List of HCPCS codes for: Transportation, Medical & Surgical Supplies, Miscellaneous & Experimental (A-codes) - Group A9

HCPCS Code	Short Description	Long Description
A9	Dressing for 9 or more wound	Dressing for nine or more wounds
A9150	Misc/exper non-prescript dru	Non-prescription drugs
A9152	Single vitamin nos	Single vitamin/mineral/trace element, oral, per dose, not otherwise specified
A9153	Multi-vitamin nos	Multiple vitamins, with or without minerals and trace elements, oral, per dose, not otherwise specified
A9155	Artificial saliva	Artificial saliva, 30 ml
A9156	Oral mucoadhesive per 1 ml	Oral mucoadhesive, any type (liquid, gel, paste, etc.), per 1 ml
A9180	Lice treatment, topical	Pediculosis (lice infestation) treatment, topical, for administration by patient/caretaker
A9268	Programmer orally ingest cap	Programmer for transient, orally ingested capsule
A9269	Programable ingest capsule	Programable, transient, orally ingested capsule, for use with external programmer, per month
A9270	Non-covered item or service	Non-covered item or service
A9272	Disp wound suct, drsg/access	Wound suction, disposable, includes dressing, all accessories and components, any type, each
A9273	Hot/cold botle/cap/col/wrap	Cold or hot fluid bottle, ice cap or collar, heat and/or cold wrap, any type
A9274	Ext amb insulin delivery sys	External ambulatory insulin delivery system, disposable, each, includes all supplies and accessories
A9275	Disp home glucose monitor	Home glucose disposable monitor, includes test strips
A9276	Disposable sensor, cgm sys	Sensor; invasive (e.g., subcutaneous), disposable, for use with non-durable medical equipment interstitial continuous glucose monitoring system, one unit = 1 day supply
A9277	External transmitter, cgm	Transmitter; external, for use with non-durable medical equipment interstitial continuous glucose monitoring system
A9278	External receiver, cgm sys	Receiver (monitor); external, for use with non-durable medical equipment interstitial continuous glucose monitoring system
A9279	Monitoring feature/devicenoc	Monitoring feature/device, stand-alone or integrated, any type, includes all accessories, components and electronics, not otherwise classified
A9280	Alert device, noc	Alert or alarm device, not otherwise classified
A9281	Reaching/grabbing device	Reaching/grabbing device, any type, any length, each
A9282	Wig any type	Wig, any type, each
A9283	Foot press off load supp dev	Foot pressure off loading/supportive device, any type, each
A9284	Non-electronic spirometer	Spirometer, non-electronic, includes all accessories
A9285	Inversion eversion cor devic	Inversion/eversion correction device
A9286	Any hygienic item, device	Hygienic item or device, disposable or non-disposable, any type, each
A9291	Pres dig cog behav thera fda	Prescription digital cognitive and/or behavioral therapy, fda cleared, per course of treatment
A9292	Pres dig visual therapy fda	Prescription digital visual therapy, software-only, fda cleared, per course of treatment
A9293	Fertility cycl tracking soft	Fertility cycle (contraception & conception) tracking software application, fda cleared, per month, includes accessories (e.g., thermometer)
A9300	Exercise equipment	Exercise equipment
A9500	Tc99m sestamibi	Technetium tc-99m sestamibi, diagnostic, per study dose
A9501	Technetium tc-99m teboroxime	Technetium tc-99m teboroxime, diagnostic, per study dose
A9502	Tc99m tetrofosmin	Technetium tc-99m tetrofosmin, diagnostic, per study dose
A9503	Tc99m medronate	Technetium tc-99m medronate, diagnostic, per study dose, up to 30 millicuries
A9504	Tc99m apcitide	Technetium tc-99m apcitide, diagnostic, per study dose, up to 20 millicuries
A9505	Tl201 thallium	Thallium tl-201 thallous chloride, diagnostic, per millicurie
A9506	Tc-99m graphite crucible	Graphite crucible for preparation of technetium tc 99m-labeled carbon aerosol, one crucible
A9507	In111 capromab	Indium in-111 capromab pendetide, diagnostic, per study dose, up to 10 millicuries
A9508	I131 iodobenguate, dx	Iodine i-131 iobenguane sulfate, diagnostic, per 0.5 millicurie
A9509	Iodine i-123 sod iodide mil	Iodine i-123 sodium iodide, diagnostic, per millicurie
A9510	Tc99m disofenin	Technetium tc-99m disofenin, diagnostic, per study dose, up to 15 millicuries
A9512	Tc99m pertechnetate	Technetium tc-99m pertechnetate, diagnostic, per millicurie
A9513	Lutetium lu 177 dotatat ther	Lutetium lu 177, dotatate, therapeutic, 1 millicurie
A9515	Choline c-11	Choline c-11, diagnostic, per study dose up to 20 millicuries
A9516	Iodine i-123 sod iodide mic	Iodine i-123 sodium iodide, diagnostic, per 100 microcuries, up to 999 microcuries
A9517	I131 iodide cap, rx	Iodine i-131 sodium iodide capsule(s), therapeutic, per millicurie
A9520	Tc99 tilmanocept diag 0.5mci	Technetium tc-99m tilmanocept, diagnostic, up to 0.5 millicuries
A9521	Tc99m exametazime	Technetium tc-99m exametazime, diagnostic, per study dose, up to 25 millicuries
A9524	I131 serum albumin, dx	Iodine i-131 iodinated serum albumin, diagnostic, per 5 microcuries
A9526	Nitrogen n-13 ammonia	Nitrogen n-13 ammonia, diagnostic, per study dose, up to 40 millicuries
A9527	Iodine i-125 sodium iodide	Iodine i-125, sodium iodide solution, therapeutic, per millicurie
A9528	Iodine i-131 iodide cap, dx	Iodine i-131 sodium iodide capsule(s), diagnostic, per millicurie
A9529	I131 iodide sol, dx	Iodine i-131 sodium iodide solution, diagnostic, per millicurie
A9530	I131 iodide sol, rx	Iodine i-131 sodium iodide solution, therapeutic, per millicurie
A9531	I131 max 100uci	Iodine i-131 sodium iodide, diagnostic, per microcurie (up to 100 microcuries)
A9532	I125 serum albumin, dx	Iodine i-125 serum albumin, diagnostic, per 5 microcuries
A9536	Tc99m depreotide	Technetium tc-99m depreotide, diagnostic, per study dose, up to 35 millicuries
A9537	Tc99m mebrofenin	Technetium tc-99m mebrofenin, diagnostic, per study dose, up to 15 millicuries
A9538	Tc99m pyrophosphate	Technetium tc-99m pyrophosphate, diagnostic, per study dose, up to 25 millicuries
A9539	Tc99m pentetate	Technetium tc-99m pentetate, diagnostic, per study dose, up to 25 millicuries
A9540	Tc99m maa	Technetium tc-99m macroaggregated albumin, diagnostic, per study dose, up to 10 millicuries
A9541	Tc99m sulfur colloid	Technetium tc-99m sulfur colloid, diagnostic, per study dose, up to 20 millicuries
A9542	In111 ibritumomab, dx	Indium in-111 ibritumomab tiuxetan, diagnostic, per study dose, up to 5 millicuries
A9543	Y90 ibritumomab, rx	Yttrium y-90 ibritumomab tiuxetan, therapeutic, per treatment dose, up to 40 millicuries
A9544	I131 tositumomab, dx	Iodine i-131 tositumomab, diagnostic, per study dose
A9545	I131 tositumomab, rx	Iodine i-131 tositumomab, therapeutic, per treatment dose
A9546	Co57/58	Cobalt co-57/58, cyanocobalamin, diagnostic, per study dose, up to 1 microcurie
A9547	In111 oxyquinoline	Indium in-111 oxyquinoline, diagnostic, per 0.5 millicurie
A9548	In111 pentetate	Indium in-111 pentetate, diagnostic, per 0.5 millicurie
A9550	Tc99m gluceptate	Technetium tc-99m sodium gluceptate, diagnostic, per study dose, up to 25 millicurie
A9551	Tc99m succimer	Technetium tc-99m succimer, diagnostic, per study dose, up to 10 millicuries
A9552	F18 fdg	Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries
A9553	Cr51 chromate	Chromium cr-51 sodium chromate, diagnostic, per study dose, up to 250 microcuries
A9554	I125 iothalamate, dx	Iodine i-125 sodium iothalamate, diagnostic, per study dose, up to 10 microcuries
A9555	Rb82 rubidium	Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries
A9556	Ga67 gallium	Gallium ga-67 citrate, diagnostic, per millicurie
A9557	Tc99m bicisate	Technetium tc-99m bicisate, diagnostic, per study dose, up to 25 millicuries
A9558	Xe133 xenon 10mci	Xenon xe-133 gas, diagnostic, per 10 millicuries
A9559	Co57 cyano	Cobalt co-57 cyanocobalamin, oral, diagnostic, per study dose, up to 1 microcurie
A9560	Tc99m labeled rbc	Technetium tc-99m labeled red blood cells, diagnostic, per study dose, up to 30 millicuries
A9561	Tc99m oxidronate	Technetium tc-99m oxidronate, diagnostic, per study dose, up to 30 millicuries
A9562	Tc99m mertiatide	Technetium tc-99m mertiatide, diagnostic, per study dose, up to 15 millicuries
A9563	P32 na phosphate	Sodium phosphate p-32, therapeutic, per millicurie
A9564	P32 chromic phosphate	Chromic phosphate p-32 suspension, therapeutic, per millicurie
A9566	Tc99m fanolesomab	Technetium tc-99m fanolesomab, diagnostic, per study dose, up to 25 millicuries
A9567	Technetium tc-99m aerosol	Technetium tc-99m pentetate, diagnostic, aerosol, per study dose, up to 75 millicuries
A9568	Technetium tc99m arcitumomab	Technetium tc-99m arcitumomab, diagnostic, per study dose, up to 45 millicuries
A9569	Technetium tc-99m auto wbc	Technetium tc-99m exametazime labeled autologous white blood cells, diagnostic, per study dose
A9570	Indium in-111 auto wbc	Indium in-111 labeled autologous white blood cells, diagnostic, per study dose
A9571	Indium in-111 auto platelet	Indium in-111 labeled autologous platelets, diagnostic, per study dose
A9572	Indium in-111 pentetreotide	Indium in-111 pentetreotide, diagnostic, per study dose, up to 6 millicuries
A9573	Inj, gadopiclenol, 1 ml	Injection, gadopiclenol, 1 ml
A9575	Inj gadoterate meglumi 0.1ml	Injection, gadoterate meglumine, 0.1 ml
A9576	Inj prohance multipack	Injection, gadoteridol, (prohance multipack), per ml
A9577	Inj multihance	Injection, gadobenate dimeglumine (multihance), per ml
A9578	Inj multihance multipack	Injection, gadobenate dimeglumine (multihance multipack), per ml
A9579	Gad-base mr contrast nos,1ml	Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml
A9580	Sodium fluoride f-18	Sodium fluoride f-18, diagnostic, per study dose, up to 30 millicuries
A9581	Gadoxetate disodium inj	Injection, gadoxetate disodium, 1 ml
A9582	Iodine i-123 iobenguane	Iodine i-123 iobenguane, diagnostic, per study dose, up to 15 millicuries
A9583	Gadofosveset trisodium inj	Injection, gadofosveset trisodium, 1 ml
A9584	Iodine i-123 ioflupane	Iodine 1-123 ioflupane, diagnostic, per study dose, up to 5 millicuries
A9585	Gadobutrol injection	Injection, gadobutrol, 0.1 ml
A9586	Florbetapir f18	Florbetapir f18, diagnostic, per study dose, up to 10 millicuries
A9587	Gallium ga-68	Gallium ga-68, dotatate, diagnostic, 0.1 millicurie
A9588	Fluciclovine f-18	Fluciclovine f-18, diagnostic, 1 millicurie
A9589	Insti hexaminolevulinate hcl	Instillation, hexaminolevulinate hydrochloride, 100 mg
A9590	Iodine i-131 iobenguane 1mci	Iodine i-131, iobenguane, 1 millicurie
A9591	Fluoroestradiol f 18	Fluoroestradiol f 18, diagnostic, 1 millicurie
A9592	Copper cu 64 dotatate diag	Copper cu-64, dotatate, diagnostic, 1 millicurie
A9593	Gallium ga-68 psma-11 ucsf	Gallium ga-68 psma-11, diagnostic, (ucsf), 1 millicurie
A9594	Gallium ga-68 psma-11, ucla	Gallium ga-68 psma-11, diagnostic, (ucla), 1 millicurie
A9595	Piflu f-18, dia 1 millicurie	Piflufolastat f-18, diagnostic, 1 millicurie
A9596	Gallium illuccix 1 millicure	Gallium ga-68 gozetotide, diagnostic, (illuccix), 1 millicurie
A9597	Pet, dx, for tumor id, noc	Positron emission tomography radiopharmaceutical, diagnostic, for tumor identification, not otherwise classified
A9598	Pet dx for non-tumor id, noc	Positron emission tomography radiopharmaceutical, diagnostic, for non-tumor identification, not otherwise classified
A9599	Radioph dx b amyloid pet nos	Radiopharmaceutical, diagnostic, for beta-amyloid positron emission tomography (pet) imaging, per study dose, not otherwise specified
A9600	Sr89 strontium	Strontium sr-89 chloride, therapeutic, per millicurie
A9601	Flortaucipir inj 1 millicuri	Flortaucipir f 18 injection, diagnostic, 1 millicurie
A9602	Fluorodopa f-18 diag per mci	Fluorodopa f-18, diagnostic, per millicurie
A9603	Inj, pafolacianine, 0.1 mg	Injection, pafolacianine, 0.1 mg
A9604	Sm 153 lexidronam	Samarium sm-153 lexidronam, therapeutic, per treatment dose, up to 150 millicuries
A9606	Radium ra223 dichloride ther	Radium ra-223 dichloride, therapeutic, per microcurie
A9607	Lutetium lu 177 vipivotide	Lutetium lu 177 vipivotide tetraxetan, therapeutic, 1 millicurie
A9608	Flotufolastat f18 diag 1 mci	Flotufolastat f 18, diagnostic, 1 millicurie
A9609	F18 fdg, 15 millicuries	Fludeoxyglucose f18 up to 15 millicuries
A9697	Inj, magtrace per study dose	Injection, carboxydextran-coated superparamagnetic iron oxide, per study dose
A9698	Non-rad contrast materialnoc	Non-radioactive contrast imaging material, not otherwise classified, per study
A9699	Radiopharm rx agent noc	Radiopharmaceutical, therapeutic, not otherwise classified
A9700	Echocardiography contrast	Supply of injectable contrast material for use in echocardiography, per study
A9800	Gallium locametz 1 millicuri	Gallium ga-68 gozetotide, diagnostic, (locametz), 1 millicurie
A9900	Supply/accessory/service	Miscellaneous dme supply, accessory, and/or service component of another hcpcs code
A9901	Delivery/set up/dispensing	Dme delivery, set up, and/or dispensing service component of another hcpcs code
A9999	Dme supply or accessory, nos	Miscellaneous dme supply or accessory, not otherwise specified