Free 2011 HCPCS A Codes

  • A0021 Ambulance service, outside state per mile, transport (medicaid only)
  • A0080 Non-emergency transportation, per mile - vehicle provided by volunteer (ind...
  • A0090 Non-emergency transportation, per mile - vehicle provided by individual (fa...
  • A0100 Non-emergency transportation; taxi
  • A0110 Non-emergency transportation and bus, intra or inter state carrier
  • A0120 Non-emergency transportation: mini-bus, mountain area transports, or other ...
  • A0130 Non-emergency transportation: wheel-chair van
  • A0140 Non-emergency transportation and air travel (private or commercial) intra o...
  • A0160 Non-emergency transportation: per mile - case worker or social worker
  • A0170 Transportation ancillary: parking fees, tolls, other
  • A0180 Non-emergency transportation: ancillary: lodging-recipient
  • A0190 Non-emergency transportation: ancillary: meals-recipient
  • A0200 Non-emergency transportation: ancillary: lodging escort
  • A0210 Non-emergency transportation: ancillary: meals-escort
  • A0225 Ambulance service, neonatal transport, base rate, emergency transport, one ...
  • A0380 Bls mileage (per mile)
  • A0382 Bls routine disposable supplies
  • A0384 Bls specialized service disposable supplies; defibrillation (used by als am...
  • A0390 Als mileage (per mile)
  • A0392 Als specialized service disposable supplies; defibrillation (to be used onl...
  • A0394 Als specialized service disposable supplies; iv drug therapy
  • A0396 Als specialized service disposable supplies; esophageal intubation
  • A0398 Als routine disposable supplies
  • A0420 Ambulance waiting time (als or bls), one half (1/2) hour increments
  • A0422 Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situatio...
  • A0424 Extra ambulance attendant, ground (als or bls) or air (fixed or rotary wing...
  • A0425 Ground mileage, per statute mile
  • A0426 Ambulance service, advanced life support, non-emergency transport, level 1 ...
  • A0427 Ambulance service, advanced life support, emergency transport, level 1 (als...
  • A0428 Ambulance service, basic life support, non-emergency transport, (bls)
  • A0429 Ambulance service, basic life support, emergency transport (bls-emergency)
  • A0430 Ambulance service, conventional air services, transport, one way (fixed win...
  • A0431 Ambulance service, conventional air services, transport, one way (rotary wi...
  • A0432 Paramedic intercept (pi), rural area, transport furnished by a volunteer am...
  • A0433 Advanced life support, level 2 (als 2)
  • A0434 Specialty care transport (sct)
  • A0435 Fixed wing air mileage, per statute mile
  • A0436 Rotary wing air mileage, per statute mile
  • A0888 Noncovered ambulance mileage, per mile (e.g., for miles traveled beyond clo...
  • A0998 Ambulance response and treatment, no transport
  • A0999 Unlisted ambulance service
  • A4206 Syringe with needle, sterile, 1 cc or less, each
  • A4207 Syringe with needle, sterile 2cc, each
  • A4208 Syringe with needle, sterile 3cc, each
  • A4209 Syringe with needle, sterile 5cc or greater, each
  • A4210 Needle-free injection device, each
  • A4211 Supplies for self-administered injections
  • A4212 Non-coring needle or stylet with or without catheter
  • A4213 Syringe, sterile, 20 cc or greater, each
  • A4215 Needle, sterile, any size, each
  • A4216 Sterile water, saline and/or dextrose, diluent/flush, 10 ml
  • A4217 Sterile water/saline, 500 ml
  • A4218 Sterile saline or water, metered dose dispenser, 10 ml
  • A4220 Refill kit for implantable infusion pump
  • A4221 Supplies for maintenance of drug infusion catheter, per week (list drug sep...
  • A4222 Infusion supplies for external drug infusion pump, per cassette or bag (lis...
  • A4223 Infusion supplies not used with external infusion pump, per cassette or bag...
  • A4230 Infusion set for external insulin pump, non needle cannula type
  • A4231 Infusion set for external insulin pump, needle type
  • A4232 Syringe with needle for external insulin pump, sterile, 3cc
  • A4233 Replacement battery, alkaline (other than j cell), for use with medically n...
  • A4234 Replacement battery, alkaline, j cell, for use with medically necessary hom...
  • A4235 Replacement battery, lithium, for use with medically necessary home blood g...
  • A4236 Replacement battery, silver oxide, for use with medically necessary home bl...
  • A4244 Alcohol or peroxide, per pint
  • A4245 Alcohol wipes, per box
  • A4246 Betadine or phisohex solution, per pint
  • A4247 Betadine or iodine swabs/wipes, per box
  • A4248 Chlorhexidine containing antiseptic, 1 ml
  • A4250 Urine test or reagent strips or tablets (100 tablets or strips)
  • A4252 Blood ketone test or reagent strip, each
  • A4253 Blood glucose test or reagent strips for home blood glucose monitor, per 50...
  • A4255 Platforms for home blood glucose monitor, 50 per box
  • A4256 Normal, low and high calibrator solution / chips
  • A4257 Replacement lens shield cartridge for use with laser skin piercing device, ...
  • A4258 Spring-powered device for lancet, each
  • A4259 Lancets, per box of 100
  • A4261 Cervical cap for contraceptive use
  • A4262 Temporary, absorbable lacrimal duct implant, each
  • A4263 Permanent, long term, non-dissolvable lacrimal duct implant, each
  • A4264 Permanent implantable contraceptive intratubal occlusion device(s) and deli...
  • A4265 Paraffin, per pound
  • A4266 Diaphragm for contraceptive use
  • A4267 Contraceptive supply, condom, male, each
  • A4268 Contraceptive supply, condom, female, each
  • A4269 Contraceptive supply, spermicide (e.g., foam, gel), each
  • A4270 Disposable endoscope sheath, each
  • A4280 Adhesive skin support attachment for use with external breast prosthesis, e...
  • A4281 Tubing for breast pump, replacement
  • A4282 Adapter for breast pump, replacement
  • A4283 Cap for breast pump bottle, replacement
  • A4284 Breast shield and splash protector for use with breast pump, replacement
  • A4285 Polycarbonate bottle for use with breast pump, replacement
  • A4286 Locking ring for breast pump, replacement
  • A4290 Sacral nerve stimulation test lead, each
  • A4300 Implantable access catheter, (e,g., venous, arterial, epidural subarachnoid...
  • A4301 Implantable access total catheter, port/reservoir (e.g., venous, arterial, ...
  • A4305 Disposable drug delivery system, flow rate of 50 ml or greater per hour
  • A4306 Disposable drug delivery system, flow rate of less than 50 ml per hour
  • A4310 Insertion tray without drainage bag and without catheter (accessories only)
  • A4311 Insertion tray without drainage bag with indwelling catheter, foley type, t...
  • A4312 Insertion tray without drainage bag with indwelling catheter, foley type, t...
  • A4313 Insertion tray without drainage bag with indwelling catheter, foley type, t...
  • A4314 Insertion tray with drainage bag with indwelling catheter, foley type, two-...
  • A4315 Insertion tray with drainage bag with indwelling catheter, foley type, two-...
  • A4316 Insertion tray with drainage bag with indwelling catheter, foley type, thre...
  • A4320 Irrigation tray with bulb or piston syringe, any purpose
  • A4321 Therapeutic agent for urinary catheter irrigation
  • A4322 Irrigation syringe, bulb or piston, each
  • A4326 Male external catheter with integral collection chamber, any type, each
  • A4327 Female external urinary collection device; meatal cup, each
  • A4328 Female external urinary collection device; pouch, each
  • A4330 Perianal fecal collection pouch with adhesive, each
  • A4331 Extension drainage tubing, any type, any length, with connector/adaptor, fo...
  • A4332 Lubricant, individual sterile packet, each
  • A4333 Urinary catheter anchoring device, adhesive skin attachment, each
  • A4334 Urinary catheter anchoring device, leg strap, each
  • A4335 Incontinence supply; miscellaneous
  • A4336 Incontinence supply, urethral insert, any type, each
  • A4338 Indwelling catheter; foley type, two-way latex with coating (teflon, silico...
  • A4340 Indwelling catheter; specialty type, eg; coude, mushroom, wing, etc.), each
  • A4344 Indwelling catheter, foley type, two-way, all silicone, each
  • A4346 Indwelling catheter; foley type, three way for continuous irrigation, each
  • A4349 Male external catheter, with or without adhesive, disposable, each
  • A4351 Intermittent urinary catheter; straight tip, with or without coating (teflo...
  • A4352 Intermittent urinary catheter; coude (curved) tip, with or without coating ...
  • A4353 Intermittent urinary catheter, with insertion supplies
  • A4354 Insertion tray with drainage bag but without catheter
  • A4355 Irrigation tubing set for continuous bladder irrigation through a three-way...
  • A4356 External urethral clamp or compression device (not to be used for catheter ...
  • A4357 Bedside drainage bag, day or night, with or without anti-reflux device, wit...
  • A4358 Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with str...
  • A4360 Disposable external urethral clamp or compression device, with pad and/or p...
  • A4361 Ostomy faceplate, each
  • A4362 Skin barrier; solid, 4 x 4 or equivalent; each
  • A4363 Ostomy clamp, any type, replacement only, each
  • A4364 Adhesive, liquid or equal, any type, per oz
  • A4366 Ostomy vent, any type, each
  • A4367 Ostomy belt, each
  • A4368 Ostomy filter, any type, each
  • A4369 Ostomy skin barrier, liquid (spray, brush, etc), per oz
  • A4371 Ostomy skin barrier, powder, per oz
  • A4372 Ostomy skin barrier, solid 4x4 or equivalent, standard wear, with built-in...
  • A4373 Ostomy skin barrier, with flange (solid, flexible or accordian), with buil...
  • A4375 Ostomy pouch, drainable, with faceplate attached, plastic, each
  • A4376 Ostomy pouch, drainable, with faceplate attached, rubber, each
  • A4377 Ostomy pouch, drainable, for use on faceplate, plastic, each
  • A4378 Ostomy pouch, drainable, for use on faceplate, rubber, each
  • A4379 Ostomy pouch, urinary, with faceplate attached, plastic, each
  • A4380 Ostomy pouch, urinary, with faceplate attached, rubber, each
  • A4381 Ostomy pouch, urinary, for use on faceplate, plastic, each
  • A4382 Ostomy pouch, urinary, for use on faceplate, heavy plastic, each
  • A4383 Ostomy pouch, urinary, for use on faceplate, rubber, each
  • A4384 Ostomy faceplate equivalent, silicone ring, each
  • A4385 Ostomy skin barrier, solid 4x4 or equivalent, extended wear, without built-...
  • A4387 Ostomy pouch, closed, with barrier attached, with built-in convexity (1 pie...
  • A4388 Ostomy pouch, drainable, with extended wear barrier attached, (1 piece), ea...
  • A4389 Ostomy pouch, drainable, with barrier attached, with built-in convexity (1 ...
  • A4390 Ostomy pouch, drainable, with extended wear barrier attached, with built-in...
  • A4391 Ostomy pouch, urinary, with extended wear barrier attached (1 piece), each
  • A4392 Ostomy pouch, urinary, with standard wear barrier attached, with built-in c...
  • A4393 Ostomy pouch, urinary, with extended wear barrier attached, with built-in c...
  • A4394 Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per ...
  • A4395 Ostomy deodorant for use in ostomy pouch, solid, per tablet
  • A4396 Ostomy belt with peristomal hernia support
  • A4397 Irrigation supply; sleeve, each
  • A4398 Ostomy irrigation supply; bag, each
  • A4399 Ostomy irrigation supply; cone/catheter, with or without brush
  • A4400 Ostomy irrigation set
  • A4402 Lubricant, per ounce
  • A4404 Ostomy ring, each
  • A4405 Ostomy skin barrier, non-pectin based, paste, per ounce
  • A4406 Ostomy skin barrier, pectin-based, paste, per ounce
  • A4407 Ostomy skin barrier, with flange (solid, flexible, or accordion), extended ...
  • A4408 Ostomy skin barrier, wtih flange (solid, flexible or accordion), extended w...
  • A4409 Ostomy skin barrier, with flange (solid, flexible or accordion), extended w...
  • A4410 Ostomy skin barrier, with flange (solid, flexible or accordion), extended w...
  • A4411 Ostomy skin barrier, solid 4x4 or equivalent, extended wear, with built-in ...
  • A4412 Ostomy pouch, drainable, high output, for use on a barrier with flange (2 p...
  • A4413 Ostomy pouch, drainable, high output, for use on a barrier with flange (2 p...
  • A4414 Ostomy skin barrier, with flange (solid, flexible or accordion), without bu...
  • A4415 Ostomy skin barrier, with flange (solid, flexible or accordion), without bu...
  • A4416 Ostomy pouch, closed, with barrier attached, with filter (1 piece), each
  • A4417 Ostomy pouch, closed, with barrier attached, with built-in convexity, with ...
  • A4418 Ostomy pouch, closed; without barrier attached, with filter (1 piece), each
  • A4419 Ostomy pouch, closed; for use on barrier with non-locking flange, with filt...
  • A4420 Ostomy pouch, closed; for use on barrier with locking flange (2 piece), eac...
  • A4421 Ostomy supply; miscellaneous
  • A4422 Thicken liquid stomal output, each ostomy absorbent material (sheet/pad/cry...
  • A4423 Ostomy pouch, closed; for use on barrier with locking flange, with filter (...
  • A4424 Ostomy pouch, drainable, with barrier attached, with filter (1 piece), each
  • A4425 Ostomy pouch, drainable; for use on barrier with non-locking flange, with f...
  • A4426 Ostomy pouch, drainable; for use on barrier with locking flange (2 piece sy...
  • A4427 Ostomy pouch, drainable; for use on barrier with locking flange, with filte...
  • A4428 Ostomy pouch, urinary, with extended wear barrier attached, with faucet-typ...
  • A4429 Ostomy pouch, urinary, with barrier attached, with built-in convexity, with...
  • A4430 Ostomy pouch, urinary, with extended wear barrier attached, with built-in c...
  • A4431 Ostomy pouch, urinary; with barrier attached, with faucet-type tap with val...
  • A4432 Ostomy pouch, urinary; for use on barrier with non-locking flange, with fau...
  • A4433 Ostomy pouch, urinary; for use on barrier with locking flange (2 piece), ea...
  • A4434 Ostomy pouch, urinary; for use on barrier with locking flange, with faucet-...
  • A4450 Tape, non-waterproof, per 18 square inches
  • A4452 Tape, waterproof, per 18 square inches
  • A4455 Adhesive remover or solvent (for tape, cement or other adhesive), per ounce
  • A4456 Adhesive remover, wipes, any type, each
  • A4458 Enema bag with tubing, reusable
  • A4461 Surgical dressing holder, non-reusable, each
  • A4463 Surgical dressing holder, reusable, each
  • A4465 Non-elastic binder for extremity
  • A4466 Garment, belt, sleeve or other covering, elastic or similar stretchable mat...
  • A4470 Gravlee jet washer
  • A4480 Vabra aspirator
  • A4481 Tracheostoma filter, any type, any size, each
  • A4483 Moisture exchanger, disposable, for use with invasive mechanical ventilatio...
  • A4490 Surgical stockings above knee length, each
  • A4495 Surgical stockings thigh length, each
  • A4500 Surgical stockings below knee length, each
  • A4510 Surgical stockings full length, each
  • A4520 Incontinence garment, any type, (e.g. brief, diaper), each
  • A4550 Surgical trays
  • A4554 Disposable underpads, all sizes
  • A4556 Electrodes, (e.g., apnea monitor), per pair
  • A4557 Lead wires, (e.g., apnea monitor), per pair
  • A4558 Conductive gel or paste, for use with electrical device (e.g., tens, nmes),...
  • A4559 Coupling gel or paste, for use with ultrasound device, per oz
  • A4561 Pessary, rubber, any type
  • A4562 Pessary, non rubber, any type
  • A4565 Slings
  • A4566 Shoulder sling or vest design, abduction restrainer, with or without swathe...
  • A4570 Splint
  • A4575 Topical hyperbaric oxygen chamber, disposable
  • A4580 Cast supplies (e.g. plaster)
  • A4590 Special casting material (e.g. fiberglass)
  • A4595 Electrical stimulator supplies, 2 lead, per month, (e.g. tens, nmes)
  • A4600 Sleeve for intermittent limb compression device, replacement only, each
  • A4601 Lithium ion battery for non-prosthetic use, replacement
  • A4604 Tubing with integrated heating element for use with positive airway pressur...
  • A4605 Tracheal suction catheter, closed system, each
  • A4606 Oxygen probe for use with oximeter device, replacement
  • A4608 Transtracheal oxygen catheter, each
  • A4611 Battery, heavy duty; replacement for patient owned ventilator
  • A4612 Battery cables; replacement for patient-owned ventilator
  • A4613 Battery charger; replacement for patient-owned ventilator
  • A4614 Peak expiratory flow rate meter, hand held
  • A4615 Cannula, nasal
  • A4616 Tubing (oxygen), per foot
  • A4617 Mouth piece
  • A4618 Breathing circuits
  • A4619 Face tent
  • A4620 Variable concentration mask
  • A4623 Tracheostomy, inner cannula
  • A4624 Tracheal suction catheter, any type other than closed system, each
  • A4625 Tracheostomy care kit for new tracheostomy
  • A4626 Tracheostomy cleaning brush, each
  • A4627 Spacer, bag or reservoir, with or without mask, for use with metered dose i...
  • A4628 Oropharyngeal suction catheter, each
  • A4629 Tracheostomy care kit for established tracheostomy
  • A4630 Replacement batteries, medically necessary, transcutaneous electrical stim...
  • A4633 Replacement bulb/lamp for ultraviolet light therapy system, each
  • A4634 Replacement bulb for therapeutic light box, tabletop model
  • A4635 Underarm pad, crutch, replacement, each
  • A4636 Replacement, handgrip, cane, crutch, or walker, each
  • A4637 Replacement, tip, cane, crutch, walker, each.
  • A4638 Replacement battery for patient-owned ear pulse generator, each
  • A4639 Replacement pad for infrared heating pad system, each
  • A4640 Replacement pad for use with medically necessary alternating pressure pad ...
  • A4641 Radiopharmaceutical, diagnostic, not otherwise classified
  • A4642 Indium in-111 satumomab pendetide, diagnostic, per study dose, up to 6 mill...
  • A4648 Tissue marker, implantable, any type, each
  • A4649 Surgical supply; miscellaneous
  • A4650 Implantable radiation dosimeter, each
  • A4651 Calibrated microcapillary tube, each
  • A4652 Microcapillary tube sealant
  • A4653 Peritoneal dialysis catheter anchoring device, belt, each
  • A4657 Syringe, with or without needle, each
  • A4660 Sphygmomanometer/blood pressure apparatus with cuff and stethoscope
  • A4663 Blood pressure cuff only
  • A4670 Automatic blood pressure monitor
  • A4671 Disposable cycler set used with cycler dialysis machine, each
  • A4672 Drainage extension line, sterile, for dialysis, each
  • A4673 Extension line with easy lock connectors, used with dialysis
  • A4674 Chemicals/antiseptics solution used to clean/sterilize dialysis equipment, ...
  • A4680 Activated carbon filter for hemodialysis, each
  • A4690 Dialyzer (artificial kidneys), all types, all sizes, for hemodialysis, each
  • A4706 Bicarbonate concentrate, solution, for hemodialysis, per gallon
  • A4707 Bicarbonate concentrate, powder, for hemodialysis, per packet
  • A4708 Acetate concentrate solution, for hemodialysis, per gallon
  • A4709 Acid concentrate, solution, for hemodialysis, per gallon
  • A4714 Treated water (deionized, distilled, or reverse osmosis) for peritoneal dia...
  • A4719 "y set" tubing for peritoneal dialysis
  • A4720 Dialysate solution, any concentration of dextrose, fluid volume greater tha...
  • A4721 Dialysate solution, any concentration of dextrose, fluid volume greater tha...
  • A4722 Dialysate solution, any concentration of dextrose, fluid volume greater tha...
  • A4723 Dialysate solution, any concentration of dextrose, fluid volume greater tha...
  • A4724 Dialysate solution, any concentration of dextrose, fluid volume greater tha...
  • A4725 Dialysate solution, any concentration of dextrose, fluid volume greater tha...
  • A4726 Dialysate solution, any concentration of dextrose, fluid volume greater tha...
  • A4728 Dialysate solution, non-dextrose containing, 500 ml
  • A4730 Fistula cannulation set for hemodialysis, each
  • A4736 Topical anesthetic, for dialysis, per gram
  • A4737 Injectable anesthetic, for dialysis, per 10 ml
  • A4740 Shunt accessory, for hemodialysis, any type, each
  • A4750 Blood tubing, arterial or venous, for hemodialysis, each
  • A4755 Blood tubing, arterial and venous combined, for hemodialysis, each
  • A4760 Dialysate solution test kit, for peritoneal dialysis, any type, each
  • A4765 Dialysate concentrate, powder, additive for peritoneal dialysis, per packet
  • A4766 Dialysate concentrate, solution, additive for peritoneal dialysis, per 10 m...
  • A4770 Blood collection tube, vacuum, for dialysis, per 50
  • A4771 Serum clotting time tube, for dialysis, per 50
  • A4772 Blood glucose test strips, for dialysis, per 50
  • A4773 Occult blood test strips, for dialysis, per 50
  • A4774 Ammonia test strips, for dialysis, per 50
  • A4802 Protamine sulfate, for hemodialysis, per 50 mg
  • A4860 Disposable catheter tips for peritoneal dialysis, per 10
  • A4870 Plumbing and/or electrical work for home hemodialysis equipment
  • A4890 Contracts, repair and maintenance, for hemodialysis equipment
  • A4911 Drain bag/bottle, for dialysis, each
  • A4913 Miscellaneous dialysis supplies, not otherwise specified
  • A4918 Venous pressure clamp, for hemodialysis, each
  • A4927 Gloves, non-sterile, per 100
  • A4928 Surgical mask, per 20
  • A4929 Tourniquet for dialysis, each
  • A4930 Gloves, sterile, per pair
  • A4931 Oral thermometer, reusable, any type, each
  • A4932 Rectal thermometer, reusable, any type, each
  • A5051 Ostomy pouch, closed; with barrier attached (1 piece), each
  • A5052 Ostomy pouch, closed; without barrier attached (1 piece), each
  • A5053 Ostomy pouch, closed; for use on faceplate, each
  • A5054 Ostomy pouch, closed; for use on barrier with flange (2 piece), each
  • A5055 Stoma cap
  • A5061 Ostomy pouch, drainable; with barrier attached, (1 piece), each
  • A5062 Ostomy pouch, drainable; without barrier attached (1 piece), each
  • A5063 Ostomy pouch, drainable; for use on barrier with flange (2 piece system), e...
  • A5071 Ostomy pouch, urinary; with barrier attached (1 piece), each
  • A5072 Ostomy pouch, urinary; without barrier attached (1 piece), each
  • A5073 Ostomy pouch, urinary; for use on barrier with flange (2 piece), each
  • A5081 Continent device; plug for continent stoma
  • A5082 Continent device; catheter for continent stoma
  • A5083 Continent device, stoma absorptive cover for continent stoma
  • A5093 Ostomy accessory; convex insert
  • A5102 Bedside drainage bottle with or without tubing, rigid or expandable, each
  • A5105 Urinary suspensory with leg bag, with or without tube, each
  • A5112 Urinary drainage bag, leg or abdomen, latex, with or without tube, with str...
  • A5113 Leg strap; latex, replacement only, per set
  • A5114 Leg strap; foam or fabric, replacement only, per set
  • A5120 Skin barrier, wipes or swabs, each
  • A5121 Skin barrier; solid, 6 x 6 or equivalent, each
  • A5122 Skin barrier; solid, 8 x 8 or equivalent, each
  • A5126 Adhesive or non-adhesive; disk or foam pad
  • A5131 Appliance cleaner, incontinence and ostomy appliances, per 16 oz.
  • A5200 Percutaneous catheter/tube anchoring device, adhesive skin attachment
  • A5500 Density insert(s), per shoe for diabetics only, fitting (including follow-u...
  • A5501 For diabetics only, fitting (including follow-up), custom preparation and s...
  • A5503 For diabetics only, modification (including fitting) of off-the-shelf depth...
  • A5504 For diabetics only, modification (including fitting) of off-the-shelf depth...
  • A5505 For diabetics only, modification (including fitting) of off-the-shelf depth...
  • A5506 For diabetics only, modification (including fitting) of off-the-shelf depth...
  • A5507 For diabetics only, not otherwise specified modification (including fitting...
  • A5508 For diabetics only, deluxe feature of off-the-shelf depth-inlay shoe or cus...
  • A5510 For diabetics only, direct formed, compression molded to patient's foot wit...
  • A5512 For diabetics only, multiple density insert, direct formed, molded to foot ...
  • A5513 For diabetics only, multiple density insert, custom molded from model of pa...
  • A6000 Non-contact wound warming wound cover for use with the non-contact wound wa...
  • A6010 Collagen based wound filler, dry form, sterile, per gram of collagen
  • A6011 Collagen based wound filler, gel/paste, per gram of collagen
  • A6021 Collagen dressing, sterile, pad size 16 sq. in. or less, each
  • A6022 Collagen dressing, sterile, pad size more than 16 sq. in. but less than or ...
  • A6023 Collagen dressing, sterile, pad size more than 48 sq. in., each
  • A6024 Collagen dressing wound filler, sterile, per 6 inches
  • A6025 Gel sheet for dermal or epidermal application, (e.g., silicone, hydrogel, o...
  • A6154 Wound pouch, each
  • A6196 Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16...
  • A6197 Alginate or other fiber gelling dressing, wound cover, sterile, pad size mo...
  • A6198 Alginate or other fiber gelling dressing, wound cover, sterile, pad size mo...
  • A6199 Alginate or other fiber gelling dressing, wound filler, sterile, per 6 inch...
  • A6203 Composite dressing, sterile, pad size 16 sq. in. or less, with any size adh...
  • A6204 Composite dressing, sterile, pad size more than 16 sq. in. but less than or...
  • A6205 Composite dressing, sterile, pad size more than 48 sq. in., with any size a...
  • A6206 Contact layer, sterile, 16 sq. in. or less, each dressing
  • A6207 Contact layer, sterile, more than 16 sq. in. but less than or equal to 48 s...
  • A6208 Contact layer, sterile, more than 48 sq. in., each dressing
  • A6209 Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, without a...
  • A6210 Foam dressing, wound cover, sterile, pad size more than 16 sq. in. but less...
  • A6211 Foam dressing, wound cover, sterile, pad size more than 48 sq. in., without...
  • A6212 Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any ...
  • A6213 Foam dressing, wound cover, sterile, pad size more than 16 sq. in. but less...
  • A6214 Foam dressing, wound cover, sterile, pad size more than 48 sq. in., with an...
  • A6215 Foam dressing, wound filler, sterile, per gram
  • A6216 Gauze, non-impregnated, non-sterile, pad size 16 sq. in. or less, without a...
  • A6217 Gauze, non-impregnated, non-sterile, pad size more than 16 sq. in. but less...
  • A6218 Gauze, non-impregnated, non-sterile, pad size more than 48 sq. in., without...
  • A6219 Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, with any size...
  • A6220 Gauze, non-impregnated, sterile, pad size more than 16 sq. in. but less tha...
  • A6221 Gauze, non-impregnated, sterile, pad size more than 48 sq. in., with any si...
  • A6222 Gauze, impregnated with other than water, normal saline, or hydrogel, steri...
  • A6223 Gauze, impregnated with other than water, normal saline, or hydrogel, steri...
  • A6224 Gauze, impregnated with other than water, normal saline, or hydrogel, steri...
  • A6228 Gauze, impregnated, water or normal saline, sterile, pad size 16 sq. in. or...
  • A6229 Gauze, impregnated, water or normal saline, sterile, pad size more than 16 ...
  • A6230 Gauze, impregnated, water or normal saline, sterile, pad size more than 48 ...
  • A6231 Gauze, impregnated, hydrogel, for direct wound contact, sterile, pad size 1...
  • A6232 Gauze, impregnated, hydrogel, for direct wound contact, sterile, pad size g...
  • A6233 Gauze, impregnated, hydrogel, for direct wound contact, sterile, pad size m...
  • A6234 Hydrocolloid dressing, wound cover, sterile, pad size 16 sq. in. or less, w...
  • A6235 Hydrocolloid dressing, wound cover, sterile, pad size more than 16 sq. in. ...
  • A6236 Hydrocolloid dressing, wound cover, sterile, pad size more than 48 sq. in.,...
  • A6237 Hydrocolloid dressing, wound cover, sterile, pad size 16 sq. in. or less, w...
  • A6238 Hydrocolloid dressing, wound cover, sterile, pad size more than 16 sq. in. ...
  • A6239 Hydrocolloid dressing, wound cover, sterile, pad size more than 48 sq. in.,...
  • A6240 Hydrocolloid dressing, wound filler, paste, sterile, per ounce
  • A6241 Hydrocolloid dressing, wound filler, dry form, sterile, per gram
  • A6242 Hydrogel dressing, wound cover, sterile, pad size 16 sq. in. or less, witho...
  • A6243 Than or equal to 48 sq. in., without adhesive border, each dressing hydroge...
  • A6244 Hydrogel dressing, wound cover, sterile, pad size more than 48 sq. in., wit...
  • A6245 Hydrogel dressing, wound cover, sterile, pad size 16 sq. in. or less, with ...
  • A6246 Hydrogel dressing, wound cover, sterile, pad size more than 16 sq. in. but ...
  • A6247 Hydrogel dressing, wound cover, sterile, pad size more than 48 sq. in., wit...
  • A6248 Hydrogel dressing, wound filler, gel, per fluid ounce
  • A6250 Skin sealants, protectants, moisturizers, ointments, any type, any size
  • A6251 Specialty absorptive dressing, wound cover, sterile, pad size 16 sq. in. or...
  • A6252 Specialty absorptive dressing, wound cover, sterile, pad size more than 16 ...
  • A6253 Specialty absorptive dressing, wound cover, sterile, pad size more than 48 ...
  • A6254 Specialty absorptive dressing, wound cover, sterile, pad size 16 sq. in. or...
  • A6255 Specialty absorptive dressing, wound cover, sterile, pad size more than 16 ...
  • A6256 Specialty absorptive dressing, wound cover, sterile, pad size more than 48 ...
  • A6257 Transparent film, sterile, 16 sq. in. or less, each dressing
  • A6258 Transparent film, sterile, more than 16 sq. in. but less than or equal to 4...
  • A6259 Transparent film, sterile, more than 48 sq. in., each dressing
  • A6260 Wound cleansers, any type, any size
  • A6261 Wound filler, gel/paste, per fluid ounce, not otherwise specified
  • A6262 Wound filler, dry form, per gram, not otherwise specified
  • A6266 Gauze, impregnated, other than water, normal saline, or zinc paste, sterile...
  • A6402 Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhes...
  • A6403 Gauze, non-impregnated, sterile, pad size more than 16 sq. in. less than or...
  • A6404 Gauze, non-impregnated, sterile, pad size more than 48 sq. in., without adh...
  • A6407 Packing strips, non-impregnated, sterile, up to 2 inches in width, per line...
  • A6410 Eye pad, sterile, each
  • A6411 Eye pad, non-sterile, each
  • A6412 Eye patch, occlusive, each
  • A6413 Adhesive bandage, first-aid type, any size, each
  • A6441 Padding bandage, non-elastic, non-woven/non-knitted, width greater than or ...
  • A6442 Conforming bandage, non-elastic, knitted/woven, non-sterile, width less tha...
  • A6443 Conforming bandage, non-elastic, knitted/woven, non-sterile, width greater ...
  • A6444 Conforming bandage, non-elastic, knitted/woven, non-sterile, width greater ...
  • A6445 Conforming bandage, non-elastic, knitted/woven, sterile, width less than th...
  • A6446 Conforming bandage, non-elastic, knitted/woven, sterile, width greater than...
  • A6447 Conforming bandage, non-elastic, knitted/woven, sterile, width greater than...
  • A6448 Light compression bandage, elastic, knitted/woven, width less than three in...
  • A6449 Light compression bandage, elastic, knitted/woven, width greater than or eq...
  • A6450 Light compression bandage, elastic, knitted/woven, width greater than or eq...
  • A6451 Moderate compression bandage, elastic, knitted/woven, load resistance of 1....
  • A6452 High compression bandage, elastic, knitted/woven, load resistance greater t...
  • A6453 Self-adherent bandage, elastic, non-knitted/non-woven, width less than thre...
  • A6454 Self-adherent bandage, elastic, non-knitted/non-woven, width greater than o...
  • A6455 Self-adherent bandage, elastic, non-knitted/non-woven, width greater than o...
  • A6456 Zinc paste impregnated bandage, non-elastic, knitted/woven, width greater t...
  • A6457 Tubular dressing with or without elastic, any width, per linear yard
  • A6501 Compression burn garment, bodysuit (head to foot), custom fabricated
  • A6502 Compression burn garment, chin strap, custom fabricated
  • A6503 Compression burn garment, facial hood, custom fabricated
  • A6504 Compression burn garment, glove to wrist, custom fabricated
  • A6505 Compression burn garment, glove to elbow, custom fabricated
  • A6506 Compression burn garment, glove to axilla, custom fabricated
  • A6507 Compression burn garment, foot to knee length, custom fabricated
  • A6508 Compression burn garment, foot to thigh length, custom fabricated
  • A6509 Compression burn garment, upper trunk to waist including arm openings (vest...
  • A6510 Compression burn garment, trunk, including arms down to leg openings (leota...
  • A6511 Compression burn garment, lower trunk including leg openings (panty), custo...
  • A6512 Compression burn garment, not otherwise classified
  • A6513 Compression burn mask, face and/or neck, plastic or equal, custom fabricate...
  • A6530 Gradient compression stocking, below knee, 18-30 mmhg, each
  • A6531 Gradient compression stocking, below knee, 30-40 mmhg, each
  • A6532 Gradient compression stocking, below knee, 40-50 mmhg, each
  • A6533 Gradient compression stocking, thigh length, 18-30 mmhg, each
  • A6534 Gradient compression stocking, thigh length, 30-40 mmhg, each
  • A6535 Gradient compression stocking, thigh length, 40-50 mmhg, each
  • A6536 Gradient compression stocking, full length/chap style, 18-30 mmhg, each
  • A6537 Gradient compression stocking, full length/chap style, 30-40 mmhg, each
  • A6538 Gradient compression stocking, full length/chap style, 40-50 mmhg, each
  • A6539 Gradient compression stocking, waist length, 18-30 mmhg, each
  • A6540 Gradient compression stocking, waist length, 30-40 mmhg, each
  • A6541 Gradient compression stocking, waist length, 40-50 mmhg, each
  • A6544 Gradient compression stocking, garter belt
  • A6545 Gradient compression wrap, non-elastic, below knee, 30-50 mm hg, each
  • A6549 Gradient compression stocking/sleeve, not otherwise specified
  • A6550 Wound care set, for negative pressure wound therapy electrical pump, includ...
  • A7000 Canister, disposable, used with suction pump, each
  • A7001 Canister, non-disposable, used with suction pump, each
  • A7002 Tubing, used with suction pump, each
  • A7003 Administration set, with small volume nonfiltered pneumatic nebulizer, disp...
  • A7004 Small volume nonfiltered pneumatic nebulizer, disposable
  • A7005 Administration set, with small volume nonfiltered pneumatic nebulizer, non-...
  • A7006 Administration set, with small volume filtered pneumatic nebulizer
  • A7007 Large volume nebulizer, disposable, unfilled, used with aerosol compressor
  • A7008 Large volume nebulizer, disposable, prefilled, used with aerosol compressor
  • A7009 Reservoir bottle, non-disposable, used with large volume ultrasonic nebuliz...
  • A7010 Corrugated tubing, disposable, used with large volume nebulizer, 100 feet
  • A7011 Corrugated tubing, non-disposable, used with large volume nebulizer, 10 fee...
  • A7012 Water collection device, used with large volume nebulizer
  • A7013 Filter, disposable, used with aerosol compressor or ultrasonic generator
  • A7014 Filter, nondisposable, used with aerosol compressor or ultrasonic generator
  • A7015 Aerosol mask, used with dme nebulizer
  • A7016 Dome and mouthpiece, used with small volume ultrasonic nebulizer
  • A7017 Nebulizer, durable, glass or autoclavable plastic, bottle type, not used wi...
  • A7018 Water, distilled, used with large volume nebulizer, 1000 ml
  • A7020 Interface for cough stimulating device, includes all components, replacemen...
  • A7025 High frequency chest wall oscillation system vest, replacement for use with...
  • A7026 High frequency chest wall oscillation system hose, replacement for use with...
  • A7027 Combination oral/nasal mask, used with continuous positive airway pressure ...
  • A7028 Oral cushion for combination oral/nasal mask, replacement only, each
  • A7029 Nasal pillows for combination oral/nasal mask, replacement only, pair
  • A7030 Full face mask used with positive airway pressure device, each
  • A7031 Face mask interface, replacement for full face mask, each
  • A7032 Cushion for use on nasal mask interface, replacement only, each
  • A7033 Pillow for use on nasal cannula type interface, replacement only, pair
  • A7034 Nasal interface (mask or cannula type) used with positive airway pressure d...
  • A7035 Headgear used with positive airway pressure device
  • A7036 Chinstrap used with positive airway pressure device
  • A7037 Tubing used with positive airway pressure device
  • A7038 Filter, disposable, used with positive airway pressure device
  • A7039 Filter, non disposable, used with positive airway pressure device
  • A7040 One way chest drain valve
  • A7041 Water seal drainage container and tubing for use with implanted chest tube
  • A7042 Implanted pleural catheter, each
  • A7043 Vacuum drainage bottle and tubing for use with implanted catheter
  • A7044 Oral interface used with positive airway pressure device, each
  • A7045 Exhalation port with or without swivel used with accessories for positive a...
  • A7046 Water chamber for humidifier, used with positive airway pressure device, re...
  • A7501 Tracheostoma valve, including diaphragm, each
  • A7502 Replacement diaphragm/faceplate for tracheostoma valve, each
  • A7503 Filter holder or filter cap, reusable, for use in a tracheostoma heat and m...
  • A7504 Filter for use in a tracheostoma heat and moisture exchange system, each
  • A7505 Housing, reusable without adhesive, for use in a heat and moisture exchange...
  • A7506 Adhesive disc for use in a heat and moisture exchange system and/or with tr...
  • A7507 Filter holder and integrated filter without adhesive, for use in a tracheos...
  • A7508 Housing and integrated adhesive, for use in a tracheostoma heat and moistur...
  • A7509 Filter holder and integrated filter housing, and adhesive, for use as a tra...
  • A7520 Tracheostomy/laryngectomy tube, non-cuffed, polyvinylchloride (pvc), silico...
  • A7521 Tracheostomy/laryngectomy tube, cuffed, polyvinylchloride (pvc), silicone o...
  • A7522 Tracheostomy/laryngectomy tube, stainless steel or equal (sterilizable and ...
  • A7523 Tracheostomy shower protector, each
  • A7524 Tracheostoma stent/stud/button, each
  • A7525 Tracheostomy mask, each
  • A7526 Tracheostomy tube collar/holder, each
  • A7527 Tracheostomy/laryngectomy tube plug/stop, each
  • A8000 Helmet, protective, soft, prefabricated, includes all components and access...
  • A8001 Helmet, protective, hard, prefabricated, includes all components and access...
  • A8002 Helmet, protective, soft, custom fabricated, includes all components and ac...
  • A8003 Helmet, protective, hard, custom fabricated, includes all components and ac...
  • A8004 Soft interface for helmet, replacement only
  • A9150 Non-prescription drugs
  • A9152 Single vitamin/mineral/trace element, oral, per dose, not otherwise specifi...
  • A9153 Multiple vitamins, with or without minerals and trace elements, oral, per d...
  • A9155 Artificial saliva, 30 ml
  • A9180 Pediculosis (lice infestation) treatment, topical, for administration by pa...
  • A9270 Non-covered item or service
  • A9273 Hot water bottle, ice cap or collar, heat and/or cold wrap, any type
  • A9274 External ambulatory insulin delivery system, disposable, each, includes all...
  • A9275 Home glucose disposable monitor, includes test strips
  • A9276 Sensor; invasive (e.g. subcutaneous), disposable, for use with interstitial...
  • A9277 Transmitter; external, for use with interstitial continuous glucose monitor...
  • A9278 Receiver (monitor); external, for use with interstitial continuous glucose ...
  • A9279 Monitoring feature/device, stand-alone or integrated, any type, includes al...
  • A9280 Alert or alarm device, not otherwise classified
  • A9281 Reaching/grabbing device, any type, any length, each
  • A9282 Wig, any type, each
  • A9283 Foot pressure off loading/supportive device, any type, each
  • A9284 Spirometer, non-electronic, includes all accessories
  • A9300 Exercise equipment
  • A9500 Technetium tc-99m sestamibi, diagnostic, per study dose
  • A9501 Technetium tc-99m teboroxime, diagnostic, per study dose
  • A9502 Technetium tc-99m tetrofosmin, diagnostic, per study dose
  • A9503 Technetium tc-99m medronate, diagnostic, per study dose, up to 30 millicuri...
  • A9504 Technetium tc-99m apcitide, diagnostic, per study dose, up to 20 millicurie...
  • A9505 Thallium tl-201 thallous chloride, diagnostic, per millicurie
  • A9507 Indium in-111 capromab pendetide, diagnostic, per study dose, up to 10 mill...
  • A9508 Iodine i-131 iobenguane sulfate, diagnostic, per 0.5 millicurie
  • A9509 Iodine i-123 sodium iodide, diagnostic, per millicurie
  • A9510 Technetium tc-99m disofenin, diagnostic, per study dose, up to 15 millicuri...
  • A9512 Technetium tc-99m pertechnetate, diagnostic, per millicurie
  • A9516 Iodine i-123 sodium iodide, diagnostic, per 100 microcuries, up to 999 micr...
  • A9517 Iodine i-131 sodium iodide capsule(s), therapeutic, per millicurie
  • A9521 Technetium tc-99m exametazime, diagnostic, per study dose, up to 25 millicu...
  • A9524 Iodine i-131 iodinated serum albumin, diagnostic, per 5 microcuries
  • A9526 Nitrogen n-13 ammonia, diagnostic, per study dose, up to 40 millicuries
  • A9527 Iodine i-125, sodium iodide solution, therapeutic, per millicurie
  • A9528 Iodine i-131 sodium iodide capsule(s), diagnostic, per millicurie
  • A9529 Iodine i-131 sodium iodide solution, diagnostic, per millicurie
  • A9530 Iodine i-131 sodium iodide solution, therapeutic, per millicurie
  • A9531 Iodine i-131 sodium iodide, diagnostic, per microcurie (up to 100 microcuri...
  • A9532 Iodine i-125 serum albumin, diagnostic, per 5 microcuries
  • A9536 Technetium tc-99m depreotide, diagnostic, per study dose, up to 35 millicur...
  • A9537 Technetium tc-99m mebrofenin, diagnostic, per study dose, up to 15 millicur...
  • A9538 Technetium tc-99m pyrophosphate, diagnostic, per study dose, up to 25 milli...
  • A9539 Technetium tc-99m pentetate, diagnostic, per study dose, up to 25 millicuri...
  • A9540 Technetium tc-99m macroaggregated albumin, diagnostic, per study dose, up t...
  • A9541 Technetium tc-99m sulfur colloid, diagnostic, per study dose, up to 20 mill...
  • A9542 Indium in-111 ibritumomab tiuxetan, diagnostic, per study dose, up to 5 mil...
  • A9543 Yttrium y-90 ibritumomab tiuxetan, therapeutic, per treatment dose, up to 4...
  • A9544 Iodine i-131 tositumomab, diagnostic, per study dose
  • A9545 Iodine i-131 tositumomab, therapeutic, per treatment dose
  • A9546 Cobalt co-57/58, cyanocobalamin, diagnostic, per study dose, up to 1 microc...
  • A9547 Indium in-111 oxyquinoline, diagnostic, per 0.5 millicurie
  • A9548 Indium in-111 pentetate, diagnostic, per 0.5 millicurie
  • A9550 Technetium tc-99m sodium gluceptate, diagnostic, per study dose, up to 25 m...
  • A9551 Technetium tc-99m succimer, diagnostic, per study dose, up to 10 millicurie...
  • A9552 Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuri...
  • A9553 Chromium cr-51 sodium chromate, diagnostic, per study dose, up to 250 micro...
  • A9554 Iodine i-125 sodium iothalamate, diagnostic, per study dose, up to 10 micro...
  • A9555 Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries
  • A9556 Gallium ga-67 citrate, diagnostic, per millicurie
  • A9557 Technetium tc-99m bicisate, diagnostic, per study dose, up to 25 millicurie...
  • A9558 Xenon xe-133 gas, diagnostic, per 10 millicuries
  • A9559 Cobalt co-57 cyanocobalamin, oral, diagnostic, per study dose, up to 1 micr...
  • A9560 Technetium tc-99m labeled red blood cells, diagnostic, per study dose, up t...
  • A9561 Technetium tc-99m oxidronate, diagnostic, per study dose, up to 30 millicur...
  • A9562 Technetium tc-99m mertiatide, diagnostic, per study dose, up to 15 millicur...
  • A9563 Sodium phosphate p-32, therapeutic, per millicurie
  • A9564 Chromic phosphate p-32 suspension, therapeutic, per millicurie
  • A9566 Technetium tc-99m fanolesomab, diagnostic, per study dose, up to 25 millicu...
  • A9567 Technetium tc-99m pentetate, diagnostic, aerosol, per study dose, up to 75 ...
  • A9568 Technetium tc-99m arcitumomab, diagnostic, per study dose, up to 45 millicu...
  • A9569 Technetium tc-99m exametazime labeled autologous white blood cells, diagnos...
  • A9570 Indium in-111 labeled autologous white blood cells, diagnostic, per study d...
  • A9571 Indium in-111 labeled autologous platelets, diagnostic, per study dose
  • A9572 Indium in-111 pentetreotide, diagnostic, per study dose, up to 6 millicurie...
  • A9576 Injection, gadoteridol, (prohance multipack), per ml
  • A9577 Injection, gadobenate dimeglumine (multihance), per ml
  • A9578 Injection, gadobenate dimeglumine (multihance multipack), per ml
  • A9579 Injection, gadolinium-based magnetic resonance contrast agent, not otherwis...
  • A9580 Sodium fluoride f-18, diagnostic, per study dose, up to 30 millicuries
  • A9581 Injection, gadoxetate disodium, 1 ml
  • A9582 Iodine i-123 iobenguane, diagnostic, per study dose, up to 15 millicuries
  • A9583 Injection, gadofosveset trisodium, 1 ml
  • A9600 Strontium sr-89 chloride, therapeutic, per millicurie
  • A9604 Samarium sm-153 lexidronam, therapeutic, per treatment dose, up to 150 mill...
  • A9698 Non-radioactive contrast imaging material, not otherwise classified, per st...
  • A9699 Radiopharmaceutical, therapeutic, not otherwise classified
  • A9700 Supply of injectable contrast material for use in echocardiography, per stu...
  • A9900 Miscellaneous dme supply, accessory, and/or service component of another hc...
  • A9901 Dme delivery, set up, and/or dispensing service component of another hcpcs ...
  • A9999 Miscellaneous dme supply or accessory, not otherwise specified