HCPCS Codes for Lump sum purchase of DME, prosthetics, orthotics


  • A4564

    Pessary, disposable, any type
  • A4565

    Slings
  • A4570

    Splint
  • A4595

    Electrical stimulator supplies, 2 lead, per month, (e.g., tens, nmes)
  • A4596

    Cranial electrotherapy stimulation (ces) system supplies and accessories, per month
  • 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
  • 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
  • A4615

    Cannula, nasal
  • A4616

    Tubing (oxygen), per foot
  • A4617

    Mouth piece
  • 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
  • A4629

    Tracheostomy care kit for established tracheostomy
  • A4638

    Replacement battery for patient-owned ear pulse generator, 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