HCPCS A-Codes
Transportation Services Including Ambulance, Medical & Surgical Supplies

This section covers a wide variety of medical and surgical supplies, as well as some DME-related supplies and accessories. Medicare generally covers DME-related supplies, accessories, maintenance, and repair under the prosthetic devices provision.


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  • 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
  • A8005

    Powered, cable driven grip assist glove, hand, finger, includes microprocessor, pressure sensors, all components and accessories, custom fitted
  • A8006

    Powered, cable driven grip assist glove, hand, finger, includes pressure sensors, glove 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
  • A9154

    Artificial saliva, 1 ml
  • A9155

    Artificial saliva, 30 ml
  • A9156

    Oral mucoadhesive, any type (liquid, gel, paste, etc.), per 1 ml
  • A9180

    Pediculosis (lice infestation) treatment, topical, for administration by patient/caretaker
  • A9268

    Programmer for transient, orally ingested capsule
  • A9269

    Programable, transient, orally ingested capsule, for use with external programmer, per month
  • 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 non-durable medical equipment interstitial continuous glucose monitoring system, one unit = 1 day supply
  • A9277

    Transmitter; external, for use with non-durable medical equipment interstitial continuous glucose monitoring system
  • A9278

    Receiver (monitor); external, for use with non-durable medical equipment 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
  • A9291

    Prescription digital cognitive and/or behavioral therapy, fda cleared, per course of treatment
  • A9292

    Prescription digital visual therapy, software-only, fda cleared, per course of treatment
  • A9293

    Fertility cycle (contraception & conception) tracking software application, fda cleared, per month, includes accessories (e.g., thermometer)

HCPCS Level II codes and descriptors are approved and maintained jointly by the alpha-numeric editorial panel (consisting of CMS, the Health Insurance Association of America, and the Blue Cross and Blue Shield Association). — Updated 6/4/2026

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