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