine disposble suppls
Long Description: Als routine disposable supplies
HCPCS Code: A0420
Short Description: Ambulance waiting 1/2 hr
Long Description: Ambulance waiting time (als or bls), one half (1/2) hour increments
HCPCS Code: A0422
Short Description: Ambulance 02 life sustaining
Long Description: Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation
HCPCS Code: A0424
Short Description: Extra ambulance attendant
Long Description: Extra ambulance attendant, ground (als or bls) or air (fixed or rotary winged); (requires medical review)
HCPCS Code: A0425
Short Description: Ground mileage
Long Description: Ground mileage, per statute mile
HCPCS Code: A0426
Short Description: Als 1
Long Description: Ambulance service, advanced life support, non-emergency transport, level 1 (als 1)
HCPCS Code: A0427
Short Description: Als1-emergency
Long Description: Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)
HCPCS Code: A0428
Short Description: Bls
Long Description: Ambulance service, basic life support, non-emergency transport, (bls)
HCPCS Code: A0429
Short Description: Bls-emergency
Long Description: Ambulance service, basic life support, emergency transport (bls-emergency)
HCPCS Code: A0430
Short Description: Fixed wing air transport
Long Description: Ambulance service, conventional air services, transport, one way (fixed wing)
HCPCS Code: A0431
Short Description: Rotary wing air transport
Long Description: Ambulance service, conventional air services, transport, one way (rotary wing)
HCPCS Code: A0432
Short Description: Pi volunteer ambulance co
Long Description: Paramedic intercept (pi), rural area, transport furnished by a volunteer ambulance company which is prohibited by state law from billing third party payers
HCPCS Code: A0433
Short Description: Als 2
Long Description: Advanced life support, level 2 (als 2)
HCPCS Code: A0434
Short Description: Specialty care transport
Long Description: Specialty care transport (sct)
HCPCS Code: A0435
Short Description: Fixed wing air mileage
Long Description: Fixed wing air mileage, per statute mile
HCPCS Code: A0436
Short Description: Rotary wing air mileage
Long Description: Rotary wing air mileage, per statute mile
HCPCS Code: A0888
Short Description: Noncovered ambulance mileage
Long Description: Noncovered ambulance mileage, per mile (e.g., for miles traveled beyond closest appropriate facility)
HCPCS Code: A0998
Short Description: Ambulance response/treatment
Long Description: Ambulance response and treatment, no transport
HCPCS Code: A0999
Short Description: Unlisted ambulance service
Long Description: Unlisted ambulance service
HCPCS Code: A1
Short Description: Dressing for one wound
Long Description: Dressing for one wound
HCPCS Code: A2
Short Description: Dressing for two wounds
Long Description: Dressing for two wounds
HCPCS Code: A3
Short Description: Dressing for three wounds
Long Description: Dressing for three wounds
HCPCS Code: A4
Short Description: Dressing for four wounds
Long Description: Dressing for four wounds
HCPCS Code: A4206
Short Description: 1 cc sterile syringe&needle
Long Description: Syringe with needle, sterile, 1 cc or less, each
HCPCS Code: A4207
Short Description: 2 cc sterile syringe&needle
Long Description: Syringe with needle, sterile 2 cc, each
HCPCS Code: A4208
Short Description: 3 cc sterile syringe&needle
Long Description: Syringe with needle, sterile 3 cc, each
HCPCS Code: A4209
Short Description: 5+ cc sterile syringe&needle
Long Description: Syringe with needle, sterile 5 cc or greater, each
HCPCS Code: A4210
Short Description: Nonneedle injection device
Long Description: Needle-free injection device, each
HCPCS Code: A4211
Short Description: Supp for self-adm injections
Long Description: Supplies for self-administered injections
HCPCS Code: A4212
Short Description: Non coring needle or stylet
Long Description: Non-coring needle or stylet with or without catheter
HCPCS Code: A4213
Short Description: 20+ cc syringe only
Long Description: Syringe, sterile, 20 cc or greater, each
HCPCS Code: A4215
Short Description: Sterile needle
Long Description: Needle, sterile, any size, each
HCPCS Code: A4216
Short Description: Sterile water/saline, 10 ml
Long Description: Sterile water, saline and/or dextrose, diluent/flush, 10 ml
HCPCS Code: A4217
Short Description: Sterile water/saline, 500 ml
Long Description: Sterile water/saline, 500 ml
HCPCS Code: A4218
Short Description: Sterile saline or water
Long Description: Sterile saline or water, metered dose dispenser, 10 ml
HCPCS Code: A4220
Short Description: Infusion pump refill kit
Long Description: Refill kit for implantable infusion pump
HCPCS Code: A4221
Short Description: Supp non-insulin inf cath/wk
Long Description: Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately)
HCPCS Code: A4222
Short Description: Infusion supplies with pump
Long Description: Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)
HCPCS Code: A4223
Short Description: Infusion supplies w/o pump
Long Description: Infusion supplies not used with external infusion pump, per cassette or bag (list drugs separately)
HCPCS Code: A4224
Short Description: Supply insulin inf cath/wk
Long Description: Supplies for maintenance of insulin infusion catheter, per week
HCPCS Code: A4225
Short Description: Sup/ext insulin inf pump syr
Long Description: Supplies for external insulin infusion pump, syringe type cartridge, sterile, each
HCPCS Code: A4230
Short Description: Infus insulin pump non needl
Long Description: Infusion set for external insulin pump, non needle cannula type
HCPCS Code: A4231
Short Description: Infusion insulin pump needle
Long Description: Infusion set for external insulin pump, needle type
HCPCS Code: A4232
Short Description: Syringe w/needle insulin 3cc
Long Description: Syringe with needle for external insulin pump, sterile, 3 cc
HCPCS Code: A4233
Short Description: Alkalin batt for glucose mon
Long Description: Replacement battery, alkaline (other than j cell), for use with medically necessary home blood glucose monitor owned by patient, each
HCPCS Code: A4234
Short Description: J-cell batt for glucose mon
Long Description: Replacement battery, alkaline, j cell, for use with medically necessary home blood glucose monitor owned by patient, each
HCPCS Code: A4235
Short Description: Lithium batt for glucose mon
Long Description: Replacement battery, lithium, for use with medically necessary home blood glucose monitor owned by patient, each
HCPCS Code: A4236
Short Description: Silvr oxide batt glucose mon
Long Description: Replacement battery, silver oxide, for use with medically necessary home blood glucose monitor owned by patient, each
HCPCS Code: A4244
Short Description: Alcohol or peroxide per pint
Long Description: Alcohol or peroxide, per pint
HCPCS Code: A4245
Short Description: Alcohol wipes per box
Long Description: Alcohol wipes, per box
HCPCS Code: A4246
Short Description: Betadine/phisohex solution
Long Description: Betadine or phisohex solution, per pint
HCPCS Code: A4247
Short Description: Betadine/iodine swabs/wipes
Long Description: Betadine or iodine swabs/wipes, per box
HCPCS Code: A4248
Short Description: Chlorhexidine antisept
Long Description: Chlorhexidine containing antiseptic, 1 ml
HCPCS Code: A4250
Short Description: Urine reagent strips/tablets
Long Description: Urine test or reagent strips or tablets (100 tablets or strips)
HCPCS Code: A4252
Short Description: Blood ketone test or strip
Long Description: Blood ketone test or reagent strip, each
HCPCS Code: A4253
Short Description: Blood glucose/reagent strips
Long Description: Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips
HCPCS Code: A4255
Short Description: Glucose monitor platforms
Long Description: Platforms for home blood glucose monitor, 50 per box
HCPCS Code: A4256
Short Description: Calibrator solution/chips
Long Description: Normal, low and high calibrator solution / chips
HCPCS Code: A4257
Short Description: Replace lensshield cartridge
Long Description: Replacement lens shield cartridge for use with laser skin piercing device, each
HCPCS Code: A4258
Short Description: Lancet device each
Long Description: Spring-powered device for lancet, each
HCPCS Code: A4259
Short Description: Lancets per box
Long Description: Lancets, per box of 100
HCPCS Code: A4261
Short Description: Cervical cap contraceptive
Long Description: Cervical cap for contraceptive use
HCPCS Code: A4262
Short Description: Temporary tear duct plug
Long Description: Temporary, absorbable lacrimal duct implant, each
HCPCS Code: A4263
Short Description: Permanent tear duct plug
Long Description: Permanent, long term, non-dissolvable lacrimal duct implant, each
HCPCS Code: A4264
Short Description: Intratubal occlusion device
Long Description: Permanent implantable contraceptive intratubal occlusion device(s) and delivery system
HCPCS Code: A4265
Short Description: Paraffin
Long Description: Paraffin, per pound
HCPCS Code: A4266
Short Description: Diaphragm
Long Description: Diaphragm for contraceptive use
HCPCS Code: A4267
Short Description: Male condom
Long Description: Contraceptive supply, condom, male, each
HCPCS Code: A4268
Short Description: Female condom
Long Description: Contraceptive supply, condom, female, each
HCPCS Code: A4269
Short Description: Spermicide
Long Description: Contraceptive supply, spermicide (e.g., foam, gel), each
HCPCS Code: A4270
Short Description: Disposable endoscope sheath
Long Description: Disposable endoscope sheath, each
HCPCS Code: A4280
Short Description: Brst prsths adhsv attchmnt
Long Description: Adhesive skin support attachment for use with external breast prosthesis, each
HCPCS Code: A4281
Short Description: Replacement breastpump tube
Long Description: Tubing for breast pump, replacement
HCPCS Code: A4282
Short Description: Replacement breastpump adpt
Long Description: Adapter for breast pump, replacement
HCPCS Code: A4283
Short Description: Replacement breastpump cap
Long Description: Cap for breast pump bottle, replacement
HCPCS Code: A4284
Short Description: Replcmnt breast pump shield
Long Description: Breast shield and splash protector for use with breast pump, replacement
HCPCS Code: A4285
Short Description: Replcmnt breast pump bottle
Long Description: Polycarbonate bottle for use with breast pump, replacement
HCPCS Code: A4286
Short Description: Replcmnt breastpump lok ring
Long Description: Locking ring for breast pump, replacement
HCPCS Code: A4290
Short Description: Sacral nerve stim test lead
Long Description: Sacral nerve stimulation test lead, each
HCPCS Code: A4300
Short Description: Cath impl vasc access portal
Long Description: Implantable access catheter, (e.g., venous, arterial, epidural subarachnoid, or peritoneal, etc.) external access
HCPCS Code: A4301
Short Description: Implantable access syst perc
Long Description: Implantable access total catheter, port/reservoir (e.g., venous, arterial, epidural, subarachnoid, peritoneal, etc.)
HCPCS Code: A4305
Short Description: Drug delivery system >=50 ml
Long Description: Disposable drug delivery system, flow rate of 50 ml or greater per hour
HCPCS Code: A4306
Short Description: Drug delivery system <=50 ml
Long Description: Disposable drug delivery system, flow rate of less than 50 ml per hour
HCPCS Code: A4310
Short Description: Insert tray w/o bag/cath
Long Description: Insertion tray without drainage bag and without catheter (accessories only)
HCPCS Code: A4311
Short Description: Catheter w/o bag 2-way latex
Long Description: Insertion tray without drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)
HCPCS Code: A4312
Short Description: Cath w/o bag 2-way silicone
Long Description: Insertion tray without drainage bag with indwelling catheter, foley type, two-way, all silicone
HCPCS Code: A4313
Short Description: Catheter w/bag 3-way
Long Description: Insertion tray without drainage bag with indwelling catheter, foley type, three-way, for continuous irrigation
HCPCS Code: A4314
Short Description: Cath w/drainage 2-way latex
Long Description: Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)
HCPCS Code: A4315
Short Description: Cath w/drainage 2-way silcne
Long Description: Insertion tray with drainage bag with indwelling catheter, foley type, two-way, all silicone
HCPCS Code: A4316
Short Description: Cath w/drainage 3-way
Long Description: Insertion tray with drainage bag with indwelling catheter, foley type, three-way, for continuous irrigation
HCPCS Code: A4320
Short Description: Irrigation tray
Long Description: Irrigation tray with bulb or piston syringe, any purpose
HCPCS Code: A4321
Short Description: Cath therapeutic irrig agent
Long Description: Therapeutic agent for urinary catheter irrigation
HCPCS Code: A4322
Short Description: Irrigation syringe
Long Description: Irrigation syringe, bulb or piston, each
HCPCS Code: A4326
Short Description: Male external catheter
Long Description: Male external catheter with integral collection chamber, any type, each
HCPCS Code: A4327
Short Description: Fem urinary collect dev cup
Long Description: Female external urinary collection device; meatal cup, each
HCPCS Code: A4328
Short Description: Fem urinary collect pouch
Long Description: Female external urinary collection device; pouch, each
HCPCS Code: A4330
Short Description: Stool collection pouch
Long Description: Perianal fecal collection pouch with adhesive, each
HCPCS Code: A4331
Short Description: Extension drainage tubing
Long Description: Extension drainage tubing, any type, any length, with connector/adaptor, for use with urinary leg bag or urostomy pouch, each
HCPCS Code: A4332
Short Description: Lube sterile packet
Long Description: Lubricant, individual sterile packet, each
HCPCS Code: A4333
Short Description: Urinary cath anchor device
Long Description: Urinary catheter anchoring device, adhesive skin attachment, each
HCPCS Code: A4334
Short Description: Urinary cath leg strap
Long Description: Urinary catheter anchoring device, leg strap, each
HCPCS Code: A4335
Short Description: Incontinence supply
Long Description: Incontinence supply; miscellaneous
HCPCS Code: A4336
Short Description: Urethral insert
Long Description: Incontinence supply, urethral insert, any type, each
HCPCS Code: A4337
Short Description: Incontinent rectal insert
Long Description: Incontinence supply, rectal insert, any type, each
HCPCS Code: A4338
Short Description: Indwelling catheter latex
Long Description: Indwelling catheter; foley type, two-way latex with coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each
HCPCS Code: A4340
Short Description: Indwelling catheter special
Long Description: Indwelling catheter; specialty type, (e.g., coude, mushroom, wing, etc.), each
HCPCS Code: A4344
Short Description: Cath indw foley 2 way silicn
Long Description: Indwelling catheter, foley type, two-way, all silicone, each
HCPCS Code: A4346
Short Description: Cath indw foley 3 way
Long Description: Indwelling catheter; foley type, three way for continuous irrigation, each
HCPCS Code: A4349
Short Description: Disposable male external cat
Long Description: Male external catheter, with or without adhesive, disposable, each
HCPCS Code: A4351
Short Description: Straight tip urine catheter
Long Description: Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each
HCPCS Code: A4352
Short Description: Coude tip urinary catheter
Long Description: Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each
HCPCS Code: A4353
Short Description: Intermittent urinary cath
Long Description: Intermittent urinary catheter, with insertion supplies
HCPCS Code: A4354
Short Description: Cath insertion tray w/bag
Long Description: Insertion tray with drainage bag but without catheter
HCPCS Code: A4355
Short Description: Bladder irrigation tubing
Long Description: Irrigation tubing set for continuous bladder irrigation through a three-way indwelling foley catheter, each
HCPCS Code: A4356
Short Description: Ext ureth clmp or compr dvc
Long Description: External urethral clamp or compression device (not to be used for catheter clamp), each
HCPCS Code: A4357
Short Description: Bedside drainage bag
Long Description: Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each
HCPCS Code: A4358
Short Description: Urinary leg or abdomen bag
Long Description: Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each
HCPCS Code: A4360
Short Description: Disposable ext urethral dev
Long Description: Disposable external urethral clamp or compression device, with pad and/or pouch, each
HCPCS Code: A4361
Short Description: Ostomy face plate
Long Description: Ostomy faceplate, each
HCPCS Code: A4362
Short Description: Solid skin barrier
Long Description: Skin barrier; solid, 4 x 4 or equivalent; each
HCPCS Code: A4363
Short Description: Ostomy clamp, replacement
Long Description: Ostomy clamp, any type, replacement only, each
HCPCS Code: A4364
Short Description: Adhesive, liquid or equal
Long Description: Adhesive, liquid or equal, any type, per oz
HCPCS Code: A4366
Short Description: Ostomy vent
Long Description: Ostomy vent, any type, each
HCPCS Code: A4367
Short Description: Ostomy belt
Long Description: Ostomy belt, each
HCPCS Code: A4368
Short Description: Ostomy filter
Long Description: Ostomy filter, any type, each
HCPCS Code: A4369
Short Description: Skin barrier liquid per oz
Long Description: Ostomy skin barrier, liquid (spray, brush, etc.), per oz
HCPCS Code: A4371
Short Description: Skin barrier powder per oz
Long Description: Ostomy skin barrier, powder, per oz
HCPCS Code: A4372
Short Description: Skin barrier solid 4x4 equiv
Long Description: Ostomy skin barrier, solid 4 x 4 or equivalent, standard wear, with built-in convexity, each
HCPCS Code: A4373
Short Description: Skin barrier with flange
Long Description: Ostomy skin barrier, with flange (solid, flexible or accordion), with built-in convexity, any size, each
HCPCS Code: A4375
Short Description: Drainable plastic pch w fcpl
Long Description: Ostomy pouch, drainable, with faceplate attached, plastic, each
HCPCS Code: A4376
Short Description: Drainable rubber pch w fcplt
Long Description: Ostomy pouch, drainable, with faceplate attached, rubber, each
HCPCS Code: A4377
Short Description: Drainable plstic pch w/o fp
Long Description: Ostomy pouch, drainable, for use on faceplate, plastic, each
HCPCS Code: A4378
Short Description: Drainable rubber pch w/o fp
Long Description: Ostomy pouch, drainable, for use on faceplate, rubber, each
HCPCS Code: A4379
Short Description: Urinary plastic pouch w fcpl
Long Description: Ostomy pouch, urinary, with faceplate attached, plastic, each
HCPCS Code: A4380
Short Description: Urinary rubber pouch w fcplt
Long Description: Ostomy pouch, urinary, with faceplate attached, rubber, each
HCPCS Code: A4381
Short Description: Urinary plastic pouch w/o fp
Long Description: Ostomy pouch, urinary, for use on faceplate, plastic, each
HCPCS Code: A4382
Short Description: Urinary hvy plstc pch w/o fp
Long Description: Ostomy pouch, urinary, for use on faceplate, heavy plastic, each
HCPCS Code: A4383
Short Description: Urinary rubber pouch w/o fp
Long Description: Ostomy pouch, urinary, for use on faceplate, rubber, each
HCPCS Code: A4384
Short Description: Ostomy faceplt/silicone ring
Long Description: Ostomy faceplate equivalent, silicone ring, each
HCPCS Code: A4385
Short Description: Ost skn barrier sld ext wear
Long Description: Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each
HCPCS Code: A4387
Short Description: Ost clsd pouch w att st barr
Long Description: Ostomy pouch, closed, with barrier attached, with built-in convexity (1 piece), each
HCPCS Code: A4388
Short Description: Drainable pch w ex wear barr
Long Description: Ostomy pouch, drainable, with extended wear barrier attached, (1 piece), each
HCPCS Code: A4389
Short Description: Drainable pch w st wear barr
Long Description: Ostomy pouch, drainable, with barrier attached, with built-in convexity (1 piece), each
HCPCS Code: A4390
Short Description: Drainable pch ex wear convex
Long Description: Ostomy pouch, drainable, with extended wear barrier attached, with built-in convexity (1 piece), each
HCPCS Code: A4391
Short Description: Urinary pouch w ex wear barr
Long Description: Ostomy pouch, urinary, with extended wear barrier attached (1 piece), each
HCPCS Code: A4392
Short Description: Urinary pouch w st wear barr
Long Description: Ostomy pouch, urinary, with standard wear barrier attached, with built-in convexity (1 piece), each
HCPCS Code: A4393
Short Description: Urine pch w ex wear bar conv
Long Description: Ostomy pouch, urinary, with extended wear barrier attached, with built-in convexity (1 piece), each
HCPCS Code: A4394
Short Description: Ostomy pouch liq deodorant
Long Description: Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce
HCPCS Code: A4395
Short Description: Ostomy pouch solid deodorant
Long Description: Ostomy deodorant for use in ostomy pouch, solid, per tablet
HCPCS Code: A4396
Short Description: Peristomal hernia supprt blt
Long Description: Ostomy belt with peristomal hernia support
HCPCS Code: A4397
Short Description: Irrigation supply sleeve
Long Description: Irrigation supply; sleeve, each
HCPCS Code: A4398
Short Description: Ostomy irrigation bag
Long Description: Ostomy irrigation supply; bag, each
HCPCS Code: A4399
Short Description: Ostomy irrig cone/cath w brs
Long Description: Ostomy irrigation supply; cone/catheter, with or without brush
HCPCS Code: A4400
Short Description: Ostomy irrigation set
Long Description: Ostomy irrigation set
HCPCS Code: A4402
Short Description: Lubricant per ounce
Long Description: Lubricant, per ounce
HCPCS Code: A4404
Short Description: Ostomy ring each
Long Description: Ostomy ring, each
HCPCS Code: A4405
Short Description: Nonpectin based ostomy paste
Long Description: Ostomy skin barrier, non-pectin based, paste, per ounce
HCPCS Code: A4406
Short Description: Pectin based ostomy paste
Long Description: Ostomy skin barrier, pectin-based, paste, per ounce
HCPCS Code: A4407
Short Description: Ext wear ost skn barr <=4sq
Long Description: Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each
HCPCS Code: A4408
Short Description: Ext wear ost skn barr >4sq
Long Description: Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, with built-in convexity, larger than 4 x 4 inches, each
HCPCS Code: A4409
Short Description: Ost skn barr convex <=4 sq i
Long Description: Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each
HCPCS Code: A4410
Short Description: Ost skn barr extnd >4 sq
Long Description: Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, larger than 4 x 4 inches, each
HCPCS Code: A4411
Short Description: Ost skn barr extnd =4sq
Long Description: Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, with built-in convexity, each
HCPCS Code: A4412
Short Description: Ost pouch drain high output
Long Description: Ostomy pouch, drainable, high output, for use on a barrier with flange (2 piece system), without filter, each
HCPCS Code: A4413
Short Description: 2 pc drainable ost pouch
Long Description: Ostomy pouch, drainable, high output, for use on a barrier with flange (2 piece system), with filter, each
HCPCS Code: A4414
Short Description: Ost sknbar w/o conv<=4 sq in
Long Description: Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each
HCPCS Code: A4415
Short Description: Ost skn barr w/o conv >4 sqi
Long Description: Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, larger than 4 x 4 inches, each
HCPCS Code: A4416
Short Description: Ost pch clsd w barrier/filtr
Long Description: Ostomy pouch, closed, with barrier attached, with filter (1 piece), each
HCPCS Code: A4417
Short Description: Ost pch w bar/bltinconv/fltr
Long Description: Ostomy pouch, closed, with barrier attached, with built-in convexity, with filter (1 piece), each
HCPCS Code: A4418
Short Description: Ost pch clsd w/o bar w filtr
Long Description: Ostomy pouch, closed; without barrier attached, with filter (1 piece), each
HCPCS Code: A4419
Short Description: Ost pch for bar w flange/flt
Long Description: Ostomy pouch, closed; for use on barrier with non-locking flange, with filter (2 piece), each
HCPCS Code: A4420
Short Description: Ost pch clsd for bar w lk fl
Long Description: Ostomy pouch, closed; for use on barrier with locking flange (2 piece), each
HCPCS Code: A4421
Short Description: Ostomy supply misc
Long Description: Ostomy supply; miscellaneous
HCPCS Code: A4422
Short Description: Ost pouch absorbent material
Long Description: Ostomy absorbent material (sheet/pad/crystal packet) for use in ostomy pouch to thicken liquid stomal output, each
HCPCS Code: A4423
Short Description: Ost pch for bar w lk fl/fltr
Long Description: Ostomy pouch, closed; for use on barrier with locking flange, with filter (2 piece), each
HCPCS Code: A4424
Short Description: Ost pch drain w bar & filter
Long Description: Ostomy pouch, drainable, with barrier attached, with filter (1 piece), each
HCPCS Code: A4425
Short Description: Ost pch drain for barrier fl
Long Description: Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each
HCPCS Code: A4426
Short Description: Ost pch drain 2 piece system
Long Description: Ostomy pouch, drainable; for use on barrier with locking flange (2 piece system), each
HCPCS Code: A4427
Short Description: Ost pch drain/barr lk flng/f
Long Description: Ostomy pouch, drainable; for use on barrier with locking flange, with filter (2 piece system), each
HCPCS Code: A4428
Short Description: Urine ost pouch w faucet/tap
Long Description: Ostomy pouch, urinary, with extended wear barrier attached, with faucet-type tap with valve (1 piece), each
HCPCS Code: A4429
Short Description: Urine ost pouch w bltinconv
Long Description: Ostomy pouch, urinary, with barrier attached, with built-in convexity, with faucet-type tap with valve (1 piece), each
HCPCS Code: A4430
Short Description: Ost urine pch w b/bltin conv
Long Description: Ostomy pouch, urinary, with extended wear barrier attached, with built-in convexity, with faucet-type tap with valve (1 piece), each
HCPCS Code: A4431
Short Description: Ost pch urine w barrier/tapv
Long Description: Ostomy pouch, urinary; with barrier attached, with faucet-type tap with valve (1 piece), each
HCPCS Code: A4432
Short Description: Os pch urine w bar/fange/tap
Long Description: Ostomy pouch, urinary; for use on barrier with non-locking flange, with faucet-type tap with valve (2 piece), each
HCPCS Code: A4433
Short Description: Urine ost pch bar w lock fln
Long Description: Ostomy pouch, urinary; for use on barrier with locking flange (2 piece), each
HCPCS Code: A4434
Short Description: Ost pch urine w lock flng/ft
Long Description: Ostomy pouch, urinary; for use on barrier with locking flange, with faucet-type tap with valve (2 piece), each
HCPCS Code: A4435
Short Description: 1pc ost pch drain hgh output
Long Description: Ostomy pouch, drainable, high output, with extended wear barrier (one-piece system), with or without filter, each
HCPCS Code: A4450
Short Description: Non-waterproof tape
Long Description: Tape, non-waterproof, per 18 square inches
HCPCS Code: A4452
Short Description: Waterproof tape
Long Description: Tape, waterproof, per 18 square inches
HCPCS Code: A4455
Short Description: Adhesive remover per ounce
Long Description: Adhesive remover or solvent (for tape, cement or other adhesive), per ounce
HCPCS Code: A4456
Short Description: Adhesive remover, wipes
Long Description: Adhesive remover, wipes, any type, each
HCPCS Code: A4458
Short Description: Reusable enema bag
Long Description: Enema bag with tubing, reusable
HCPCS Code: A4459
Short Description: Manual pump enema, reusable
Long Description: Manual pump-operated enema system, includes balloon, catheter and all accessories, reusable, any type
HCPCS Code: A4461
Short Description: Surgicl dress hold non-reuse
Long Description: Surgical dressing holder, non-reusable, each
HCPCS Code: A4463
Short Description: Surgical dress holder reuse
Long Description: Surgical dressing holder, reusable, each
HCPCS Code: A4465
Short Description: Non-elastic extremity binder
Long Description: Non-elastic binder for extremity
HCPCS Code: A4466
Short Description: Elastic garment/covering
Long Description: Garment, belt, sleeve or other covering, elastic or similar stretchable material, any type, each
HCPCS Code: A4467
Short Description: Belt strap sleev grmnt cover
Long Description: Belt, strap, sleeve, garment, or covering, any type
HCPCS Code: A4470
Short Description: Gravlee jet washer
Long Description: Gravlee jet washer
HCPCS Code: A4480
Short Description: Vabra aspirator
Long Description: Vabra aspirator
HCPCS Code: A4481
Short Description: Tracheostoma filter
Long Description: Tracheostoma filter, any type, any size, each
HCPCS Code: A4483
Short Description: Moisture exchanger
Long Description: Moisture exchanger, disposable, for use with invasive mechanical ventilation
HCPCS Code: A4490
Short Description: Above knee surgical stocking
Long Description: Surgical stockings above knee length, each
HCPCS Code: A4495
Short Description: Thigh length surg stocking
Long Description: Surgical stockings thigh length, each
HCPCS Code: A4500
Short Description: Below knee surgical stocking
Long Description: Surgical stockings below knee length, each
HCPCS Code: A4510
Short Description: Full length surg stocking
Long Description: Surgical stockings full length, each
HCPCS Code: A4520
Short Description: Incontinence garment anytype
Long Description: Incontinence garment, any type, (e.g., brief, diaper), each
HCPCS Code: A4550
Short Description: Surgical trays
Long Description: Surgical trays
HCPCS Code: A4553
Short Description: Nondisp underpads, all sizes
Long Description: Non-disposable underpads, all sizes
HCPCS Code: A4554
Short Description: Disposable underpads
Long Description: Disposable underpads, all sizes
HCPCS Code: A4555
Short Description: Ca tx e-stim electr/transduc
Long Description: Electrode/transducer for use with electrical stimulation device used for cancer treatment, replacement only
HCPCS Code: A4556
Short Description: Electrodes, pair
Long Description: Electrodes, (e.g., apnea monitor), per pair
HCPCS Code: A4557
Short Description: Lead wires, pair
Long Description: Lead wires, (e.g., apnea monitor), per pair
HCPCS Code: A4558
Short Description: Conductive gel or paste
Long Description: Conductive gel or paste, for use with electrical device (e.g., tens, nmes), per oz
HCPCS Code: A4559
Short Description: Coupling gel or paste
Long Description: Coupling gel or paste, for use with ultrasound device, per oz
HCPCS Code: A4561
Short Description: Pessary rubber, any type
Long Description: Pessary, rubber, any type
HCPCS Code: A4562
Short Description: Pessary, non rubber,any type
Long Description: Pessary, non rubber, any type
HCPCS Code: A4565
Short Description: Slings
Long Description: Slings
HCPCS Code: A4566
Short Description: Should sling/vest/abrestrain
Long Description: Shoulder sling or vest design, abduction restrainer, with or without swathe control, prefabricated, includes fitting and adjustment
HCPCS Code: A4570
Short Description: Splint
Long Description: Splint
HCPCS Code: A4575
Short Description: Hyperbaric o2 chamber disps
Long Description: Topical hyperbaric oxygen chamber, disposable
HCPCS Code: A4580
Short Description: Cast supplies (plaster)
Long Description: Cast supplies (e.g., plaster)
HCPCS Code: A4590
Short Description: Special casting material
Long Description: Special casting material (e.g., fiberglass)
HCPCS Code: A4595
Short Description: Tens suppl 2 lead per month
Long Description: Electrical stimulator supplies, 2 lead, per month, (e.g., tens, nmes)
HCPCS Code: A4600
Short Description: Sleeve, inter limb comp dev
Long Description: Sleeve for intermittent limb compression device, replacement only, each
HCPCS Code: A4601
Short Description: Lith ion non prosth recharge
Long Description: Lithium ion battery, rechargeable, for non-prosthetic use, replacement
HCPCS Code: A4602
Short Description: Replace lithium battery 1.5v
Long Description: Replacement battery for external infusion pump owned by patient, lithium, 1.5 volt, each
HCPCS Code: A4604
Short Description: Tubing with heating element
Long Description: Tubing with integrated heating element for use with positive airway pressure device
HCPCS Code: A4605
Short Description: Trach suction cath close sys
Long Description: Tracheal suction catheter, closed system, each
HCPCS Code: A4606
Short Description: Oxygen probe used w oximeter
Long Description: Oxygen probe for use with oximeter device, replacement
HCPCS Code: A4608
Short Description: Transtracheal oxygen cath
Long Description: Transtracheal oxygen catheter, each
HCPCS Code: A4611
Short Description: Heavy duty battery
Long Description: Battery, heavy duty; replacement for patient owned ventilator
HCPCS Code: A4612
Short Description: Battery cables
Long Description: Battery cables; replacement for patient-owned ventilator
HCPCS Code: A4613
Short Description: Battery charger
Long Description: Battery charger; replacement for patient-owned ventilator
HCPCS Code: A4614
Short Description: Hand-held pefr meter
Long Description: Peak expiratory flow rate meter, hand held
HCPCS Code: A4615
Short Description: Cannula nasal
Long Description: Cannula, nasal
HCPCS Code: A4616
Short Description: Tubing (oxygen) per foot
Long Description: Tubing (oxygen), per foot
HCPCS Code: A4617
Short Description: Mouth piece
Long Description: Mouth piece
HCPCS Code: A4618
Short Description: Breathing circuits
Long Description: Breathing circuits
HCPCS Code: A4619
Short Description: Face tent
Long Description: Face tent
HCPCS Code: A4620
Short Description: Variable concentration mask
Long Description: Variable concentration mask
HCPCS Code: A4623
Short Description: Tracheostomy inner cannula
Long Description: Tracheostomy, inner cannula
HCPCS Code: A4624
Short Description: Tracheal suction tube
Long Description: Tracheal suction catheter, any type other than closed system, each
HCPCS Code: A4625
Short Description: Trach care kit for new trach
Long Description: Tracheostomy care kit for new tracheostomy
HCPCS Code: A4626
Short Description: Tracheostomy cleaning brush
Long Description: Tracheostomy cleaning brush, each
HCPCS Code: A4627
Short Description: Spacer bag/reservoir
Long Description: Spacer, bag or reservoir, with or without mask, for use with metered dose inhaler
HCPCS Code: A4628
Short Description: Oropharyngeal suction cath
Long Description: Oropharyngeal suction catheter, each
HCPCS Code: A4629
Short Description: Tracheostomy care kit
Long Description: Tracheostomy care kit for established tracheostomy
HCPCS Code: A4630
Short Description: Repl bat t.e.n.s. own by pt
Long Description: Replacement batteries, medically necessary, transcutaneous electrical stimulator, owned by patient
HCPCS Code: A4633
Short Description: Uvl replacement bulb
Long Description: Replacement bulb/lamp for ultraviolet light therapy system, each
HCPCS Code: A4634
Short Description: Replacement bulb th lightbox
Long Description: Replacement bulb for therapeutic light box, tabletop model
HCPCS Code: A4635
Short Description: Underarm crutch pad
Long Description: Underarm pad, crutch, replacement, each
HCPCS Code: A4636
Short Description: Handgrip for cane etc
Long Description: Replacement, handgrip, cane, crutch, or walker, each
HCPCS Code: A4637
Short Description: Repl tip cane/crutch/walker
Long Description: Replacement, tip, cane, crutch, walker, each.
HCPCS Code: A4638
Short Description: Repl batt pulse gen sys
Long Description: Replacement battery for patient-owned ear pulse generator, each
HCPCS Code: A4639
Short Description: Infrared ht sys replcmnt pad
Long Description: Replacement pad for infrared heating pad system, each
HCPCS Code: A4640
Short Description: Alternating pressure pad
Long Description: Replacement pad for use with medically necessary alternating pressure pad owned by patient
HCPCS Code: A4641
Short Description: Radiopharm dx agent noc
Long Description: Radiopharmaceutical, diagnostic, not otherwise classified
HCPCS Code: A4642
Short Description: In111 satumomab
Long Description: Indium in-111 satumomab pendetide, diagnostic, per study dose, up to 6 millicuries
HCPCS Code: A4648
Short Description: Implantable tissue marker
Long Description: Tissue marker, implantable, any type, each
HCPCS Code: A4649
Short Description: Surgical supplies
Long Description: Surgical supply; miscellaneous
HCPCS Code: A4650
Short Description: Implant radiation dosimeter
Long Description: Implantable radiation dosimeter, each
HCPCS Code: A4651
Short Description: Calibrated microcap tube
Long Description: Calibrated microcapillary tube, each
HCPCS Code: A4652
Short Description: Microcapillary tube sealant
Long Description: Microcapillary tube sealant
HCPCS Code: A4653
Short Description: Pd catheter anchor belt
Long Description: Peritoneal dialysis catheter anchoring device, belt, each
HCPCS Code: A4657
Short Description: Syringe w/wo needle
Long Description: Syringe, with or without needle, each
HCPCS Code: A4660
Short Description: Sphyg/bp app w cuff and stet
Long Description: Sphygmomanometer/blood pressure apparatus with cuff and stethoscope
HCPCS Code: A4663
Short Description: Dialysis blood pressure cuff
Long Description: Blood pressure cuff only
HCPCS Code: A4670
Short Description: Automatic bp monitor, dial
Long Description: Automatic blood pressure monitor
HCPCS Code: A4671
Short Description: Disposable cycler set
Long Description: Disposable cycler set used with cycler dialysis machine, each
HCPCS Code: A4672
Short Description: Drainage ext line, dialysis
Long Description: Drainage extension line, sterile, for dialysis, each
HCPCS Code: A4673
Short Description: Ext line w easy lock connect
Long Description: Extension line with easy lock connectors, used with dialysis
HCPCS Code: A4674
Short Description: Chem/antisept solution, 8oz
Long Description: Chemicals/antiseptics solution used to clean/sterilize dialysis equipment, per 8 oz
HCPCS Code: A4680
Short Description: Activated carbon filter, ea
Long Description: Activated carbon filter for hemodialysis, each
HCPCS Code: A4690
Short Description: Dialyzer, each
Long Description: Dialyzer (artificial kidneys), all types, all sizes, for hemodialysis, each
HCPCS Code: A4706
Short Description: Bicarbonate conc sol per gal
Long Description: Bicarbonate concentrate, solution, for hemodialysis, per gallon
HCPCS Code: A4707
Short Description: Bicarbonate conc pow per pac
Long Description: Bicarbonate concentrate, powder, for hemodialysis, per packet
HCPCS Code: A4708
Short Description: Acetate conc sol per gallon
Long Description: Acetate concentrate solution, for hemodialysis, per gallon
HCPCS Code: A4709
Short Description: Acid conc sol per gallon
Long Description: Acid concentrate, solution, for hemodialysis, per gallon
HCPCS Code: A4714
Short Description: Treated water per gallon
Long Description: Treated water (deionized, distilled, or reverse osmosis) for peritoneal dialysis, per gallon
HCPCS Code: A4719
Short Description: y set tubing
Long Description: y set tubing for peritoneal dialysis
HCPCS Code: A4720
Short Description: Dialysat sol fld vol > 249cc
Long Description: Dialysate solution, any concentration of dextrose, fluid volume greater than 249 cc, but less than or equal to 999 cc, for peritoneal dialysis
HCPCS Code: A4721
Short Description: Dialysat sol fld vol > 999cc
Long Description: Dialysate solution, any concentration of dextrose, fluid volume greater than 999 cc but less than or equal to 1999 cc, for peritoneal dialysis
HCPCS Code: A4722
Short Description: Dialys sol fld vol > 1999cc
Long Description: Dialysate solution, any concentration of dextrose, fluid volume greater than 1999 cc but less than or equal to 2999 cc, for peritoneal dialysis
HCPCS Code: A4723
Short Description: Dialys sol fld vol > 2999cc
Long Description: Dialysate solution, any concentration of dextrose, fluid volume greater than 2999 cc but less than or equal to 3999 cc, for peritoneal dialysis
HCPCS Code: A4724
Short Description: Dialys sol fld vol > 3999cc
Long Description: Dialysate solution, any concentration of dextrose, fluid volume greater than 3999 cc but less than or equal to 4999 cc, for peritoneal dialysis
HCPCS Code: A4725
Short Description: Dialys sol fld vol > 4999cc
Long Description: Dialysate solution, any concentration of dextrose, fluid volume greater than 4999 cc but less than or equal to 5999 cc, for peritoneal dialysis
HCPCS Code: A4726
Short Description: Dialys sol fld vol > 5999cc
Long Description: Dialysate solution, any concentration of dextrose, fluid volume greater than 5999 cc, for peritoneal dialysis
HCPCS Code: A4728
Short Description: Dialysate solution, non-dex
Long Description: Dialysate solution, non-dextrose containing, 500 ml
HCPCS Code: A4730
Short Description: Fistula cannulation set, ea
Long Description: Fistula cannulation set for hemodialysis, each
HCPCS Code: A4736
Short Description: Topical anesthetic, per gram
Long Description: Topical anesthetic, for dialysis, per gram
HCPCS Code: A4737
Short Description: Inj anesthetic per 10 ml
Long Description: Injectable anesthetic, for dialysis, per 10 ml
HCPCS Code: A4740
Short Description: Shunt accessory
Long Description: Shunt accessory, for hemodialysis, any type, each
HCPCS Code: A4750
Short Description: Art or venous blood tubing
Long Description: Blood tubing, arterial or venous, for hemodialysis, each
HCPCS Code: A4755
Short Description: Comb art/venous blood tubing
Long Description: Blood tubing, arterial and venous combined, for hemodialysis, each
HCPCS Code: A4760
Short Description: Dialysate sol test kit, each
Long Description: Dialysate solution test kit, for peritoneal dialysis, any type, each
HCPCS Code: A4765
Short Description: Dialysate conc pow per pack
Long Description: Dialysate concentrate, powder, additive for peritoneal dialysis, per packet
HCPCS Code: A4766
Short Description: Dialysate conc sol add 10 ml
Long Description: Dialysate concentrate, solution, additive for peritoneal dialysis, per 10 ml
HCPCS Code: A4770
Short Description: Blood collection tube/vacuum
Long Description: Blood collection tube, vacuum, for dialysis, per 50
HCPCS Code: A4771
Short Description: Serum clotting time tube
Long Description: Serum clotting time tube, for dialysis, per 50
HCPCS Code: A4772
Short Description: Blood glucose test strips
Long Description: Blood glucose test strips, for dialysis, per 50
HCPCS Code: A4773
Short Description: Occult blood test strips
Long Description: Occult blood test strips, for dialysis, per 50
HCPCS Code: A4774
Short Description: Ammonia test strips
Long Description: Ammonia test strips, for dialysis, per 50
HCPCS Code: A4802
Short Description: Protamine sulfate per 50 mg
Long Description: Protamine sulfate, for hemodialysis, per 50 mg
HCPCS Code: A4860
Short Description: Disposable catheter tips
Long Description: Disposable catheter tips for peritoneal dialysis, per 10
HCPCS Code: A4870
Short Description: Plumb/elec wk hm hemo equip
Long Description: Plumbing and/or electrical work for home hemodialysis equipment
HCPCS Code: A4890
Short Description: Repair/maint cont hemo equip
Long Description: Contracts, repair and maintenance, for hemodialysis equipment
HCPCS Code: A4911
Short Description: Drain bag/bottle
Long Description: Drain bag/bottle, for dialysis, each
HCPCS Code: A4913
Short Description: Misc dialysis supplies noc
Long Description: Miscellaneous dialysis supplies, not otherwise specified
HCPCS Code: A4918
Short Description: Venous pressure clamp
Long Description: Venous pressure clamp, for hemodialysis, each
HCPCS Code: A4927
Short Description: Non-sterile gloves
Long Description: Gloves, non-sterile, per 100
HCPCS Code: A4928
Short Description: Surgical mask
Long Description: Surgical mask, per 20
HCPCS Code: A4929
Short Description: Tourniquet for dialysis, ea
Long Description: Tourniquet for dialysis, each
HCPCS Code: A4930
Short Description: Sterile, gloves per pair
Long Description: Gloves, sterile, per pair
HCPCS Code: A4931
Short Description: Reusable oral thermometer
Long Description: Oral thermometer, reusable, any type, each
HCPCS Code: A4932
Short Description: Reusable rectal thermometer
Long Description: Rectal thermometer, reusable, any type, each
HCPCS Code: A5
Short Description: Dressing for five wounds
Long Description: Dressing for five wounds
HCPCS Code: A5051
Short Description: Pouch clsd w barr attached
Long Description: Ostomy pouch, closed; with barrier attached (1 piece), each
HCPCS Code: A5052
Short Description: Clsd ostomy pouch w/o barr
Long Description: Ostomy pouch, closed; without barrier attached (1 piece), each
HCPCS Code: A5053
Short Description: Clsd ostomy pouch faceplate
Long Description: Ostomy pouch, closed; for use on faceplate, each
HCPCS Code: A5054
Short Description: Clsd ostomy pouch w/flange
Long Description: Ostomy pouch, closed; for use on barrier with flange (2 piece), each
HCPCS Code: A5055
Short Description: Stoma cap
Long Description: Stoma cap
HCPCS Code: A5056
Short Description: 1 pc ost pouch w filter
Long Description: Ostomy pouch, drainable, with extended wear barrier attached, with filter, (1 piece), each
HCPCS Code: A5057
Short Description: 1 pc ost pou w built-in conv
Long Description: Ostomy pouch, drainable, with extended wear barrier attached, with built in convexity, with filter, (1 piece), each
HCPCS Code: A5061
Short Description: Pouch drainable w barrier at
Long Description: Ostomy pouch, drainable; with barrier attached, (1 piece), each
HCPCS Code: A5062
Short Description: Drnble ostomy pouch w/o barr
Long Description: Ostomy pouch, drainable; without barrier attached (1 piece), each
HCPCS Code: A5063
Short Description: Drain ostomy pouch w/flange
Long Description: Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each
HCPCS Code: A5071
Short Description: Urinary pouch w/barrier
Long Description: Ostomy pouch, urinary; with barrier attached (1 piece), each
HCPCS Code: A5072
Short Description: Urinary pouch w/o barrier
Long Description: Ostomy pouch, urinary; without barrier attached (1 piece), each
HCPCS Code: A5073
Short Description: Urinary pouch on barr w/flng
Long Description: Ostomy pouch, urinary; for use on barrier with flange (2 piece), each
HCPCS Code: A5081
Short Description: Stoma plug or seal, any type
Long Description: Stoma plug or seal, any type
HCPCS Code: A5082
Short Description: Continent stoma catheter
Long Description: Continent device; catheter for continent stoma
HCPCS Code: A5083
Short Description: Stoma absorptive cover
Long Description: Continent device, stoma absorptive cover for continent stoma
HCPCS Code: A5093
Short Description: Ostomy accessory convex inse
Long Description: Ostomy accessory; convex insert
HCPCS Code: A5102
Short Description: Bedside drain btl w/wo tube
Long Description: Bedside drainage bottle with or without tubing, rigid or expandable, each
HCPCS Code: A5105
Short Description: Urinary suspensory
Long Description: Urinary suspensory with leg bag, with or without tube, each
HCPCS Code: A5112
Short Description: Urinary leg bag
Long Description: Urinary drainage bag, leg or abdomen, latex, with or without tube, with straps, each
HCPCS Code: A5113
Short Description: Latex leg strap
Long Description: Leg strap; latex, replacement only, per set
HCPCS Code: A5114
Short Description: Foam/fabric leg strap
Long Description: Leg strap; foam or fabric, replacement only, per set
HCPCS Code: A5120
Short Description: Skin barrier, wipe or swab
Long Description: Skin barrier, wipes or swabs, each
HCPCS Code: A5121
Short Description: Solid skin barrier 6x6
Long Description: Skin barrier; solid, 6 x 6 or equivalent, each
HCPCS Code: A5122
Short Description: Solid skin barrier 8x8
Long Description: Skin barrier; solid, 8 x 8 or equivalent, each
HCPCS Code: A5126
Short Description: Disk/foam pad +or- adhesive
Long Description: Adhesive or non-adhesive; disk or foam pad
HCPCS Code: A5131
Short Description: Appliance cleaner
Long Description: Appliance cleaner, incontinence and ostomy appliances, per 16 oz.
HCPCS Code: A5200
Short Description: Percutaneous catheter anchor
Long Description: Percutaneous catheter/tube anchoring device, adhesive skin attachment
HCPCS Code: A5500
Short Description: Diab shoe for density insert
Long Description: For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe
HCPCS Code: A5501
Short Description: Diabetic custom molded shoe
Long Description: For diabetics only, fitting (including follow-up), custom preparation and supply of shoe molded from cast(s) of patient's foot (custom molded shoe), per shoe
HCPCS Code: A5503
Short Description: Diabetic shoe w/roller/rockr
Long Description: For diabetics only, modification (including fitting) of off-the-shelf depth-inlay shoe or custom-molded shoe with roller or rigid rocker bottom, per shoe
HCPCS Code: A5504
Short Description: Diabetic shoe with wedge
Long Description: For diabetics only, modification (including fitting) of off-the-shelf depth-inlay shoe or custom-molded shoe with wedge(s), per shoe
HCPCS Code: A5505
Short Description: Diab shoe w/metatarsal bar
Long Description: For diabetics only, modification (including fitting) of off-the-shelf depth-inlay shoe or custom-molded shoe with metatarsal bar, per shoe
HCPCS Code: A5506
Short Description: Diabetic shoe w/off set heel
Long Description: For diabetics only, modification (including fitting) of off-the-shelf depth-inlay shoe or custom-molded shoe with off-set heel(s), per shoe
HCPCS Code: A5507
Short Description: Modification diabetic shoe
Long Description: For diabetics only, not otherwise specified modification (including fitting) of off-the-shelf depth-inlay shoe or custom-molded shoe, per shoe
HCPCS Code: A5508
Short Description: Diabetic deluxe shoe
Long Description: For diabetics only, deluxe feature of off-the-shelf depth-inlay shoe or custom-molded shoe, per shoe
HCPCS Code: A5510
Short Description: Compression form shoe insert
Long Description: For diabetics only, direct formed, compression molded to patient's foot without external heat source, multiple-density insert(s) prefabricated, per shoe
HCPCS Code: A5512
Short Description: Multi den insert direct form
Long Description: For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or 3/16 inch material of shore a 40 durometer (or higher), prefabricated, each
HCPCS Code: A5513
Short Description: Multi den insert custom mold
Long Description: For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer or higher), includes arch filler and other shaping material, custom fabricated, each
HCPCS Code: A6
Short Description: Dressing for six wounds
Long Description: Dressing for six wounds
HCPCS Code: A6000
Short Description: Wound warming wound cover
Long Description: Non-contact wound warming wound cover for use with the non-contact wound warming device and warming card
HCPCS Code: A6010
Short Description: Collagen based wound filler
Long Description: Collagen based wound filler, dry form, sterile, per gram of collagen
HCPCS Code: A6011
Short Description: Collagen gel/paste wound fil
Long Description: Collagen based wound filler, gel/paste, per gram of collagen
HCPCS Code: A6021
Short Description: Collagen dressing <=16 sq in
Long Description: Collagen dressing, sterile, size 16 sq. in. or less, each
HCPCS Code: A6022
Short Description: Collagen drsg>16<=48 sq in
Long Description: Collagen dressing, sterile, size more than 16 sq. in. but less than or equal to 48 sq. in., each
HCPCS Code: A6023
Short Description: Collagen dressing >48 sq in
Long Description: Collagen dressing, sterile, size more than 48 sq. in., each
HCPCS Code: A6024
Short Description: Collagen dsg wound filler
Long Description: Collagen dressing wound filler, sterile, per 6 inches
HCPCS Code: A6025
Short Description: Silicone gel sheet, each
Long Description: Gel sheet for dermal or epidermal application, (e.g., silicone, hydrogel, other), each
HCPCS Code: A6154
Short Description: Wound pouch each
Long Description: Wound pouch, each
HCPCS Code: A6196
Short Description: Alginate dressing <=16 sq in
Long Description: Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing
HCPCS Code: A6197
Short Description: Alginate drsg >16 <=48 sq in
Long Description: Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., each dressing
HCPCS Code: A6198
Short Description: Alginate dressing > 48 sq in
Long Description: Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 48 sq. in., each dressing
HCPCS Code: A6199
Short Description: Alginate drsg wound filler
Long Description: Alginate or other fiber gelling dressing, wound filler, sterile, per 6 inches
HCPCS Code: A6203
Short Description: Composite drsg <= 16 sq in
Long Description: Composite dressing, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing
HCPCS Code: A6204
Short Description: Composite drsg >16<=48 sq in
Long Description: Composite dressing, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing
HCPCS Code: A6205
Short Description: Composite drsg > 48 sq in
Long Description: Composite dressing, sterile, pad size more than 48 sq. in., with any size adhesive border, each dressing
HCPCS Code: A6206
Short Description: Contact layer <= 16 sq in
Long Description: Contact layer, sterile, 16 sq. in. or less, each dressing
HCPCS Code: A6207
Short Description: Contact layer >16<= 48 sq in
Long Description: Contact layer, sterile, more than 16 sq. in. but less than or equal to 48 sq. in., each dressing
HCPCS Code: A6208
Short Description: Contact layer > 48 sq in
Long Description: Contact layer, sterile, more than 48 sq. in., each dressing
HCPCS Code: A6209
Short Description: Foam drsg <=16 sq in w/o bdr
Long Description: Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing
HCPCS Code: A6210
Short Description: Foam drg >16<=48 sq in w/o b
Long Description: Foam dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing
HCPCS Code: A6211
Short Description: Foam drg > 48 sq in w/o brdr
Long Description: Foam dressing, wound cover, sterile, pad size more than 48 sq. in., without adhesive border, each dressing
HCPCS Code: A6212
Short Description: Foam drg <=16 sq in w/border
Long Description: Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing
HCPCS Code: A6213
Short Description: Foam drg >16<=48 sq in w/bdr
Long Description: Foam dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing
HCPCS Code: A6214
Short Description: Foam drg > 48 sq in w/border
Long Description: Foam dressing, wound cover, sterile, pad size more than 48 sq. in., with any size adhesive border, each dressing
HCPCS Code: A6215
Short Description: Foam dressing wound filler
Long Description: Foam dressing, wound filler, sterile, per gram
HCPCS Code: A6216
Short Description: Non-sterile gauze<=16 sq in
Long Description: Gauze, non-impregnated, non-sterile, pad size 16 sq. in. or less, without adhesive border, each dressing
HCPCS Code: A6217
Short Description: Non-sterile gauze>16<=48 sq
Long Description: Gauze, non-impregnated, non-sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing
HCPCS Code: A6218
Short Description: Non-sterile gauze > 48 sq in
Long Description: Gauze, non-impregnated, non-sterile, pad size more than 48 sq. in., without adhesive border, each dressing
HCPCS Code: A6219
Short Description: Gauze <= 16 sq in w/border
Long Description: Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing
HCPCS Code: A6220
Short Description: Gauze >16 <=48 sq in w/bordr
Long Description: Gauze, non-impregnated, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing
HCPCS Code: A6221
Short Description: Gauze > 48 sq in w/border
Long Description: Gauze, non-impregnated, sterile, pad size more than 48 sq. in., with any size adhesive border, each dressing
HCPCS Code: A6222
Short Description: Gauze <=16 in no w/sal w/o b
Long Description: Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing
HCPCS Code: A6223
Short Description: Gauze >16<=48 no w/sal w/o b
Long Description: Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size more than 16 sq. in., but less than or equal to 48 sq. in., without adhesive border, each dressing
HCPCS Code: A6224
Short Description: Gauze > 48 in no w/sal w/o b
Long Description: Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size more than 48 sq. in., without adhesive border, each dressing
HCPCS Code: A6228
Short Description: Gauze <= 16 sq in water/sal
Long Description: Gauze, impregnated, water or normal saline, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing
HCPCS Code: A6229
Short Description: Gauze >16<=48 sq in watr/sal
Long Description: Gauze, impregnated, water or normal saline, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing
HCPCS Code: A6230
Short Description: Gauze > 48 sq in water/salne
Long Description: Gauze, impregnated, water or normal saline, sterile, pad size more than 48 sq. in., without adhesive border, each dressing
HCPCS Code: A6231
Short Description: Hydrogel dsg<=16 sq in
Long Description: Gauze, impregnated, hydrogel, for direct wound contact, sterile, pad size 16 sq. in. or less, each dressing
HCPCS Code: A6232
Short Description: Hydrogel dsg>16<=48 sq in
Long Description: Gauze, impregnated, hydrogel, for direct wound contact, sterile, pad size greater than 16 sq. in., but less than or equal to 48 sq. in., each dressing
HCPCS Code: A6233
Short Description: Hydrogel dressing >48 sq in
Long Description: Gauze, impregnated, hydrogel, for direct wound contact, sterile, pad size more than 48 sq. in., each dressing
HCPCS Code: A6234
Short Description: Hydrocolld drg <=16 w/o bdr
Long Description: Hydrocolloid dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing
HCPCS Code: A6235
Short Description: Hydrocolld drg >16<=48 w/o b
Long Description: Hydrocolloid dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing
HCPCS Code: A6236
Short Description: Hydrocolld drg > 48 in w/o b
Long Description: Hydrocolloid dressing, wound cover, sterile, pad size more than 48 sq. in., without adhesive border, each dressing
HCPCS Code: A6237
Short Description: Hydrocolld drg <=16 in w/bdr
Long Description: Hydrocolloid dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing
HCPCS Code: A6238
Short Description: Hydrocolld drg >16<=48 w/bdr
Long Description: Hydrocolloid dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing
HCPCS Code: A6239
Short Description: Hydrocolld drg > 48 in w/bdr
Long Description: Hydrocolloid dressing, wound cover, sterile, pad size more than 48 sq. in., with any size adhesive border, each dressing
HCPCS Code: A6240
Short Description: Hydrocolld drg filler paste
Long Description: Hydrocolloid dressing, wound filler, paste, sterile, per ounce
HCPCS Code: A6241
Short Description: Hydrocolloid drg filler dry
Long Description: Hydrocolloid dressing, wound filler, dry form, sterile, per gram
HCPCS Code: A6242
Short Description: Hydrogel drg <=16 in w/o bdr
Long Description: Hydrogel dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing
HCPCS Code: A6243
Short Description: Hydrogel drg >16<=48 w/o bdr
Long Description: Hydrogel dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing
HCPCS Code: A6244
Short Description: Hydrogel drg >48 in w/o bdr
Long Description: Hydrogel dressing, wound cover, sterile, pad size more than 48 sq. in., without adhesive border, each dressing
HCPCS Code: A6245
Short Description: Hydrogel drg <= 16 in w/bdr
Long Description: Hydrogel dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing
HCPCS Code: A6246
Short Description: Hydrogel drg >16<=48 in w/b
Long Description: Hydrogel dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing
HCPCS Code: A6247
Short Description: Hydrogel drg > 48 sq in w/b
Long Description: Hydrogel dressing, wound cover, sterile, pad size more than 48 sq. in., with any size adhesive border, each dressing
HCPCS Code: A6248
Short Description: Hydrogel drsg gel filler
Long Description: Hydrogel dressing, wound filler, gel, per fluid ounce
HCPCS Code: A6250
Short Description: Skin seal protect moisturizr
Long Description: Skin sealants, protectants, moisturizers, ointments, any type, any size
HCPCS Code: A6251
Short Description: Absorpt drg <=16 sq in w/o b
Long Description: Specialty absorptive dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing
HCPCS Code: A6252
Short Description: Absorpt drg >16 <=48 w/o bdr
Long Description: Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing
HCPCS Code: A6253
Short Description: Absorpt drg > 48 sq in w/o b
Long Description: Specialty absorptive dressing, wound cover, sterile, pad size more than 48 sq. in., without adhesive border, each dressing
HCPCS Code: A6254
Short Description: Absorpt drg <=16 sq in w/bdr
Long Description: Specialty absorptive dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing
HCPCS Code: A6255
Short Description: Absorpt drg >16<=48 in w/bdr
Long Description: Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing
HCPCS Code: A6256
Short Description: Absorpt drg > 48 sq in w/bdr
Long Description: Specialty absorptive dressing, wound cover, sterile, pad size more than 48 sq. in., with any size adhesive border, each dressing
HCPCS Code: A6257
Short Description: Transparent film <= 16 sq in
Long Description: Transparent film, sterile, 16 sq. in. or less, each dressing
HCPCS Code: A6258
Short Description: Transparent film >16<=48 in
Long Description: Transparent film, sterile, more than 16 sq. in. but less than or equal to 48 sq. in., each dressing
HCPCS Code: A6259
Short Description: Transparent film > 48 sq in
Long Description: Transparent film, sterile, more than 48 sq. in., each dressing
HCPCS Code: A6260
Short Description: Wound cleanser any type/size
Long Description: Wound cleansers, any type, any size
HCPCS Code: A6261
Short Description: Wound filler gel/paste /oz
Long Description: Wound filler, gel/paste, per fluid ounce, not otherwise specified
HCPCS Code: A6262
Short Description: Wound filler dry form / gram
Long Description: Wound filler, dry form, per gram, not otherwise specified
HCPCS Code: A6266
Short Description: Impreg gauze no h20/sal/yard
Long Description: Gauze, impregnated, other than water, normal saline, or zinc paste, sterile, any width, per linear yard
HCPCS Code: A6402
Short Description: Sterile gauze <= 16 sq in
Long Description: Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing
HCPCS Code: A6403
Short Description: Sterile gauze>16 <= 48 sq in
Long Description: Gauze, non-impregnated, sterile, pad size more than 16 sq. in. less than or equal to 48 sq. in., without adhesive border, each dressing
HCPCS Code: A6404
Short Description: Sterile gauze > 48 sq in
Long Description: Gauze, non-impregnated, sterile, pad size more than 48 sq. in., without adhesive border, each dressing
HCPCS Code: A6407
Short Description: Packing strips, non-impreg
Long Description: Packing strips, non-impregnated, sterile, up to 2 inches in width, per linear yard
HCPCS Code: A6410
Short Description: Sterile eye pad
Long Description: Eye pad, sterile, each
HCPCS Code: A6411
Short Description: Non-sterile eye pad
Long Description: Eye pad, non-sterile, each
HCPCS Code: A6412
Short Description: Occlusive eye patch
Long Description: Eye patch, occlusive, each
HCPCS Code: A6413
Short Description: Adhesive bandage, first-aid
Long Description: Adhesive bandage, first-aid type, any size, each
HCPCS Code: A6441
Short Description: Pad band w>=3 <5/yd
Long Description: Padding bandage, non-elastic, non-woven/non-knitted, width greater than or equal to three inches and less than five inches, per yard
HCPCS Code: A6442
Short Description: Conform band n/s w<3/yd
Long Description: Conforming bandage, non-elastic, knitted/woven, non-sterile, width less than three inches, per yard
HCPCS Code: A6443
Short Description: Conform band n/s w>=3<5/yd
Long Description: Conforming bandage, non-elastic, knitted/woven, non-sterile, width greater than or equal to three inches and less than five inches, per yard
HCPCS Code: A6444
Short Description: Conform band n/s w>=5/yd
Long Description: Conforming bandage, non-elastic, knitted/woven, non-sterile, width greater than or equal to 5 inches, per yard
HCPCS Code: A6445
Short Description: Conform band s w <3/yd
Long Description: Conforming bandage, non-elastic, knitted/woven, sterile, width less than three inches, per yard
HCPCS Code: A6446
Short Description: Conform band s w>=3 <5/yd
Long Description: Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard
HCPCS Code: A6447
Short Description: Conform band s w >=5/yd
Long Description: Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to five inches, per yard
HCPCS Code: A6448
Short Description: Lt compres band <3/yd
Long Description: Light compression bandage, elastic, knitted/woven, width less than three inches, per yard
HCPCS Code: A6449
Short Description: Lt compres band >=3 <5/yd
Long Description: Light compression bandage, elastic, knitted/woven, width greater than or equal to three inches and less than five inches, per yard
HCPCS Code: A6450
Short Description: Lt compres band >=5/yd
Long Description: Light compression bandage, elastic, knitted/woven, width greater than or equal to five inches, per yard
HCPCS Code: A6451
Short Description: Mod compres band w>=3<5/yd
Long Description: Moderate compression bandage, elastic, knitted/woven, load resistance of 1.25 to 1.34 foot pounds at 50% maximum stretch, width greater than or equal to three inches and less than five inches, per yard
HCPCS Code: A6452
Short Description: High compres band w>=3<5yd
Long Description: High compression bandage, elastic, knitted/woven, load resistance greater than or equal to 1.35 foot pounds at 50% maximum stretch, width greater than or equal to three inches and less than five inches, per yard
HCPCS Code: A6453
Short Description: Self-adher band w <3/yd
Long Description: Self-adherent bandage, elastic, non-knitted/non-woven, width less than three inches, per yard
HCPCS Code: A6454
Short Description: Self-adher band w>=3 <5/yd
Long Description: Self-adherent bandage, elastic, non-knitted/non-woven, width greater than or equal to three inches and less than five inches, per yard
HCPCS Code: A6455
Short Description: Self-adher band >=5/yd
Long Description: Self-adherent bandage, elastic, non-knitted/non-woven, width greater than or equal to five inches, per yard
HCPCS Code: A6456
Short Description: Zinc paste band w >=3<5/yd
Long Description: Zinc paste impregnated bandage, non-elastic, knitted/woven, width greater than or equal to three inches and less than five inches, per yard
HCPCS Code: A6457
Short Description: Tubular dressing
Long Description: Tubular dressing with or without elastic, any width, per linear yard
HCPCS Code: A6501
Short Description: Compres burngarment bodysuit
Long Description: Compression burn garment, bodysuit (head to foot), custom fabricated
HCPCS Code: A6502
Short Description: Compres burngarment chinstrp
Long Description: Compression burn garment, chin strap, custom fabricated
HCPCS Code: A6503
Short Description: Compres burngarment facehood
Long Description: Compression burn garment, facial hood, custom fabricated
HCPCS Code: A6504
Short Description: Cmprsburngarment glove-wrist
Long Description: Compression burn garment, glove to wrist, custom fabricated
HCPCS Code: A6505
Short Description: Cmprsburngarment glove-elbow
Long Description: Compression burn garment, glove to elbow, custom fabricated
HCPCS Code: A6506
Short Description: Cmprsburngrmnt glove-axilla
Long Description: Compression burn garment, glove to axilla, custom fabricated
HCPCS Code: A6507
Short Description: Cmprs burngarment foot-knee
Long Description: Compression burn garment, foot to knee length, custom fabricated
HCPCS Code: A6508
Short Description: Cmprs burngarment foot-thigh
Long Description: Compression burn garment, foot to thigh length, custom fabricated
HCPCS Code: A6509
Short Description: Compres burn garment jacket
Long Description: Compression burn garment, upper trunk to waist including arm openings (vest), custom fabricated
HCPCS Code: A6510
Short Description: Compres burn garment leotard
Long Description: Compression burn garment, trunk, including arms down to leg openings (leotard), custom fabricated
HCPCS Code: A6511
Short Description: Compres burn garment panty
Long Description: Compression burn garment, lower trunk including leg openings (panty), custom fabricated
HCPCS Code: A6512
Short Description: Compres burn garment, noc
Long Description: Compression burn garment, not otherwise classified
HCPCS Code: A6513
Short Description: Compress burn mask face/neck
Long Description: Compression burn mask, face and/or neck, plastic or equal, custom fabricated
HCPCS Code: A6530
Short Description: Compression stocking bk18-30
Long Description: Gradient compression stocking, below knee, 18-30 mmhg, each
HCPCS Code: A6531
Short Description: Compression stocking bk30-40
Long Description: Gradient compression stocking, below knee, 30-40 mmhg, each
HCPCS Code: A6532
Short Description: Compression stocking bk40-50
Long Description: Gradient compression stocking, below knee, 40-50 mmhg, each
HCPCS Code: A6533
Short Description: Gc stocking thighlngth 18-30
Long Description: Gradient compression stocking, thigh length, 18-30 mmhg, each
HCPCS Code: A6534
Short Description: Gc stocking thighlngth 30-40
Long Description: Gradient compression stocking, thigh length, 30-40 mmhg, each
HCPCS Code: A6535
Short Description: Gc stocking thighlngth 40-50
Long Description: Gradient compression stocking, thigh length, 40-50 mmhg, each
HCPCS Code: A6536
Short Description: Gc stocking full lngth 18-30
Long Description: Gradient compression stocking, full length/chap style, 18-30 mmhg, each
HCPCS Code: A6537
Short Description: Gc stocking full lngth 30-40
Long Description: Gradient compression stocking, full length/chap style, 30-40 mmhg, each
HCPCS Code: A6538
Short Description: Gc stocking full lngth 40-50
Long Description: Gradient compression stocking, full length/chap style, 40-50 mmhg, each
HCPCS Code: A6539
Short Description: Gc stocking waistlngth 18-30
Long Description: Gradient compression stocking, waist length, 18-30 mmhg, each
HCPCS Code: A6540
Short Description: Gc stocking waistlngth 30-40
Long Description: Gradient compression stocking, waist length, 30-40 mmhg, each
HCPCS Code: A6541
Short Description: Gc stocking waistlngth 40-50
Long Description: Gradient compression stocking, waist length, 40-50 mmhg, each
HCPCS Code: A6544
Short Description: Gc stocking garter belt
Long Description: Gradient compression stocking, garter belt
HCPCS Code: A6545
Short Description: Grad comp non-elastic bk
Long Description: Gradient compression wrap, non-elastic, below knee, 30-50 mm hg, each
HCPCS Code: A6549
Short Description: G compression stocking
Long Description: Gradient compression stocking/sleeve, not otherwise specified
HCPCS Code: A6550
Short Description: Neg pres wound ther drsg set
Long Description: Wound care set, for negative pressure wound therapy electrical pump, includes all supplies and accessories
HCPCS Code: A7
Short Description: Dressing for seven wounds
Long Description: Dressing for seven wounds
HCPCS Code: A7000
Short Description: Disposable canister for pump
Long Description: Canister, disposable, used with suction pump, each
HCPCS Code: A7001
Short Description: Nondisposable pump canister
Long Description: Canister, non-disposable, used with suction pump, each
HCPCS Code: A7002
Short Description: Tubing used w suction pump
Long Description: Tubing, used with suction pump, each
HCPCS Code: A7003
Short Description: Nebulizer administration set
Long Description: Administration set, with small volume nonfiltered pneumatic nebulizer, disposable
HCPCS Code: A7004
Short Description: Disposable nebulizer sml vol
Long Description: Small volume nonfiltered pneumatic nebulizer, disposable
HCPCS Code: A7005
Short Description: Nondisposable nebulizer set
Long Description: Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable
HCPCS Code: A7006
Short Description: Filtered nebulizer admin set
Long Description: Administration set, with small volume filtered pneumatic nebulizer
HCPCS Code: A7007
Short Description: Lg vol nebulizer disposable
Long Description: Large volume nebulizer, disposable, unfilled, used with aerosol compressor
HCPCS Code: A7008
Short Description: Disposable nebulizer prefill
Long Description: Large volume nebulizer, disposable, prefilled, used with aerosol compressor
HCPCS Code: A7009
Short Description: Nebulizer reservoir bottle
Long Description: Reservoir bottle, non-disposable, used with large volume ultrasonic nebulizer
HCPCS Code: A7010
Short Description: Disposable corrugated tubing
Long Description: Corrugated tubing, disposable, used with large volume nebulizer, 100 feet
HCPCS Code: A7011
Short Description: Nondispos corrugated tubing
Long Description: Corrugated tubing, non-disposable, used with large volume nebulizer, 10 feet
HCPCS Code: A7012
Short Description: Nebulizer water collec devic
Long Description: Water collection device, used with large volume nebulizer
HCPCS Code: A7013
Short Description: Disposable compressor filter
Long Description: Filter, disposable, used with aerosol compressor or ultrasonic generator
HCPCS Code: A7014
Short Description: Compressor nondispos filter
Long Description: Filter, nondisposable, used with aerosol compressor or ultrasonic generator
HCPCS Code: A7015
Short Description: Aerosol mask used w nebulize
Long Description: Aerosol mask, used with dme nebulizer
HCPCS Code: A7016
Short Description: Nebulizer dome & mouthpiece
Long Description: Dome and mouthpiece, used with small volume ultrasonic nebulizer
HCPCS Code: A7017
Short Description: Nebulizer not used w oxygen
Long Description: Nebulizer, durable, glass or autoclavable plastic, bottle type, not used with oxygen
HCPCS Code: A7018
Short Description: Water distilled w/nebulizer
Long Description: Water, distilled, used with large volume nebulizer, 1000 ml
HCPCS Code: A7020
Short Description: Interface, cough stim device
Long Description: Interface for cough stimulating device, includes all components, replacement only
HCPCS Code: A7025
Short Description: Replace chest compress vest
Long Description: High frequency chest wall oscillation system vest, replacement for use with patient owned equipment, each
HCPCS Code: A7026
Short Description: Replace chst cmprss sys hose
Long Description: High frequency chest wall oscillation system hose, replacement for use with patient owned equipment, each
HCPCS Code: A7027
Short Description: Combination oral/nasal mask
Long Description: Combination oral/nasal mask, used with continuous positive airway pressure device, each
HCPCS Code: A7028
Short Description: Repl oral cushion combo mask
Long Description: Oral cushion for combination oral/nasal mask, replacement only, each
HCPCS Code: A7029
Short Description: Repl nasal pillow comb mask
Long Description: Nasal pillows for combination oral/nasal mask, replacement only, pair
HCPCS Code: A7030
Short Description: Cpap full face mask
Long Description: Full face mask used with positive airway pressure device, each
HCPCS Code: A7031
Short Description: Replacement facemask interfa
Long Description: Face mask interface, replacement for full face mask, each
HCPCS Code: A7032
Short Description: Replacement nasal cushion
Long Description: Cushion for use on nasal mask interface, replacement only, each
HCPCS Code: A7033
Short Description: Replacement nasal pillows
Long Description: Pillow for use on nasal cannula type interface, replacement only, pair
HCPCS Code: A7034
Short Description: Nasal application device
Long Description: Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap
HCPCS Code: A7035
Short Description: Pos airway press headgear
Long Description: Headgear used with positive airway pressure device
HCPCS Code: A7036
Short Description: Pos airway press chinstrap
Long Description: Chinstrap used with positive airway pressure device
HCPCS Code: A7037
Short Description: Pos airway pressure tubing
Long Description: Tubing used with positive airway pressure device
HCPCS Code: A7038
Short Description: Pos airway pressure filter
Long Description: Filter, disposable, used with positive airway pressure device
HCPCS Code: A7039
Short Description: Filter, non disposable w pap
Long Description: Filter, non disposable, used with positive airway pressure device
HCPCS Code: A7040
Short Description: One way chest drain valve
Long Description: One way chest drain valve
HCPCS Code: A7041
Short Description: Water seal drain container
Long Description: Water seal drainage container and tubing for use with implanted chest tube
HCPCS Code: A7042
Short Description: Implanted pleural catheter
Long Description: Implanted pleural catheter, each
HCPCS Code: A7043
Short Description: Vacuum drainagebottle/tubing
Long Description: Vacuum drainage bottle and tubing for use with implanted catheter
HCPCS Code: A7044
Short Description: Pap oral interface
Long Description: Oral interface used with positive airway pressure device, each
HCPCS Code: A7045
Short Description: Repl exhalation port for pap
Long Description: Exhalation port with or without swivel used with accessories for positive airway devices, replacement only
HCPCS Code: A7046
Short Description: Repl water chamber, pap dev
Long Description: Water chamber for humidifier, used with positive airway pressure device, replacement, each
HCPCS Code: A7047
Short Description: Resp suction oral interface
Long Description: Oral interface used with respiratory suction pump, each
HCPCS Code: A7048
Short Description: Vacuum drain bottle/tube kit
Long Description: Vacuum drainage collection unit and tubing kit, including all supplies needed for collection unit change, for use with implanted catheter, each
HCPCS Code: A7501
Short Description: Tracheostoma valve w diaphra
Long Description: Tracheostoma valve, including diaphragm, each
HCPCS Code: A7502
Short Description: Replacement diaphragm/fplate
Long Description: Replacement diaphragm/faceplate for tracheostoma valve, each
HCPCS Code: A7503
Short Description: Hmes filter holder or cap
Long Description: Filter holder or filter cap, reusable, for use in a tracheostoma heat and moisture exchange system, each
HCPCS Code: A7504
Short Description: Tracheostoma hmes filter
Long Description: Filter for use in a tracheostoma heat and moisture exchange system, each
HCPCS Code: A7505
Short Description: Hmes or trach valve housing
Long Description: Housing, reusable without adhesive, for use in a heat and moisture exchange system and/or with a tracheostoma valve, each
HCPCS Code: A7506
Short Description: Hmes/trachvalve adhesivedisk
Long Description: Adhesive disc for use in a heat and moisture exchange system and/or with tracheostoma valve, any type each
HCPCS Code: A7507
Short Description: Integrated filter & holder
Long Description: Filter holder and integrated filter without adhesive, for use in a tracheostoma heat and moisture exchange system, each
HCPCS Code: A7508
Short Description: Housing & integrated adhesiv
Long Description: Housing and integrated adhesive, for use in a tracheostoma heat and moisture exchange system and/or with a tracheostoma valve, each
HCPCS Code: A7509
Short Description: Heat & moisture exchange sys
Long Description: Filter holder and integrated filter housing, and adhesive, for use as a tracheostoma heat and moisture exchange system, each
HCPCS Code: A7520
Short Description: Trach/laryn tube non-cuffed
Long Description: Tracheostomy/laryngectomy tube, non-cuffed, polyvinylchloride (pvc), silicone or equal, each
HCPCS Code: A7521
Short Description: Trach/laryn tube cuffed
Long Description: Tracheostomy/laryngectomy tube, cuffed, polyvinylchloride (pvc), silicone or equal, each
HCPCS Code: A7522
Short Description: Trach/laryn tube stainless
Long Description: Tracheostomy/laryngectomy tube, stainless steel or equal (sterilizable and reusable), each
HCPCS Code: A7523
Short Description: Tracheostomy shower protect
Long Description: Tracheostomy shower protector, each
HCPCS Code: A7524
Short Description: Tracheostoma stent/stud/bttn
Long Description: Tracheostoma stent/stud/button, each
HCPCS Code: A7525
Short Description: Tracheostomy mask
Long Description: Tracheostomy mask, each
HCPCS Code: A7526
Short Description: Tracheostomy tube collar
Long Description: Tracheostomy tube collar/holder, each
HCPCS Code: A7527
Short Description: Trach/laryn tube plug/stop
Long Description: Tracheostomy/laryngectomy tube plug/stop, each
HCPCS Code: A8
Short Description: Dressing for eight wounds
Long Description: Dressing for eight wounds
HCPCS Code: A8000
Short Description: Soft protect helmet prefab
Long Description: Helmet, protective, soft, prefabricated, includes all components and accessories
HCPCS Code: A8001
Short Description: Hard protect helmet prefab
Long Description: Helmet, protective, hard, prefabricated, includes all components and accessories
HCPCS Code: A8002
Short Description: Soft protect helmet custom
Long Description: Helmet, protective, soft, custom fabricated, includes all components and accessories
HCPCS Code: A8003
Short Description: Hard protect helmet custom
Long Description: Helmet, protective, hard, custom fabricated, includes all components and accessories
HCPCS Code: A8004
Short Description: Repl soft interface, helmet
Long Description: Soft interface for helmet, replacement only
HCPCS Code: A9
Short Description: Dressing for 9 or more wound
Long Description: Dressing for nine or more wounds
HCPCS Code: A9150
Short Description: Misc/exper non-prescript dru
Long Description: Non-prescription drugs
HCPCS Code: A9152
Short Description: Single vitamin nos
Long Description: Single vitamin/mineral/trace element, oral, per dose, not otherwise specified
HCPCS Code: A9153
Short Description: Multi-vitamin nos
Long Description: Multiple vitamins, with or without minerals and trace elements, oral, per dose, not otherwise specified
HCPCS Code: A9155
Short Description: Artificial saliva
Long Description: Artificial saliva, 30 ml
HCPCS Code: A9180
Short Description: Lice treatment, topical
Long Description: Pediculosis (lice infestation) treatment, topical, for administration by patient/caretaker
HCPCS Code: A9270
Short Description: Non-covered item or service
Long Description: Non-covered item or service
HCPCS Code: A9272
Short Description: Disp wound suct, drsg/access
Long Description: Wound suction, disposable, includes dressing, all accessories and components, any type, each
HCPCS Code: A9273
Short Description: Hot/cold h2obot/cap/col/wrap
Long Description: Hot water bottle, ice cap or collar, heat and/or cold wrap, any type
HCPCS Code: A9274
Short Description: Ext amb insulin delivery sys
Long Description: External ambulatory insulin delivery system, disposable, each, includes all supplies and accessories
HCPCS Code: A9275
Short Description: Disp home glucose monitor
Long Description: Home glucose disposable monitor, includes test strips
HCPCS Code: A9276
Short Description: Disposable sensor, cgm sys
Long Description: Sensor; invasive (e.g., subcutaneous), disposable, for use with interstitial continuous glucose monitoring system, one unit = 1 day supply
HCPCS Code: A9277
Short Description: External transmitter, cgm
Long Description: Transmitter; external, for use with interstitial continuous glucose monitoring system
HCPCS Code: A9278
Short Description: External receiver, cgm sys
Long Description: Receiver (monitor); external, for use with interstitial continuous glucose monitoring system
HCPCS Code: A9279
Short Description: Monitoring feature/devicenoc
Long Description: Monitoring feature/device, stand-alone or integrated, any type, includes all accessories, components and electronics, not otherwise classified
HCPCS Code: A9280
Short Description: Alert device, noc
Long Description: Alert or alarm device, not otherwise classified
HCPCS Code: A9281
Short Description: Reaching/grabbing device
Long Description: Reaching/grabbing device, any type, any length, each
HCPCS Code: A9282
Short Description: Wig any type
Long Description: Wig, any type, each
HCPCS Code: A9283
Short Description: Foot press off load supp dev
Long Description: Foot pressure off loading/supportive device, any type, each
HCPCS Code: A9284
Short Description: Non-electronic spirometer
Long Description: Spirometer, non-electronic, includes all accessories
HCPCS Code: A9285
Short Description: Inversion eversion cor devic
Long Description: Inversion/eversion correction device
HCPCS Code: A9286
Short Description: Any hygienic item, device
Long Description: Hygienic item or device, disposable or non-disposable, any type, each
HCPCS Code: A9300
Short Description: Exercise equipment
Long Description: Exercise equipment
HCPCS Code: A9500
Short Description: Tc99m sestamibi
Long Description: Technetium tc-99m sestamibi, diagnostic, per study dose
HCPCS Code: A9501
Short Description: Technetium tc-99m teboroxime
Long Description: Technetium tc-99m teboroxime, diagnostic, per study dose
HCPCS Code: A9502
Short Description: Tc99m tetrofosmin
Long Description: Technetium tc-99m tetrofosmin, diagnostic, per study dose
HCPCS Code: A9503
Short Description: Tc99m medronate
Long Description: Technetium tc-99m medronate, diagnostic, per study dose, up to 30 millicuries
HCPCS Code: A9504
Short Description: Tc99m apcitide
Long Description: Technetium tc-99m apcitide, diagnostic, per study dose, up to 20 millicuries
HCPCS Code: A9505
Short Description: Tl201 thallium
Long Description: Thallium tl-201 thallous chloride, diagnostic, per millicurie
HCPCS Code: A9507
Short Description: In111 capromab
Long Description: Indium in-111 capromab pendetide, diagnostic, per study dose, up to 10 millicuries
HCPCS Code: A9508
Short Description: I131 iodobenguate, dx
Long Description: Iodine i-131 iobenguane sulfate, diagnostic, per 0.5 millicurie
HCPCS Code: A9509
Short Description: Iodine i-123 sod iodide mil
Long Description: Iodine i-123 sodium iodide, diagnostic, per millicurie
HCPCS Code: A9510
Short Description: Tc99m disofenin
Long Description: Technetium tc-99m disofenin, diagnostic, per study dose, up to 15 millicuries
HCPCS Code: A9512
Short Description: Tc99m pertechnetate
Long Description: Technetium tc-99m pertechnetate, diagnostic, per millicurie
HCPCS Code: A9515
Short Description: Choline c-11
Long Description: Choline c-11, diagnostic, per study dose up to 20 millicuries
HCPCS Code: A9516
Short Description: Iodine i-123 sod iodide mic
Long Description: Iodine i-123 sodium iodide, diagnostic, per 100 microcuries, up to 999 microcuries
HCPCS Code: A9517
Short Description: I131 iodide cap, rx
Long Description: Iodine i-131 sodium iodide capsule(s), therapeutic, per millicurie
HCPCS Code: A9520
Short Description: Tc99 tilmanocept diag 0.5mci
Long Description: Technetium tc-99m tilmanocept, diagnostic, up to 0.5 millicuries
HCPCS Code: A9521
Short Description: Tc99m exametazime
Long Description: Technetium tc-99m exametazime, diagnostic, per study dose, up to 25 millicuries
HCPCS Code: A9524
Short Description: I131 serum albumin, dx
Long Description: Iodine i-131 iodinated serum albumin, diagnostic, per 5 microcuries
HCPCS Code: A9526
Short Description: Nitrogen n-13 ammonia
Long Description: Nitrogen n-13 ammonia, diagnostic, per study dose, up to 40 millicuries
HCPCS Code: A9527
Short Description: Iodine i-125 sodium iodide
Long Description: Iodine i-125, sodium iodide solution, therapeutic, per millicurie
HCPCS Code: A9528
Short Description: Iodine i-131 iodide cap, dx
Long Description: Iodine i-131 sodium iodide capsule(s), diagnostic, per millicurie
HCPCS Code: A9529
Short Description: I131 iodide sol, dx
Long Description: Iodine i-131 sodium iodide solution, diagnostic, per millicurie
HCPCS Code: A9530
Short Description: I131 iodide sol, rx
Long Description: Iodine i-131 sodium iodide solution, therapeutic, per millicurie
HCPCS Code: A9531
Short Description: I131 max 100uci
Long Description: Iodine i-131 sodium iodide, diagnostic, per microcurie (up to 100 microcuries)
HCPCS Code: A9532
Short Description: I125 serum albumin, dx
Long Description: Iodine i-125 serum albumin, diagnostic, per 5 microcuries
HCPCS Code: A9536
Short Description: Tc99m depreotide
Long Description: Technetium tc-99m depreotide, diagnostic, per study dose, up to 35 millicuries
HCPCS Code: A9537
Short Description: Tc99m mebrofenin
Long Description: Technetium tc-99m mebrofenin, diagnostic, per study dose, up to 15 millicuries
HCPCS Code: A9538
Short Description: Tc99m pyrophosphate
Long Description: Technetium tc-99m pyrophosphate, diagnostic, per study dose, up to 25 millicuries
HCPCS Code: A9539
Short Description: Tc99m pentetate
Long Description: Technetium tc-99m pentetate, diagnostic, per study dose, up to 25 millicuries
HCPCS Code: A9540
Short Description: Tc99m maa
Long Description: Technetium tc-99m macroaggregated albumin, diagnostic, per study dose, up to 10 millicuries
HCPCS Code: A9541
Short Description: Tc99m sulfur colloid
Long Description: Technetium tc-99m sulfur colloid, diagnostic, per study dose, up to 20 millicuries
HCPCS Code: A9542
Short Description: In111 ibritumomab, dx
Long Description: Indium in-111 ibritumomab tiuxetan, diagnostic, per study dose, up to 5 millicuries
HCPCS Code: A9543
Short Description: Y90 ibritumomab, rx
Long Description: Yttrium y-90 ibritumomab tiuxetan, therapeutic, per treatment dose, up to 40 millicuries
HCPCS Code: A9544
Short Description: I131 tositumomab, dx
Long Description: Iodine i-131 tositumomab, diagnostic, per study dose
HCPCS Code: A9545
Short Description: I131 tositumomab, rx
Long Description: Iodine i-131 tositumomab, therapeutic, per treatment dose
HCPCS Code: A9546
Short Description: Co57/58
Long Description: Cobalt co-57/58, cyanocobalamin, diagnostic, per study dose, up to 1 microcurie
HCPCS Code: A9547
Short Description: In111 oxyquinoline
Long Description: Indium in-111 oxyquinoline, diagnostic, per 0.5 millicurie
HCPCS Code: A9548
Short Description: In111 pentetate
Long Description: Indium in-111 pentetate, diagnostic, per 0.5 millicurie
HCPCS Code: A9550
Short Description: Tc99m gluceptate
Long Description: Technetium tc-99m sodium gluceptate, diagnostic, per study dose, up to 25 millicurie
HCPCS Code: A9551
Short Description: Tc99m succimer
Long Description: Technetium tc-99m succimer, diagnostic, per study dose, up to 10 millicuries
HCPCS Code: A9552
Short Description: F18 fdg
Long Description: Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries
HCPCS Code: A9553
Short Description: Cr51 chromate
Long Description: Chromium cr-51 sodium chromate, diagnostic, per study dose, up to 250 microcuries
HCPCS Code: A9554
Short Description: I125 iothalamate, dx
Long Description: Iodine i-125 sodium iothalamate, diagnostic, per study dose, up to 10 microcuries
HCPCS Code: A9555
Short Description: Rb82 rubidium
Long Description: Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries
HCPCS Code: A9556
Short Description: Ga67 gallium
Long Description: Gallium ga-67 citrate, diagnostic, per millicurie
HCPCS Code: A9557
Short Description: Tc99m bicisate
Long Description: Technetium tc-99m bicisate, diagnostic, per study dose, up to 25 millicuries
HCPCS Code: A9558
Short Description: Xe133 xenon 10mci
Long Description: Xenon xe-133 gas, diagnostic, per 10 millicuries
HCPCS Code: A9559
Short Description: Co57 cyano
Long Description: Cobalt co-57 cyanocobalamin, oral, diagnostic, per study dose, up to 1 microcurie
HCPCS Code: A9560
Short Description: Tc99m labeled rbc
Long Description: Technetium tc-99m labeled red blood cells, diagnostic, per study dose, up to 30 millicuries
HCPCS Code: A9561
Short Description: Tc99m oxidronate
Long Description: Technetium tc-99m oxidronate, diagnostic, per study dose, up to 30 millicuries
HCPCS Code: A9562
Short Description: Tc99m mertiatide
Long Description: Technetium tc-99m mertiatide, diagnostic, per study dose, up to 15 millicuries
HCPCS Code: A9563
Short Description: P32 na phosphate
Long Description: Sodium phosphate p-32, therapeutic, per millicurie
HCPCS Code: A9564
Short Description: P32 chromic phosphate
Long Description: Chromic phosphate p-32 suspension, therapeutic, per millicurie
HCPCS Code: A9566
Short Description: Tc99m fanolesomab
Long Description: Technetium tc-99m fanolesomab, diagnostic, per study dose, up to 25 millicuries
HCPCS Code: A9567
Short Description: Technetium tc-99m aerosol
Long Description: Technetium tc-99m pentetate, diagnostic, aerosol, per study dose, up to 75 millicuries
HCPCS Code: A9568
Short Description: Technetium tc99m arcitumomab
Long Description: Technetium tc-99m arcitumomab, diagnostic, per study dose, up to 45 millicuries
HCPCS Code: A9569
Short Description: Technetium tc-99m auto wbc
Long Description: Technetium tc-99m exametazime labeled autologous white blood cells, diagnostic, per study dose
HCPCS Code: A9570
Short Description: Indium in-111 auto wbc
Long Description: Indium in-111 labeled autologous white blood cells, diagnostic, per study dose
HCPCS Code: A9571
Short Description: Indium in-111 auto platelet
Long Description: Indium in-111 labeled autologous platelets, diagnostic, per study dose
HCPCS Code: A9572
Short Description: Indium in-111 pentetreotide
Long Description: Indium in-111 pentetreotide, diagnostic, per study dose, up to 6 millicuries
HCPCS Code: A9575
Short Description: Inj gadoterate meglumi 0.1ml
Long Description: Injection, gadoterate meglumine, 0.1 ml
HCPCS Code: A9576
Short Description: Inj prohance multipack
Long Description: Injection, gadoteridol, (prohance multipack), per ml
HCPCS Code: A9577
Short Description: Inj multihance
Long Description: Injection, gadobenate dimeglumine (multihance), per ml
HCPCS Code: A9578
Short Description: Inj multihance multipack
Long Description: Injection, gadobenate dimeglumine (multihance multipack), per ml
HCPCS Code: A9579
Short Description: Gad-base mr contrast nos,1ml
Long Description: Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml
HCPCS Code: A9580
Short Description: Sodium fluoride f-18
Long Description: Sodium fluoride f-18, diagnostic, per study dose, up to 30 millicuries
HCPCS Code: A9581
Short Description: Gadoxetate disodium inj
Long Description: Injection, gadoxetate disodium, 1 ml
HCPCS Code: A9582
Short Description: Iodine i-123 iobenguane
Long Description: Iodine i-123 iobenguane, diagnostic, per study dose, up to 15 millicuries
HCPCS Code: A9583
Short Description: Gadofosveset trisodium inj
Long Description: Injection, gadofosveset trisodium, 1 ml
HCPCS Code: A9584
Short Description: Iodine i-123 ioflupane
Long Description: Iodine 1-123 ioflupane, diagnostic, per study dose, up to 5 millicuries
HCPCS Code: A9585
Short Description: Gadobutrol injection
Long Description: Injection, gadobutrol, 0.1 ml
HCPCS Code: A9586
Short Description: Florbetapir f18
Long Description: Florbetapir f18, diagnostic, per study dose, up to 10 millicuries
HCPCS Code: A9587
Short Description: Gallium ga-68
Long Description: Gallium ga-68, dotatate, diagnostic, 0.1 millicurie
HCPCS Code: A9588
Short Description: Fluciclovine f-18
Long Description: Fluciclovine f-18, diagnostic, 1 millicurie
HCPCS Code: A9597
Short Description: Pet, dx, for tumor id, noc
Long Description: Positron emission tomography radiopharmaceutical, diagnostic, for tumor identification, not otherwise classified
HCPCS Code: A9598
Short Description: Pet dx for non-tumor id, noc
Long Description: Positron emission tomography radiopharmaceutical, diagnostic, for non-tumor identification, not otherwise classified
HCPCS Code: A9599
Short Description: Radioph dx b amyloid pet nos
Long Description: Radiopharmaceutical, diagnostic, for beta-amyloid positron emission tomography (pet) imaging, per study dose, not otherwise specified
HCPCS Code: A9600
Short Description: Sr89 strontium
Long Description: Strontium sr-89 chloride, therapeutic, per millicurie
HCPCS Code: A9604
Short Description: Sm 153 lexidronam
Long Description: Samarium sm-153 lexidronam, therapeutic, per treatment dose, up to 150 millicuries
HCPCS Code: A9606
Short Description: Radium ra223 dichloride ther
Long Description: Radium ra-223 dichloride, therapeutic, per microcurie
HCPCS Code: A9698
Short Description: Non-rad contrast materialnoc
Long Description: Non-radioactive contrast imaging material, not otherwise classified, per study
HCPCS Code: A9699
Short Description: Radiopharm rx agent noc
Long Description: Radiopharmaceutical, therapeutic, not otherwise classified
HCPCS Code: A9700
Short Description: Echocardiography contrast
Long Description: Supply of injectable contrast material for use in echocardiography, per study
HCPCS Code: A9900
Short Description: Supply/accessory/service
Long Description: Miscellaneous dme supply, accessory, and/or service component of another hcpcs code
HCPCS Code: A9901
Short Description: Delivery/set up/dispensing
Long Description: Dme delivery, set up, and/or dispensing service component of another hcpcs code
HCPCS Code: A9999
Short Description: Dme supply or accessory, nos
Long Description: Miscellaneous dme supply or accessory, not otherwise specified
HCPCS Code: AA
Short Description: Anesthesia perf by anesgst
Long Description: Anesthesia services performed personally by anesthesiologist
HCPCS Code: AD
Short Description: Md supervision, >4 anes proc
Long Description: Medical supervision by a physician: more than four concurrent anesthesia procedures
HCPCS Code: AE
Short Description: Registered dietician
Long Description: Registered dietician
HCPCS Code: AF
Short Description: Specialty physician
Long Description: Specialty physician
HCPCS Code: AG
Short Description: Primary physician
Long Description: Primary physician
HCPCS Code: AH
Short Description: Clinical psychologist
Long Description: Clinical psychologist
HCPCS Code: AI
Short Description: Principal physician of rec
Long Description: Principal physician of record
HCPCS Code: AJ
Short Description: Clinical social worker
Long Description: Clinical social worker
HCPCS Code: AK
Short Description: Non participating physician
Long Description: Non participating physician
HCPCS Code: AM
Short Description: Physician, team member svc
Long Description: Physician, team member service
HCPCS Code: AO
Short Description: Prov declined alt pmt method
Long Description: Alternate payment method declined by provider of service
HCPCS Code: AP
Short Description: No dtmn of refractive state
Long Description: Determination of refractive state was not performed in the course of diagnostic ophthalmological examination
HCPCS Code: AQ
Short Description: Physician service hpsa area
Long Description: Physician providing a service in an unlisted health professional shortage area (hpsa)
HCPCS Code: AR
Short Description: Physician scarcity area
Long Description: Physician provider services in a physician scarcity area
HCPCS Code: AS
Short Description: Assistant at surgery service
Long Description: Physician assistant, nurse practitioner, or clinical nurse specialist services for assistant at surgery
HCPCS Code: AT
Short Description: Acute treatment
Long Description: Acute treatment (this modifier should be used when reporting service 98940, 98941, 98942)
HCPCS Code: AU
Short Description: Uro, ostomy or trach item
Long Description: Item furnished in conjunction with a urological, ostomy, or tracheostomy supply
HCPCS Code: AV
Short Description: Item w prosthetic/orthotic
Long Description: Item furnished in conjunction with a prosthetic device, prosthetic or orthotic
HCPCS Code: AW
Short Description: Item w a surgical dressing
Long Description: Item furnished in conjunction with a surgical dressing
HCPCS Code: AX
Short Description: Item w dialysis services
Long Description: Item furnished in conjunction with dialysis services
HCPCS Code: AY
Short Description: Item/service not for esrd tx
Long Description: Item or service furnished to an esrd patient that is not for the treatment of esrd
HCPCS Code: AZ
Short Description: Physician serv in dent hpsa
Long Description: Physician providing a service in a dental health professional shortage area for the purpose of an electronic health record incentive payment