HCPCS A Codes List 2023 | HCPCSCodes.org

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A Codes

Transportation Services Including Ambulance, Medical & Surgical Supplies

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a0021
Ambulance service, outside state per mile, transport (medicaid only)
a0080
Non-emergency transportation, per mile - vehicle provided by volunteer (individual or organization), with no vested interest
a0090
Non-emergency transportation, per mile - vehicle provided by individual (family member, self, neighbor) with vested interest
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 transportation systems
a0130
Non-emergency transportation: wheelchair van
a0140
Non-emergency transportation and air travel (private or commercial) intra or inter state
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 way
a0380
Bls mileage (per mile)
a0382
Bls routine disposable supplies
a0384
Bls specialized service disposable supplies; defibrillation (used by als ambulances and bls ambulances in jurisdictions where defibrillation is permitted in bls ambulances)
a0390
Als mileage (per mile)
a0392
Als specialized service disposable supplies; defibrillation (to be used only in jurisdictions where defibrillation cannot be performed in bls ambulances)
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 situation
a0424
Extra ambulance attendant, ground (als or bls) or air (fixed or rotary winged); (requires medical review)
a0425
Ground mileage, per statute mile
a0426
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1)
a0427
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)
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 wing)
a0431
Ambulance service, conventional air services, transport, one way (rotary wing)
a0432
Paramedic intercept (pi), rural area, transport furnished by a volunteer ambulance company which is prohibited by state law from billing third party payers
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 closest appropriate facility)
a0998
Ambulance response and treatment, no transport
a0999
Unlisted ambulance service
a2001
Innovamatrix ac, per square centimeter
a2002
Mirragen advanced wound matrix, per square centimeter
a2004
Xcellistem, per square centimeter
a2005
Microlyte matrix, per square centimeter
a2006
Novosorb synpath dermal matrix, per square centimeter
a2007
Restrata, per square centimeter
a2008
Theragenesis, per square centimeter
a2009
Symphony, per square centimeter
a2010
Apis, per square centimeter
a4206
Syringe with needle, sterile, 1 cc or less, each
a4207
Syringe with needle, sterile 2 cc, each
a4208
Syringe with needle, sterile 3 cc, each
a4209
Syringe with needle, sterile 5 cc 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 non-insulin drug infusion catheter, per week (list drugsseparately)
a4222
Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)
a4223
Infusion supplies not used with external infusion pump, per cassette or bag (list drugs separately)
a4224
Supplies for maintenance of insulin infusion catheter, per week
a4225
Supplies for external insulin infusion pump, syringe type cartridge, sterile, each
a4226
Supplies for maintenance of insulin infusion pump with dosage rate adjustment using therapeutic continuous glucose sensing, per week
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, 3 cc
a4233
Replacement battery, alkaline (other than j cell), for use with medically necessary home blood glucose monitor owned by patient, each
a4234
Replacement battery, alkaline, j cell, for use with medically necessary home blood glucose monitor owned by patient, each
a4235
Replacement battery, lithium, for use with medically necessary home blood glucose monitor owned by patient, each
a4236
Replacement battery, silver oxide, for use with medically necessary home blood glucose monitor owned by patient, each
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 strips
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, each
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 delivery system
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, each
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, or peritoneal, etc.) external access
a4301
Implantable access total catheter, port/reservoir (e.g., venous, arterial, epidural, subarachnoid, peritoneal, etc.)
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, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)
a4312
Insertion tray without drainage bag with indwelling catheter, foley type, two-way, all silicone
a4313
Insertion tray without drainage bag with indwelling catheter, foley type, three-way, for continuous irrigation
a4314
Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)
a4315
Insertion tray with drainage bag with indwelling catheter, foley type, two-way, all silicone
a4316
Insertion tray with drainage bag with indwelling catheter, foley type, three-way, for continuous irrigation
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, for use with urinary leg bag or urostomy pouch, each
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
a4337
Incontinence supply, rectal insert, any type, each
a4338
Indwelling catheter; foley type, two-way latex with coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each
a4340
Indwelling catheter; specialty type, (e.g., 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 (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each
a4352
Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each
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 indwelling foley catheter, each
a4356
External urethral clamp or compression device (not to be used for catheter clamp), each
a4357
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each
a4358
Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each
a4360
Disposable external urethral clamp or compression device, with pad and/or pouch, each
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 4 x 4 or equivalent, standard wear, with built-in convexity, each
a4373
Ostomy skin barrier, with flange (solid, flexible or accordion), with built-in convexity, any size, each
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 4 x 4 or equivalent, extended wear, without built-in convexity, each
a4387
Ostomy pouch, closed, with barrier attached, with built-in convexity (1 piece), each
a4388
Ostomy pouch, drainable, with extended wear barrier attached, (1 piece), each
a4389
Ostomy pouch, drainable, with barrier attached, with built-in convexity (1 piece), each
a4390
Ostomy pouch, drainable, with extended wear barrier attached, with built-in convexity (1 piece), each
a4391
Ostomy pouch, urinary, with extended wear barrier attached (1 piece), each
a4392
Ostomy pouch, urinary, with standard wear barrier attached, with built-in convexity (1 piece), each
a4393
Ostomy pouch, urinary, with extended wear barrier attached, with built-in convexity (1 piece), each
a4394
Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce
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 wear, with built-in convexity, 4 x 4 inches or smaller, each
a4408
Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, with built-in convexity, larger than 4 x 4 inches, each
a4409
Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each
a4410
Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, larger than 4 x 4 inches, each
a4411
Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, with built-in convexity, each
a4412
Ostomy pouch, drainable, high output, for use on a barrier with flange (2 piece system), without filter, each
a4413
Ostomy pouch, drainable, high output, for use on a barrier with flange (2 piece system), with filter, each
a4414
Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each
a4415
Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, larger than 4 x 4 inches, each
a4416
Ostomy pouch, closed, with barrier attached, with filter (1 piece), each
a4417
Ostomy pouch, closed, with barrier attached, with built-in convexity, with filter (1 piece), each
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 filter (2 piece), each
a4420
Ostomy pouch, closed; for use on barrier with locking flange (2 piece), each
a4421
Ostomy supply; miscellaneous
a4422
Ostomy absorbent material (sheet/pad/crystal packet) for use in ostomy pouch to thicken liquid stomal output, each
a4423
Ostomy pouch, closed; for use on barrier with locking flange, with filter (2 piece), each
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 filter (2 piece system), each
a4426
Ostomy pouch, drainable; for use on barrier with locking flange (2 piece system), each
a4427
Ostomy pouch, drainable; for use on barrier with locking flange, with filter (2 piece system), each
a4428
Ostomy pouch, urinary, with extended wear barrier attached, with faucet-type tap with valve (1 piece), each
a4429
Ostomy pouch, urinary, with barrier attached, with built-in convexity, with faucet-type tap with valve (1 piece), each
a4430
Ostomy pouch, urinary, with extended wear barrier attached, with built-in convexity, with faucet-type tap with valve (1 piece), each
a4431
Ostomy pouch, urinary; with barrier attached, with faucet-type tap with valve (1 piece), each
a4432
Ostomy pouch, urinary; for use on barrier with non-locking flange, with faucet-type tap with valve (2 piece), each
a4433
Ostomy pouch, urinary; for use on barrier with locking flange (2 piece), each
a4434
Ostomy pouch, urinary; for use on barrier with locking flange, with faucet-type tap with valve (2 piece), each
a4435
Ostomy pouch, drainable, high output, with extended wear barrier (one-piece system), with or without filter, each
a4436
Irrigation supply; sleeve, reusable, per month
a4437
Irrigation supply; sleeve, disposable, per month
a4450
Tape, non-waterproof, per 18 square inches
a4452
Tape, waterproof, per 18 square inches
a4453
Rectal catheter for use with the manual pump-operated enema system, replacement only
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
a4459
Manual pump-operated enema system, includes balloon, catheter and all accessories, reusable, any type
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 material, any type, each
a4467
Belt, strap, sleeve, garment, or covering, any type
a4470
Gravlee jet washer
a4480
Vabra aspirator
a4481
Tracheostoma filter, any type, any size, each
a4483
Moisture exchanger, disposable, for use with invasive mechanical ventilation
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
a4553
Non-disposable underpads, all sizes
a4554
Disposable underpads, all sizes
a4555
Electrode/transducer for use with electrical stimulation device used for cancer treatment, replacement only
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), per oz
a4559
Coupling gel or paste, for use with ultrasound device, per oz
a4561
Pessary, rubber, any type
a4562
Pessary, non rubber, any type
a4563
Rectal control system for vaginal insertion, for long term use, includes pump and all supplies and accessories, any type each
a4565
Slings
a4566
Shoulder sling or vest design, abduction restrainer, with or without swathe control, prefabricated, includes fitting and adjustment
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, rechargeable, for non-prosthetic use, replacement
a4602
Replacement battery for external infusion pump owned by patient, lithium, 1.5 volt, each
a4604
Tubing with integrated heating element for use with positive airway pressure device
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 inhaler
a4628
Oropharyngeal suction catheter, each
a4629
Tracheostomy care kit for established tracheostomy
a4630
Replacement batteries, medically necessary, transcutaneous electrical stimulator, owned by patient
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 owned by patient
a4641
Radiopharmaceutical, diagnostic, not otherwise classified
a4642
Indium in-111 satumomab pendetide, diagnostic, per study dose, up to 6 millicuries
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, per 8 oz
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 dialysis, per gallon
a4719
"y set" tubing for peritoneal dialysis
a4720
Dialysate solution, any concentration of dextrose, fluid volume greater than 249 cc, but less than or equal to 999 cc, for peritoneal dialysis
a4721
Dialysate solution, any concentration of dextrose, fluid volume greater than 999 cc but less than or equal to 1999 cc, for peritoneal dialysis
a4722
Dialysate solution, any concentration of dextrose, fluid volume greater than 1999 cc but less than or equal to 2999 cc, for peritoneal dialysis
a4723
Dialysate solution, any concentration of dextrose, fluid volume greater than 2999 cc but less than or equal to 3999 cc, for peritoneal dialysis
a4724
Dialysate solution, any concentration of dextrose, fluid volume greater than 3999 cc but less than or equal to 4999 cc, for peritoneal dialysis
a4725
Dialysate solution, any concentration of dextrose, fluid volume greater than 4999 cc but less than or equal to 5999 cc, for peritoneal dialysis
a4726
Dialysate solution, any concentration of dextrose, fluid volume greater than 5999 cc, for peritoneal dialysis
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 ml
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
a5056
Ostomy pouch, drainable, with extended wear barrier attached, with filter, (1 piece), each
a5057
Ostomy pouch, drainable, with extended wear barrier attached, with built in convexity, with filter, (1 piece), each
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), each
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
Stoma plug or seal, any type
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 straps, each
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
For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe
a5501
For diabetics only, fitting (including follow-up), custom preparation and supply of shoe molded from cast(s) of patient's foot (custom molded shoe), per shoe
a5503
For diabetics only, modification (including fitting) of off-the-shelf depth-inlay shoe or custom-molded shoe with roller or rigid rocker bottom, per shoe
a5504
For diabetics only, modification (including fitting) of off-the-shelf depth-inlay shoe or custom-molded shoe with wedge(s), per shoe
a5505
For diabetics only, modification (including fitting) of off-the-shelf depth-inlay shoe or custom-molded shoe with metatarsal bar, per shoe
a5506
For diabetics only, modification (including fitting) of off-the-shelf depth-inlay shoe or custom-molded shoe with off-set heel(s), per shoe
a5507
For diabetics only, not otherwise specified modification (including fitting) of off-the-shelf depth-inlay shoe or custom-molded shoe, per shoe
a5508
For diabetics only, deluxe feature of off-the-shelf depth-inlay shoe or custom-molded shoe, per shoe
a5510
For diabetics only, direct formed, compression molded to patient's foot without external heat source, multiple-density insert(s) prefabricated, per shoe
a5512
For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or 3/16 inch material of shore a 40 durometer (or higher), prefabricated, each
a5513
For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer (or higher), includes arch filler and other shaping material, custom fabricated, each
a5514
For diabetics only, multiple density insert, made by direct carving with cam technology from a rectified cad model created from a digitized scan of the patient, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer (or higher), includes arch filler and other shaping material, custom fabricated, each
a6000
Non-contact wound warming wound cover for use with the non-contact wound warming device and warming card
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, size 16 sq. in. or less, each
a6022
Collagen dressing, sterile, size more than 16 sq. in. but less than or equal to 48 sq. in., each
a6023
Collagen dressing, sterile, 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, other), each
a6154
Wound pouch, each
a6196
Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing
a6197
Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., each dressing
a6198
Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 48 sq. in., each dressing
a6199
Alginate or other fiber gelling dressing, wound filler, sterile, per 6 inches
a6203
Composite dressing, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing
a6204
Composite dressing, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing
a6205
Composite dressing, sterile, pad size more than 48 sq. in., with any size adhesive border, each dressing
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 sq. in., each dressing
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 adhesive border, each dressing
a6210
Foam dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing
a6211
Foam dressing, wound cover, sterile, pad size more than 48 sq. in., without adhesive border, each dressing
a6212
Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing
a6213
Foam dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing
a6214
Foam dressing, wound cover, sterile, pad size more than 48 sq. in., with any size adhesive border, each dressing
a6215
Foam dressing, wound filler, sterile, per gram
a6216
Gauze, non-impregnated, non-sterile, pad size 16 sq. in. or less, without adhesive border, each dressing
a6217
Gauze, non-impregnated, non-sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing
a6218
Gauze, non-impregnated, non-sterile, pad size more than 48 sq. in., without adhesive border, each dressing
a6219
Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing
a6220
Gauze, non-impregnated, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing
a6221
Gauze, non-impregnated, sterile, pad size more than 48 sq. in., with any size adhesive border, each dressing
a6222
Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing
a6223
Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size more than 16 sq. in., but less than or equal to 48 sq. in., without adhesive border, each dressing
a6224
Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size more than 48 sq. in., without adhesive border, each dressing
a6228
Gauze, impregnated, water or normal saline, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing
a6229
Gauze, impregnated, water or normal saline, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing
a6230
Gauze, impregnated, water or normal saline, sterile, pad size more than 48 sq. in., without adhesive border, each dressing
a6231
Gauze, impregnated, hydrogel, for direct wound contact, sterile, pad size 16 sq. in. or less, each dressing
a6232
Gauze, impregnated, hydrogel, for direct wound contact, sterile, pad size greater than 16 sq. in., but less than or equal to 48 sq. in., each dressing
a6233
Gauze, impregnated, hydrogel, for direct wound contact, sterile, pad size more than 48 sq. in., each dressing
a6234
Hydrocolloid dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing
a6235
Hydrocolloid dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing
a6236
Hydrocolloid dressing, wound cover, sterile, pad size more than 48 sq. in., without adhesive border, each dressing
a6237
Hydrocolloid dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing
a6238
Hydrocolloid dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing
a6239
Hydrocolloid dressing, wound cover, sterile, pad size more than 48 sq. in., with any size adhesive border, each dressing
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, without adhesive border, each dressing
a6243
Hydrogel dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing
a6244
Hydrogel dressing, wound cover, sterile, pad size more than 48 sq. in., without adhesive border, each dressing
a6245
Hydrogel dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing
a6246
Hydrogel dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing
a6247
Hydrogel dressing, wound cover, sterile, pad size more than 48 sq. in., with any size adhesive border, each dressing
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 less, without adhesive border, each dressing
a6252
Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing
a6253
Specialty absorptive dressing, wound cover, sterile, pad size more than 48 sq. in., without adhesive border, each dressing
a6254
Specialty absorptive dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing
a6255
Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing
a6256
Specialty absorptive dressing, wound cover, sterile, pad size more than 48 sq. in., with any size adhesive border, each dressing
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 48 sq. in., each dressing
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, any width, per linear yard
a6402
Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing
a6403
Gauze, non-impregnated, sterile, pad size more than 16 sq. in. less than or equal to 48 sq. in., without adhesive border, each dressing
a6404
Gauze, non-impregnated, sterile, pad size more than 48 sq. in., without adhesive border, each dressing
a6407
Packing strips, non-impregnated, sterile, up to 2 inches in width, per linear yard
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 equal to three inches and less than five inches, per yard
a6442
Conforming bandage, non-elastic, knitted/woven, non-sterile, width less than three inches, per yard
a6443
Conforming bandage, non-elastic, knitted/woven, non-sterile, width greater than or equal to three inches and less than five inches, per yard
a6444
Conforming bandage, non-elastic, knitted/woven, non-sterile, width greater than or equal to 5 inches, per yard
a6445
Conforming bandage, non-elastic, knitted/woven, sterile, width less than three inches, per yard
a6446
Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard
a6447
Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to five inches, per yard
a6448
Light compression bandage, elastic, knitted/woven, width less than three inches, per yard
a6449
Light compression bandage, elastic, knitted/woven, width greater than or equal to three inches and less than five inches, per yard
a6450
Light compression bandage, elastic, knitted/woven, width greater than or equal to five inches, per yard
a6451
Moderate compression bandage, elastic, knitted/woven, load resistance of 1.25 to 1.34 foot pounds at 50% maximum stretch, width greater than or equal to three inches and less than five inches, per yard
a6452
High compression bandage, elastic, knitted/woven, load resistance greater than or equal to 1.35 foot pounds at 50% maximum stretch, width greater than or equal to three inches and less than five inches, per yard
a6453
Self-adherent bandage, elastic, non-knitted/non-woven, width less than three inches, per yard
a6454
Self-adherent bandage, elastic, non-knitted/non-woven, width greater than or equal to three inches and less than five inches, per yard
a6455
Self-adherent bandage, elastic, non-knitted/non-woven, width greater than or equal to five inches, per yard
a6456
Zinc paste impregnated bandage, non-elastic, knitted/woven, width greater than or equal to three inches and less than five inches, per yard
a6457
Tubular dressing with or without elastic, any width, per linear yard
a6460
Synthetic resorbable wound dressing, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing
a6461
Synthetic resorbable wound dressing, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing
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), custom fabricated
a6510
Compression burn garment, trunk, including arms down to leg openings (leotard), custom fabricated
a6511
Compression burn garment, lower trunk including leg openings (panty), custom fabricated
a6512
Compression burn garment, not otherwise classified
a6513
Compression burn mask, face and/or neck, plastic or equal, custom fabricated
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, includes all supplies and accessories
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, disposable
a7004
Small volume nonfiltered pneumatic nebulizer, disposable
a7005
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable
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 nebulizer
a7010
Corrugated tubing, disposable, used with large volume nebulizer, 100 feet
a7011
Corrugated tubing, non-disposable, used with large volume nebulizer, 10 feet
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 with oxygen
a7018
Water, distilled, used with large volume nebulizer, 1000 ml
a7020
Interface for cough stimulating device, includes all components, replacement only
a7025
High frequency chest wall oscillation system vest, replacement for use with patient owned equipment, each
a7026
High frequency chest wall oscillation system hose, replacement for use with patient owned equipment, each
a7027
Combination oral/nasal mask, used with continuous positive airway pressure device, each
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 device, with or without head strap
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 airway devices, replacement only
a7046
Water chamber for humidifier, used with positive airway pressure device, replacement, each
a7047
Oral interface used with respiratory suction pump, each
a7048
Vacuum drainage collection unit and tubing kit, including all supplies needed for collection unit change, for use with implanted catheter, each
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 moisture exchange system, each
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 system and/or with a tracheostoma valve, each
a7506
Adhesive disc for use in a heat and moisture exchange system and/or with tracheostoma valve, any type each
a7507
Filter holder and integrated filter without adhesive, for use in a tracheostoma heat and moisture exchange system, each
a7508
Housing and integrated adhesive, for use in a tracheostoma heat and moisture exchange system and/or with a tracheostoma valve, each
a7509
Filter holder and integrated filter housing, and adhesive, for use as a tracheostoma heat and moisture exchange system, each
a7520
Tracheostomy/laryngectomy tube, non-cuffed, polyvinylchloride (pvc), silicone or equal, each
a7521
Tracheostomy/laryngectomy tube, cuffed, polyvinylchloride (pvc), silicone or equal, each
a7522
Tracheostomy/laryngectomy tube, stainless steel or equal (sterilizable and reusable), each
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 accessories
a8001
Helmet, protective, hard, prefabricated, includes all components and accessories
a8002
Helmet, protective, soft, custom fabricated, includes all components and accessories
a8003
Helmet, protective, hard, custom fabricated, includes all components and accessories
a8004
Soft interface for helmet, replacement only
a9150
Non-prescription drugs
a9152
Single vitamin/mineral/trace element, oral, per dose, not otherwise specified
a9153
Multiple vitamins, with or without minerals and trace elements, oral, per dose, not otherwise specified
a9155
Artificial saliva, 30 ml
a9180
Pediculosis (lice infestation) treatment, topical, for administration by patient/caretaker
a9270
Non-covered item or service
a9272
Wound suction, disposable, includes dressing, all accessories and components, any type, each
a9273
Cold or hot fluid bottle, ice cap or collar, heat and/or cold wrap, any type
a9274
External ambulatory insulin delivery system, disposable, each, includes all supplies and accessories
a9275
Home glucose disposable monitor, includes test strips
a9276
Sensor; invasive (e.g., subcutaneous), disposable, for use with interstitial continuous glucose monitoring system, one unit = 1 day supply
a9277
Transmitter; external, for use with interstitial continuous glucose monitoring system
a9278
Receiver (monitor); external, for use with interstitial continuous glucose monitoring system
a9279
Monitoring feature/device, stand-alone or integrated, any type, includes all accessories, components and electronics, not otherwise classified
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
a9285
Inversion/eversion correction device
a9286
Hygienic item or device, disposable or non-disposable, any type, each
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 millicuries
a9504
Technetium tc-99m apcitide, diagnostic, per study dose, up to 20 millicuries
a9505
Thallium tl-201 thallous chloride, diagnostic, per millicurie
a9507
Indium in-111 capromab pendetide, diagnostic, per study dose, up to 10 millicuries
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 millicuries
a9512
Technetium tc-99m pertechnetate, diagnostic, per millicurie
a9513
Lutetium lu 177, dotatate, therapeutic, 1 millicurie
a9515
Choline c-11, diagnostic, per study dose up to 20 millicuries
a9516
Iodine i-123 sodium iodide, diagnostic, per 100 microcuries, up to 999 microcuries
a9517
Iodine i-131 sodium iodide capsule(s), therapeutic, per millicurie
a9520
Technetium tc-99m tilmanocept, diagnostic, up to 0.5 millicuries
a9521
Technetium tc-99m exametazime, diagnostic, per study dose, up to 25 millicuries
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 microcuries)
a9532
Iodine i-125 serum albumin, diagnostic, per 5 microcuries
a9536
Technetium tc-99m depreotide, diagnostic, per study dose, up to 35 millicuries
a9537
Technetium tc-99m mebrofenin, diagnostic, per study dose, up to 15 millicuries
a9538
Technetium tc-99m pyrophosphate, diagnostic, per study dose, up to 25 millicuries
a9539
Technetium tc-99m pentetate, diagnostic, per study dose, up to 25 millicuries
a9540
Technetium tc-99m macroaggregated albumin, diagnostic, per study dose, up to 10 millicuries
a9541
Technetium tc-99m sulfur colloid, diagnostic, per study dose, up to 20 millicuries
a9542
Indium in-111 ibritumomab tiuxetan, diagnostic, per study dose, up to 5 millicuries
a9543
Yttrium y-90 ibritumomab tiuxetan, therapeutic, per treatment dose, up to 40 millicuries
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 microcurie
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 millicurie
a9551
Technetium tc-99m succimer, diagnostic, per study dose, up to 10 millicuries
a9552
Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries
a9553
Chromium cr-51 sodium chromate, diagnostic, per study dose, up to 250 microcuries
a9554
Iodine i-125 sodium iothalamate, diagnostic, per study dose, up to 10 microcuries
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 millicuries
a9558
Xenon xe-133 gas, diagnostic, per 10 millicuries
a9559
Cobalt co-57 cyanocobalamin, oral, diagnostic, per study dose, up to 1 microcurie
a9560
Technetium tc-99m labeled red blood cells, diagnostic, per study dose, up to 30 millicuries
a9561
Technetium tc-99m oxidronate, diagnostic, per study dose, up to 30 millicuries
a9562
Technetium tc-99m mertiatide, diagnostic, per study dose, up to 15 millicuries
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 millicuries
a9567
Technetium tc-99m pentetate, diagnostic, aerosol, per study dose, up to 75 millicuries
a9568
Technetium tc-99m arcitumomab, diagnostic, per study dose, up to 45 millicuries
a9569
Technetium tc-99m exametazime labeled autologous white blood cells, diagnostic, per study dose
a9570
Indium in-111 labeled autologous white blood cells, diagnostic, per study dose
a9571
Indium in-111 labeled autologous platelets, diagnostic, per study dose
a9572
Indium in-111 pentetreotide, diagnostic, per study dose, up to 6 millicuries
a9575
Injection, gadoterate meglumine, 0.1 ml
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 otherwise specified (nos), per ml
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
a9584
Iodine 1-123 ioflupane, diagnostic, per study dose, up to 5 millicuries
a9585
Injection, gadobutrol, 0.1 ml
a9586
Florbetapir f18, diagnostic, per study dose, up to 10 millicuries
a9587
Gallium ga-68, dotatate, diagnostic, 0.1 millicurie
a9588
Fluciclovine f-18, diagnostic, 1 millicurie
a9589
Instillation, hexaminolevulinate hydrochloride, 100 mg
a9590
Iodine i-131, iobenguane, 1 millicurie
a9591
Fluoroestradiol f 18, diagnostic, 1 millicurie
a9592
Copper cu-64, dotatate, diagnostic, 1 millicurie
a9593
Gallium ga-68 psma-11, diagnostic, (ucsf), 1 millicurie
a9594
Gallium ga-68 psma-11, diagnostic, (ucla), 1 millicurie
a9595
Piflufolastat f-18, diagnostic, 1 millicurie
a9597
Positron emission tomography radiopharmaceutical, diagnostic, for tumor identification, not otherwise classified
a9598
Positron emission tomography radiopharmaceutical, diagnostic, for non-tumor identification, not otherwise classified
a9599
Radiopharmaceutical, diagnostic, for beta-amyloid positron emission tomography (pet) imaging, per study dose, not otherwise specified
a9600
Strontium sr-89 chloride, therapeutic, per millicurie
a9604
Samarium sm-153 lexidronam, therapeutic, per treatment dose, up to 150 millicuries
a9606
Radium ra-223 dichloride, therapeutic, per microcurie
a9698
Non-radioactive contrast imaging material, not otherwise classified, per study
a9699
Radiopharmaceutical, therapeutic, not otherwise classified
a9700
Supply of injectable contrast material for use in echocardiography, per study
a9900
Miscellaneous dme supply, accessory, and/or service component of another hcpcs code
a9901
Dme delivery, set up, and/or dispensing service component of another hcpcs code
a9999
Miscellaneous dme supply or accessory, not otherwise specified

A Codes

Select an A Code to see the full description

a0021

a0080

a0090

a0100

a0110

a0120

a0130

a0140

a0160

a0170

a0180

a0190

a0200

a0210

a0225

a0380

a0382

a0384

a0390

a0392

a0394

a0396

a0398

a0420

a0422

a0424

a0425

a0426

a0427

a0428

a0429

a0430

a0431

a0432

a0433

a0434

a0435

a0436

a0888

a0998

a0999

a2001

a2002

a2004

a2005

a2006

a2007

a2008

a2009

a2010

a4206

a4207

a4208

a4209

a4210

a4211

a4212

a4213

a4215

a4216

a4217

a4218

a4220

a4221

a4222

a4223

a4224

a4225

a4226

a4230

a4231

a4232

a4233

a4234

a4235

a4236

a4244

a4245