2017 HCPCS Codes > A Codes

Select a code to see the full description.

  • A0021 – Outside state ambulance serv
  • A0080 – Noninterest escort in non er
  • A0090 – Interest escort in non er
  • A0100 – Nonemergency transport taxi
  • A0110 – Nonemergency transport bus
  • A0120 – Noner transport mini-bus
  • A0130 – Noner transport wheelch van
  • A0140 – Nonemergency transport air
  • A0160 – Noner transport case worker
  • A0170 – Transport parking fees/tolls
  • A0180 – Noner transport lodgng recip
  • A0190 – Noner transport meals recip
  • A0200 – Noner transport lodgng escrt
  • A0210 – Noner transport meals escort
  • A0225 – Neonatal emergency transport
  • A0380 – Basic life support mileage
  • A0382 – Basic support routine suppls
  • A0384 – Bls defibrillation supplies
  • A0390 – Advanced life support mileag
  • A0392 – Als defibrillation supplies
  • A0394 – Als iv drug therapy supplies
  • A0396 – Als esophageal intub suppls
  • A0398 – Als routine disposble suppls
  • A0420 – Ambulance waiting 1/2 hr
  • A0422 – Ambulance 02 life sustaining
  • A0424 – Extra ambulance attendant
  • A0425 – Ground mileage
  • A0426 – Als 1
  • A0427 – Als1-emergency
  • A0428 – Bls
  • A0429 – Bls-emergency
  • A0430 – Fixed wing air transport
  • A0431 – Rotary wing air transport
  • A0432 – Pi volunteer ambulance co
  • A0433 – Als 2
  • A0434 – Specialty care transport
  • A0435 – Fixed wing air mileage
  • A0436 – Rotary wing air mileage
  • A0888 – Noncovered ambulance mileage
  • A0998 – Ambulance response/treatment
  • A0999 – Unlisted ambulance service
  • A4206 – 1 cc sterile syringe&needle
  • A4207 – 2 cc sterile syringe&needle
  • A4208 – 3 cc sterile syringe&needle
  • A4209 – 5+ cc sterile syringe&needle
  • A4210 – Nonneedle injection device
  • A4211 – Supp for self-adm injections
  • A4212 – Non coring needle or stylet
  • A4213 – 20+ cc syringe only
  • A4215 – Sterile needle
  • A4216 – Sterile water/saline, 10 ml
  • A4217 – Sterile water/saline, 500 ml
  • A4218 – Sterile saline or water
  • A4220 – Infusion pump refill kit
  • A4221 – Supp non-insulin inf cath/wk
  • A4222 – Infusion supplies with pump
  • A4223 – Infusion supplies w/o pump
  • A4224 – Supply insulin inf cath/wk
  • A4225 – Sup/ext insulin inf pump syr
  • A4230 – Infus insulin pump non needl
  • A4231 – Infusion insulin pump needle
  • A4232 – Syringe w/needle insulin 3cc
  • A4233 – Alkalin batt for glucose mon
  • A4234 – J-cell batt for glucose mon
  • A4235 – Lithium batt for glucose mon
  • A4236 – Silvr oxide batt glucose mon
  • A4244 – Alcohol or peroxide per pint
  • A4245 – Alcohol wipes per box
  • A4246 – Betadine/phisohex solution
  • A4247 – Betadine/iodine swabs/wipes
  • A4248 – Chlorhexidine antisept
  • A4250 – Urine reagent strips/tablets
  • A4252 – Blood ketone test or strip
  • A4253 – Blood glucose/reagent strips
  • A4255 – Glucose monitor platforms
  • A4256 – Calibrator solution/chips
  • A4257 – Replace lensshield cartridge
  • A4258 – Lancet device each
  • A4259 – Lancets per box
  • A4261 – Cervical cap contraceptive
  • A4262 – Temporary tear duct plug
  • A4263 – Permanent tear duct plug
  • A4264 – Intratubal occlusion device
  • A4265 – Paraffin
  • A4266 – Diaphragm
  • A4267 – Male condom
  • A4268 – Female condom
  • A4269 – Spermicide
  • A4270 – Disposable endoscope sheath
  • A4280 – Brst prsths adhsv attchmnt
  • A4281 – Replacement breastpump tube
  • A4282 – Replacement breastpump adpt
  • A4283 – Replacement breastpump cap
  • A4284 – Replcmnt breast pump shield
  • A4285 – Replcmnt breast pump bottle
  • A4286 – Replcmnt breastpump lok ring
  • A4290 – Sacral nerve stim test lead
  • A4300 – Cath impl vasc access portal
  • A4301 – Implantable access syst perc
  • A4305 – Drug delivery system >=50 ml
  • A4306 – Drug delivery system <=50 ml
  • A4310 – Insert tray w/o bag/cath
  • A4311 – Catheter w/o bag 2-way latex
  • A4312 – Cath w/o bag 2-way silicone
  • A4313 – Catheter w/bag 3-way
  • A4314 – Cath w/drainage 2-way latex
  • A4315 – Cath w/drainage 2-way silcne
  • A4316 – Cath w/drainage 3-way
  • A4320 – Irrigation tray
  • A4321 – Cath therapeutic irrig agent
  • A4322 – Irrigation syringe
  • A4326 – Male external catheter
  • A4327 – Fem urinary collect dev cup
  • A4328 – Fem urinary collect pouch
  • A4330 – Stool collection pouch
  • A4331 – Extension drainage tubing
  • A4332 – Lube sterile packet
  • A4333 – Urinary cath anchor device
  • A4334 – Urinary cath leg strap
  • A4335 – Incontinence supply
  • A4336 – Urethral insert
  • A4337 – Incontinent rectal insert
  • A4338 – Indwelling catheter latex
  • A4340 – Indwelling catheter special
  • A4344 – Cath indw foley 2 way silicn
  • A4346 – Cath indw foley 3 way
  • A4349 – Disposable male external cat
  • A4351 – Straight tip urine catheter
  • A4352 – Coude tip urinary catheter
  • A4353 – Intermittent urinary cath
  • A4354 – Cath insertion tray w/bag
  • A4355 – Bladder irrigation tubing
  • A4356 – Ext ureth clmp or compr dvc
  • A4357 – Bedside drainage bag
  • A4358 – Urinary leg or abdomen bag
  • A4360 – Disposable ext urethral dev
  • A4361 – Ostomy face plate
  • A4362 – Solid skin barrier
  • A4363 – Ostomy clamp, replacement
  • A4364 – Adhesive, liquid or equal
  • A4366 – Ostomy vent
  • A4367 – Ostomy belt
  • A4368 – Ostomy filter
  • A4369 – Skin barrier liquid per oz
  • A4371 – Skin barrier powder per oz
  • A4372 – Skin barrier solid 4x4 equiv
  • A4373 – Skin barrier with flange
  • A4375 – Drainable plastic pch w fcpl
  • A4376 – Drainable rubber pch w fcplt
  • A4377 – Drainable plstic pch w/o fp
  • A4378 – Drainable rubber pch w/o fp
  • A4379 – Urinary plastic pouch w fcpl
  • A4380 – Urinary rubber pouch w fcplt
  • A4381 – Urinary plastic pouch w/o fp
  • A4382 – Urinary hvy plstc pch w/o fp
  • A4383 – Urinary rubber pouch w/o fp
  • A4384 – Ostomy faceplt/silicone ring
  • A4385 – Ost skn barrier sld ext wear
  • A4387 – Ost clsd pouch w att st barr
  • A4388 – Drainable pch w ex wear barr
  • A4389 – Drainable pch w st wear barr
  • A4390 – Drainable pch ex wear convex
  • A4391 – Urinary pouch w ex wear barr
  • A4392 – Urinary pouch w st wear barr
  • A4393 – Urine pch w ex wear bar conv
  • A4394 – Ostomy pouch liq deodorant
  • A4395 – Ostomy pouch solid deodorant
  • A4396 – Peristomal hernia supprt blt
  • A4397 – Irrigation supply sleeve
  • A4398 – Ostomy irrigation bag
  • A4399 – Ostomy irrig cone/cath w brs
  • A4400 – Ostomy irrigation set
  • A4402 – Lubricant per ounce
  • A4404 – Ostomy ring each
  • A4405 – Nonpectin based ostomy paste
  • A4406 – Pectin based ostomy paste
  • A4407 – Ext wear ost skn barr <=4sqin
  • A4408 – Ext wear ost skn barr >4sqin
  • A4409 – Ost skn barr convex <=4 sq i
  • A4410 – Ost skn barr extnd >4 sq
  • A4411 – Ost skn barr extnd =4sq
  • A4412 – Ost pouch drain high output
  • A4413 – 2 pc drainable ost pouch
  • A4414 – Ost sknbar w/o conv<=4 sq in
  • A4415 – Ost skn barr w/o conv >4 sqi
  • A4416 – Ost pch clsd w barrier/filtr
  • A4417 – Ost pch w bar/bltinconv/fltr
  • A4418 – Ost pch clsd w/o bar w filtr
  • A4419 – Ost pch for bar w flange/flt
  • A4420 – Ost pch clsd for bar w lk fl
  • A4421 – Ostomy supply misc
  • A4422 – Ost pouch absorbent material
  • A4423 – Ost pch for bar w lk fl/fltr
  • A4424 – Ost pch drain w bar & filter
  • A4425 – Ost pch drain for barrier fl
  • A4426 – Ost pch drain 2 piece system
  • A4427 – Ost pch drain/barr lk flng/f
  • A4428 – Urine ost pouch w faucet/tap
  • A4429 – Urine ost pouch w bltinconv
  • A4430 – Ost urine pch w b/bltin conv
  • A4431 – Ost pch urine w barrier/tapv
  • A4432 – Os pch urine w bar/fange/tap
  • A4433 – Urine ost pch bar w lock fln
  • A4434 – Ost pch urine w lock flng/ft
  • A4435 – 1pc ost pch drain hgh output
  • A4450 – Non-waterproof tape
  • A4452 – Waterproof tape
  • A4455 – Adhesive remover per ounce
  • A4456 – Adhesive remover, wipes
  • A4458 – Reusable enema bag
  • A4459 – Manual pump enema, reusable
  • A4461 – Surgicl dress hold non-reuse
  • A4463 – Surgical dress holder reuse
  • A4465 – Non-elastic extremity binder
  • A4466 – Elastic garment/covering
  • A4467 – Belt strap sleev grmnt cover
  • A4470 – Gravlee jet washer
  • A4480 – Vabra aspirator
  • A4481 – Tracheostoma filter
  • A4483 – Moisture exchanger
  • A4490 – Above knee surgical stocking
  • A4495 – Thigh length surg stocking
  • A4500 – Below knee surgical stocking
  • A4510 – Full length surg stocking
  • A4520 – Incontinence garment anytype
  • A4550 – Surgical trays
  • A4553 – Nondisp underpads, all sizes
  • A4554 – Disposable underpads
  • A4555 – Ca tx e-stim electr/transduc
  • A4556 – Electrodes, pair
  • A4557 – Lead wires, pair
  • A4558 – Conductive gel or paste
  • A4559 – Coupling gel or paste
  • A4561 – Pessary rubber, any type
  • A4562 – Pessary, non rubber,any type
  • A4565 – Slings
  • A4566 – Should sling/vest/abrestrain
  • A4570 – Splint
  • A4575 – Hyperbaric o2 chamber disps
  • A4580 – Cast supplies (plaster)
  • A4590 – Special casting material
  • A4595 – Tens suppl 2 lead per month
  • A4600 – Sleeve, inter limb comp dev
  • A4601 – Lith ion non prosth recharge
  • A4602 – Replace lithium battery 1.5v
  • A4604 – Tubing with heating element
  • A4605 – Trach suction cath close sys
  • A4606 – Oxygen probe used w oximeter
  • A4608 – Transtracheal oxygen cath
  • A4611 – Heavy duty battery
  • A4612 – Battery cables
  • A4613 – Battery charger
  • A4614 – Hand-held pefr meter
  • 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 tube
  • A4625 – Trach care kit for new trach
  • A4626 – Tracheostomy cleaning brush
  • A4627 – Spacer bag/reservoir
  • A4628 – Oropharyngeal suction cath
  • A4629 – Tracheostomy care kit
  • A4630 – Repl bat t.e.n.s. own by pt
  • A4633 – Uvl replacement bulb
  • A4634 – Replacement bulb th lightbox
  • A4635 – Underarm crutch pad
  • A4636 – Handgrip for cane etc
  • A4637 – Repl tip cane/crutch/walker
  • A4638 – Repl batt pulse gen sys
  • A4639 – Infrared ht sys replcmnt pad
  • A4640 – Alternating pressure pad
  • A4641 – Radiopharm dx agent noc
  • A4642 – In111 satumomab
  • A4648 – Implantable tissue marker
  • A4649 – Surgical supplies
  • A4650 – Implant radiation dosimeter
  • A4651 – Calibrated microcap tube
  • A4652 – Microcapillary tube sealant
  • A4653 – Pd catheter anchor belt
  • A4657 – Syringe w/wo needle
  • A4660 – Sphyg/bp app w cuff and stet
  • A4663 – Dialysis blood pressure cuff
  • A4670 – Automatic bp monitor, dial
  • A4671 – Disposable cycler set
  • A4672 – Drainage ext line, dialysis
  • A4673 – Ext line w easy lock connect
  • A4674 – Chem/antisept solution, 8oz
  • A4680 – Activated carbon filter, ea
  • A4690 – Dialyzer, each
  • A4706 – Bicarbonate conc sol per gal
  • A4707 – Bicarbonate conc pow per pac
  • A4708 – Acetate conc sol per gallon
  • A4709 – Acid conc sol per gallon
  • A4714 – Treated water per gallon
  • A4719 – y set' tubing
  • A4720 – Dialysat sol fld vol > 249cc
  • A4721 – Dialysat sol fld vol > 999cc
  • A4722 – Dialys sol fld vol > 1999cc
  • A4723 – Dialys sol fld vol > 2999cc
  • A4724 – Dialys sol fld vol > 3999cc
  • A4725 – Dialys sol fld vol > 4999cc
  • A4726 – Dialys sol fld vol > 5999cc
  • A4728 – Dialysate solution, non-dex
  • A4730 – Fistula cannulation set, ea
  • A4736 – Topical anesthetic, per gram
  • A4737 – Inj anesthetic per 10 ml
  • A4740 – Shunt accessory
  • A4750 – Art or venous blood tubing
  • A4755 – Comb art/venous blood tubing
  • A4760 – Dialysate sol test kit, each
  • A4765 – Dialysate conc pow per pack
  • A4766 – Dialysate conc sol add 10 ml
  • A4770 – Blood collection tube/vacuum
  • A4771 – Serum clotting time tube
  • A4772 – Blood glucose test strips
  • A4773 – Occult blood test strips
  • A4774 – Ammonia test strips
  • A4802 – Protamine sulfate per 50 mg
  • A4860 – Disposable catheter tips
  • A4870 – Plumb/elec wk hm hemo equip
  • A4890 – Repair/maint cont hemo equip
  • A4911 – Drain bag/bottle
  • A4913 – Misc dialysis supplies noc
  • A4918 – Venous pressure clamp
  • A4927 – Non-sterile gloves
  • A4928 – Surgical mask
  • A4929 – Tourniquet for dialysis, ea
  • A4930 – Sterile, gloves per pair
  • A4931 – Reusable oral thermometer
  • A4932 – Reusable rectal thermometer
  • A5051 – Pouch clsd w barr attached
  • A5052 – Clsd ostomy pouch w/o barr
  • A5053 – Clsd ostomy pouch faceplate
  • A5054 – Clsd ostomy pouch w/flange
  • A5055 – Stoma cap
  • A5056 – 1 pc ost pouch w filter
  • A5057 – 1 pc ost pou w built-in conv
  • A5061 – Pouch drainable w barrier at
  • A5062 – Drnble ostomy pouch w/o barr
  • A5063 – Drain ostomy pouch w/flange
  • A5071 – Urinary pouch w/barrier
  • A5072 – Urinary pouch w/o barrier
  • A5073 – Urinary pouch on barr w/flng
  • A5081 – Stoma plug or seal, any type
  • A5082 – Continent stoma catheter
  • A5083 – Stoma absorptive cover
  • A5093 – Ostomy accessory convex inse
  • A5102 – Bedside drain btl w/wo tube
  • A5105 – Urinary suspensory
  • A5112 – Urinary leg bag
  • A5113 – Latex leg strap
  • A5114 – Foam/fabric leg strap
  • A5120 – Skin barrier, wipe or swab
  • A5121 – Solid skin barrier 6x6
  • A5122 – Solid skin barrier 8x8
  • A5126 – Disk/foam pad +or- adhesive
  • A5131 – Appliance cleaner
  • A5200 – Percutaneous catheter anchor
  • A5500 – Diab shoe for density insert
  • A5501 – Diabetic custom molded shoe
  • A5503 – Diabetic shoe w/roller/rockr
  • A5504 – Diabetic shoe with wedge
  • A5505 – Diab shoe w/metatarsal bar
  • A5506 – Diabetic shoe w/off set heel
  • A5507 – Modification diabetic shoe
  • A5508 – Diabetic deluxe shoe
  • A5510 – Compression form shoe insert
  • A5512 – Multi den insert direct form
  • A5513 – Multi den insert custom mold
  • A6000 – Wound warming wound cover
  • A6010 – Collagen based wound filler
  • A6011 – Collagen gel/paste wound fil
  • A6021 – Collagen dressing <=16 sq in
  • A6022 – Collagen drsg>16<=48 sq in
  • A6023 – Collagen dressing >48 sq in
  • A6024 – Collagen dsg wound filler
  • A6025 – Silicone gel sheet, each
  • A6154 – Wound pouch each
  • A6196 – Alginate dressing <=16 sq in
  • A6197 – Alginate drsg >16 <=48 sq in
  • A6198 – Alginate dressing > 48 sq in
  • A6199 – Alginate drsg wound filler
  • A6203 – Composite drsg <= 16 sq in
  • A6204 – Composite drsg >16<=48 sq in
  • A6205 – Composite drsg > 48 sq in
  • A6206 – Contact layer <= 16 sq in
  • A6207 – Contact layer >16<= 48 sq in
  • A6208 – Contact layer > 48 sq in
  • A6209 – Foam drsg <=16 sq in w/o bdr
  • A6210 – Foam drg >16<=48 sq in w/o b
  • A6211 – Foam drg > 48 sq in w/o brdr
  • A6212 – Foam drg <=16 sq in w/border
  • A6213 – Foam drg >16<=48 sq in w/bdr
  • A6214 – Foam drg > 48 sq in w/border
  • A6215 – Foam dressing wound filler
  • A6216 – Non-sterile gauze<=16 sq in
  • A6217 – Non-sterile gauze>16<=48 sq
  • A6218 – Non-sterile gauze > 48 sq in
  • A6219 – Gauze <= 16 sq in w/border
  • A6220 – Gauze >16 <=48 sq in w/bordr
  • A6221 – Gauze > 48 sq in w/border
  • A6222 – Gauze <=16 in no w/sal w/o b
  • A6223 – Gauze >16<=48 no w/sal w/o b
  • A6224 – Gauze > 48 in no w/sal w/o b
  • A6228 – Gauze <= 16 sq in water/sal
  • A6229 – Gauze >16<=48 sq in watr/sal
  • A6230 – Gauze > 48 sq in water/salne
  • A6231 – Hydrogel dsg<=16 sq in
  • A6232 – Hydrogel dsg>16<=48 sq in
  • A6233 – Hydrogel dressing >48 sq in
  • A6234 – Hydrocolld drg <=16 w/o bdr
  • A6235 – Hydrocolld drg >16<=48 w/o b
  • A6236 – Hydrocolld drg > 48 in w/o b
  • A6237 – Hydrocolld drg <=16 in w/bdr
  • A6238 – Hydrocolld drg >16<=48 w/bdr
  • A6239 – Hydrocolld drg > 48 in w/bdr
  • A6240 – Hydrocolld drg filler paste
  • A6241 – Hydrocolloid drg filler dry
  • A6242 – Hydrogel drg <=16 in w/o bdr
  • A6243 – Hydrogel drg >16<=48 w/o bdr
  • A6244 – Hydrogel drg >48 in w/o bdr
  • A6245 – Hydrogel drg <= 16 in w/bdr
  • A6246 – Hydrogel drg >16<=48 in w/b
  • A6247 – Hydrogel drg > 48 sq in w/b
  • A6248 – Hydrogel drsg gel filler
  • A6250 – Skin seal protect moisturizr
  • A6251 – Absorpt drg <=16 sq in w/o b
  • A6252 – Absorpt drg >16 <=48 w/o bdr
  • A6253 – Absorpt drg > 48 sq in w/o b
  • A6254 – Absorpt drg <=16 sq in w/bdr
  • A6255 – Absorpt drg >16<=48 in w/bdr
  • A6256 – Absorpt drg > 48 sq in w/bdr
  • A6257 – Transparent film <= 16 sq in
  • A6258 – Transparent film >16<=48 in
  • A6259 – Transparent film > 48 sq in
  • A6260 – Wound cleanser any type/size
  • A6261 – Wound filler gel/paste /oz
  • A6262 – Wound filler dry form / gram
  • A6266 – Impreg gauze no h20/sal/yard
  • A6402 – Sterile gauze <= 16 sq in
  • A6403 – Sterile gauze>16 <= 48 sq in
  • A6404 – Sterile gauze > 48 sq in
  • A6407 – Packing strips, non-impreg
  • A6410 – Sterile eye pad
  • A6411 – Non-sterile eye pad
  • A6412 – Occlusive eye patch
  • A6413 – Adhesive bandage, first-aid
  • A6441 – Pad band w>=3in <5in/yd
  • A6442 – Conform band n/s w<3in/yd
  • A6443 – Conform band n/s w>=3in<5in/yd
  • A6444 – Conform band n/s w>=5in/yd
  • A6445 – Conform band s w <3in/yd
  • A6446 – Conform band s w>=3in <5in/yd
  • A6447 – Conform band s w >=5in/yd
  • A6448 – Lt compres band <3in/yd
  • A6449 – Lt compres band >=3in <5in/yd
  • A6450 – Lt compres band >=5in/yd
  • A6451 – Mod compres band w>=3in<5in/yd
  • A6452 – High compres band w>=3in<5inyd
  • A6453 – Self-adher band w <3in/yd
  • A6454 – Self-adher band w>=3in <5in/yd
  • A6455 – Self-adher band >=5in/yd
  • A6456 – Zinc paste band w >=3in<5in/yd
  • A6457 – Tubular dressing
  • A6501 – Compres burngarment bodysuit
  • A6502 – Compres burngarment chinstrp
  • A6503 – Compres burngarment facehood
  • A6504 – Cmprsburngarment glove-wrist
  • A6505 – Cmprsburngarment glove-elbow
  • A6506 – Cmprsburngrmnt glove-axilla
  • A6507 – Cmprs burngarment foot-knee
  • A6508 – Cmprs burngarment foot-thigh
  • A6509 – Compres burn garment jacket
  • A6510 – Compres burn garment leotard
  • A6511 – Compres burn garment panty
  • A6512 – Compres burn garment, noc
  • A6513 – Compress burn mask face/neck
  • A6530 – Compression stocking bk18-30
  • A6531 – Compression stocking bk30-40
  • A6532 – Compression stocking bk40-50
  • A6533 – Gc stocking thighlngth 18-30
  • A6534 – Gc stocking thighlngth 30-40
  • A6535 – Gc stocking thighlngth 40-50
  • A6536 – Gc stocking full lngth 18-30
  • A6537 – Gc stocking full lngth 30-40
  • A6538 – Gc stocking full lngth 40-50
  • A6539 – Gc stocking waistlngth 18-30
  • A6540 – Gc stocking waistlngth 30-40
  • A6541 – Gc stocking waistlngth 40-50
  • A6544 – Gc stocking garter belt
  • A6545 – Grad comp non-elastic bk
  • A6549 – G compression stocking
  • A6550 – Neg pres wound ther drsg set
  • A7000 – Disposable canister for pump
  • A7001 – Nondisposable pump canister
  • A7002 – Tubing used w suction pump
  • A7003 – Nebulizer administration set
  • A7004 – Disposable nebulizer sml vol
  • A7005 – Nondisposable nebulizer set
  • A7006 – Filtered nebulizer admin set
  • A7007 – Lg vol nebulizer disposable
  • A7008 – Disposable nebulizer prefill
  • A7009 – Nebulizer reservoir bottle
  • A7010 – Disposable corrugated tubing
  • A7011 – Nondispos corrugated tubing
  • A7012 – Nebulizer water collec devic
  • A7013 – Disposable compressor filter
  • A7014 – Compressor nondispos filter
  • A7015 – Aerosol mask used w nebulize
  • A7016 – Nebulizer dome & mouthpiece
  • A7017 – Nebulizer not used w oxygen
  • A7018 – Water distilled w/nebulizer
  • A7020 – Interface, cough stim device
  • A7025 – Replace chest compress vest
  • A7026 – Replace chst cmprss sys hose
  • A7027 – Combination oral/nasal mask
  • A7028 – Repl oral cushion combo mask
  • A7029 – Repl nasal pillow comb mask
  • A7030 – Cpap full face mask
  • A7031 – Replacement facemask interfa
  • A7032 – Replacement nasal cushion
  • A7033 – Replacement nasal pillows
  • A7034 – Nasal application device
  • A7035 – Pos airway press headgear
  • A7036 – Pos airway press chinstrap
  • A7037 – Pos airway pressure tubing
  • A7038 – Pos airway pressure filter
  • A7039 – Filter, non disposable w pap
  • A7040 – One way chest drain valve
  • A7041 – Water seal drain container
  • A7042 – Implanted pleural catheter
  • A7043 – Vacuum drainagebottle/tubing
  • A7044 – Pap oral interface
  • A7045 – Repl exhalation port for pap
  • A7046 – Repl water chamber, pap dev
  • A7047 – Resp suction oral interface
  • A7048 – Vacuum drain bottle/tube kit
  • A7501 – Tracheostoma valve w diaphra
  • A7502 – Replacement diaphragm/fplate
  • A7503 – Hmes filter holder or cap
  • A7504 – Tracheostoma hmes filter
  • A7505 – Hmes or trach valve housing
  • A7506 – Hmes/trachvalve adhesivedisk
  • A7507 – Integrated filter & holder
  • A7508 – Housing & integrated adhesiv
  • A7509 – Heat & moisture exchange sys
  • A7520 – Trach/laryn tube non-cuffed
  • A7521 – Trach/laryn tube cuffed
  • A7522 – Trach/laryn tube stainless
  • A7523 – Tracheostomy shower protect
  • A7524 – Tracheostoma stent/stud/bttn
  • A7525 – Tracheostomy mask
  • A7526 – Tracheostomy tube collar
  • A7527 – Trach/laryn tube plug/stop
  • A8000 – Soft protect helmet prefab
  • A8001 – Hard protect helmet prefab
  • A8002 – Soft protect helmet custom
  • A8003 – Hard protect helmet custom
  • A8004 – Repl soft interface, helmet
  • A9150 – Misc/exper non-prescript dru
  • A9152 – Single vitamin nos
  • A9153 – Multi-vitamin nos
  • A9155 – Artificial saliva
  • A9180 – Lice treatment, topical
  • A9270 – Non-covered item or service
  • A9272 – Disp wound suct, drsg/access
  • A9273 – Hot/cold h2obot/cap/col/wrap
  • A9274 – Ext amb insulin delivery sys
  • A9275 – Disp home glucose monitor
  • A9276 – Disposable sensor, cgm sys
  • A9277 – External transmitter, cgm
  • A9278 – External receiver, cgm sys
  • A9279 – Monitoring feature/devicenoc
  • A9280 – Alert device, noc
  • A9281 – Reaching/grabbing device
  • A9282 – Wig any type
  • A9283 – Foot press off load supp dev
  • A9284 – Non-electronic spirometer
  • A9285 – Inversion eversion cor devic
  • A9286 – Any hygienic item, device
  • A9300 – Exercise equipment
  • A9500 – Tc99m sestamibi
  • A9501 – Technetium tc-99m teboroxime
  • A9502 – Tc99m tetrofosmin
  • A9503 – Tc99m medronate
  • A9504 – Tc99m apcitide
  • A9505 – Tl201 thallium
  • A9507 – In111 capromab
  • A9508 – I131 iodobenguate, dx
  • A9509 – Iodine i-123 sod iodide mil
  • A9510 – Tc99m disofenin
  • A9512 – Tc99m pertechnetate
  • A9515 – Choline c-11
  • A9516 – Iodine i-123 sod iodide mic
  • A9517 – I131 iodide cap, rx
  • A9520 – Tc99 tilmanocept diag 0.5mci
  • A9521 – Tc99m exametazime
  • A9524 – I131 serum albumin, dx
  • A9526 – Nitrogen n-13 ammonia
  • A9527 – Iodine i-125 sodium iodide
  • A9528 – Iodine i-131 iodide cap, dx
  • A9529 – I131 iodide sol, dx
  • A9530 – I131 iodide sol, rx
  • A9531 – I131 max 100uci
  • A9532 – I125 serum albumin, dx
  • A9536 – Tc99m depreotide
  • A9537 – Tc99m mebrofenin
  • A9538 – Tc99m pyrophosphate
  • A9539 – Tc99m pentetate
  • A9540 – Tc99m maa
  • A9541 – Tc99m sulfur colloid
  • A9542 – In111 ibritumomab, dx
  • A9543 – Y90 ibritumomab, rx
  • A9544 – I131 tositumomab, dx
  • A9545 – I131 tositumomab, rx
  • A9546 – Co57/58
  • A9547 – In111 oxyquinoline
  • A9548 – In111 pentetate
  • A9550 – Tc99m gluceptate
  • A9551 – Tc99m succimer
  • A9552 – F18 fdg
  • A9553 – Cr51 chromate
  • A9554 – I125 iothalamate, dx
  • A9555 – Rb82 rubidium
  • A9556 – Ga67 gallium
  • A9557 – Tc99m bicisate
  • A9558 – Xe133 xenon 10mci
  • A9559 – Co57 cyano
  • A9560 – Tc99m labeled rbc
  • A9561 – Tc99m oxidronate
  • A9562 – Tc99m mertiatide
  • A9563 – P32 na phosphate
  • A9564 – P32 chromic phosphate
  • A9566 – Tc99m fanolesomab
  • A9567 – Technetium tc-99m aerosol
  • A9568 – Technetium tc99m arcitumomab
  • A9569 – Technetium tc-99m auto wbc
  • A9570 – Indium in-111 auto wbc
  • A9571 – Indium in-111 auto platelet
  • A9572 – Indium in-111 pentetreotide
  • A9575 – Inj gadoterate meglumi 0.1ml
  • A9576 – Inj prohance multipack
  • A9577 – Inj multihance
  • A9578 – Inj multihance multipack
  • A9579 – Gad-base mr contrast nos,1ml
  • A9580 – Sodium fluoride f-18
  • A9581 – Gadoxetate disodium inj
  • A9582 – Iodine i-123 iobenguane
  • A9583 – Gadofosveset trisodium inj
  • A9584 – Iodine i-123 ioflupane
  • A9585 – Gadobutrol injection
  • A9586 – Florbetapir f18
  • A9587 – Gallium ga-68
  • A9588 – Fluciclovine f-18
  • A9597 – Pet, dx, for tumor id, noc
  • A9598 – Pet dx for non-tumor id, noc
  • A9599 – Radioph dx b amyloid pet nos
  • A9600 – Sr89 strontium
  • A9604 – Sm 153 lexidronam
  • A9606 – Radium ra223 dichloride ther
  • A9698 – Non-rad contrast materialnoc
  • A9699 – Radiopharm rx agent noc
  • A9700 – Echocardiography contrast
  • A9900 – Supply/accessory/service
  • A9901 – Delivery/set up/dispensing
  • A9999 – Dme supply or accessory, nos