HCPCS Codes for Medical care


  • 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
  • A9581

    Injection, gadoxetate disodium, 1 ml
  • C8957

    Intravenous infusion for therapy/diagnosis; initiation of prolonged infusion (more than 8 hours), requiring use of portable or implantable pump
  • C9121

    Injection, argatroban, per 5 mg
  • C9130

    Injection, immune globulin (bivigam), 500 mg
  • C9131

    Injection, ado-trastuzumab emtansine, 1 mg
  • C9132

    Prothrombin complex concentrate (human), kcentra, per i.u. of factor ix activity
  • C9248

    Injection, clevidipine butyrate, 1 mg
  • C9285

    Lidocaine 70 mg/tetracaine 70 mg, per patch
  • C9290

    Injection, bupivacaine liposome, 1 mg
  • C9292

    Injection, pertuzumab, 10 mg
  • C9293

    Injection, glucarpidase, 10 units
  • C9294

    Injection, taliglucerase alfa, 10 units
  • C9295

    Injection, carfilzomib, 1 mg
  • C9296

    Injection, ziv-aflibercept, 1 mg
  • C9297

    Injection, omacetaxine mepesuccinate, 0.01 mg
  • C9298

    Injection, ocriplasmin, 0.125 mg
  • C9399

    Unclassified drugs or biologicals
  • C9460

    Injection, cangrelor, 1 mg
  • C9800

    Dermal injection procedure(s) for facial lipodystrophy syndrome (lds) and provision of radiesse or sculptra dermal filler, including all items and supplies
  • C9898

    Radiolabeled product provided during a hospital inpatient stay
  • C9899

    Implanted prosthetic device, payable only for inpatients who do not have inpatient coverage
  • G0010

    Administration of hepatitis b vaccine
  • G0101

    Cervical or vaginal cancer screening; pelvic and clinical breast examination
  • G0102

    Prostate cancer screening; digital rectal examination
  • G0108

    Diabetes outpatient self-management training services, individual, per 30 minutes
  • G0109

    Diabetes outpatient self-management training services, group session (2 or more), per 30 minutes
  • G0128

    Direct (face-to-face with patient) skilled nursing services of a registered nurse provided in a comprehensive outpatient rehabilitation facility, each 10 minutes beyond the first 5 minutes
  • G0151

    Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes
  • G0152

    Services performed by a qualified occupational therapist in the home health or hospice setting, each 15 minutes
  • G0153

    Services performed by a qualified speech-language pathologist in the home health or hospice setting, each 15 minutes
  • G0154

    Direct skilled nursing services of a licensed nurse (lpn or rn) in the home health or hospice setting, each 15 minutes
  • G0155

    Services of clinical social worker in home health or hospice settings, each 15 minutes
  • G0156

    Services of home health/hospice aide in home health or hospice settings, each 15 minutes
  • G0157

    Services performed by a qualified physical therapist assistant in the home health or hospice setting, each 15 minutes
  • G0158

    Services performed by a qualified occupational therapist assistant in the home health or hospice setting, each 15 minutes
  • G0159

    Services performed by a qualified physical therapist, in the home health setting, in the establishment or delivery of a safe and effective physical therapy maintenance program, each 15 minutes
  • G0160

    Services performed by a qualified occupational therapist, in the home health setting, in the establishment or delivery of a safe and effective occupational therapy maintenance program, each 15 minutes
  • G0161

    Services performed by a qualified speech-language pathologist, in the home health setting, in the establishment or delivery of a safe and effective speech-language pathology maintenance program, each 15 minutes
  • G0162

    Skilled services by a registered nurse (rn) for management and evaluation of the plan of care; each 15 minutes (the patient's underlying condition or complication requires an rn to ensure that essential non-skilled care achieves its purpose in the home health or hospice setting)
  • G0163

    Skilled services of a licensed nurse (lpn or rn) for the observation and assessment of the patient's condition, each 15 minutes (the change in the patient's condition requires skilled nursing personnel to identify and evaluate the patient's need for possible modification of treatment in the home health or hospice setting)
  • G0164

    Skilled services of a licensed nurse (lpn or rn), in the training and/or education of a patient or family member, in the home health or hospice setting, each 15 minutes
  • G0166

    External counterpulsation, per treatment session
  • G0168

    Wound closure utilizing tissue adhesive(s) only
  • G0175

    Scheduled interdisciplinary team conference (minimum of three exclusive of patient care nursing staff) with patient present
  • G0179

    Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial implementation of the plan of care that meets patient's needs, per re-certification period
  • G0180

    Physician certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial implementation of the plan of care that meets patient's needs, per certification period
  • G0181

    Physician supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician development and/or revision of care plans, review of subsequent reports of patient status, review of laboratory and other studies, communication (including telephone calls) with other health care professionals involved in the patient's care, integration of new information into the medical treatment plan and/or adjustment of medical therapy, within a calendar month, 30 minutes or more