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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• 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

• A4560

  Neuromuscular electrical stimulator (nmes), disposable, replacement only

• A4561

  Pessary, reusable, rubber, any type

• A4562

  Pessary, reusable, 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

• A4564

  Pessary, disposable, any type

• 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)

• A4593

  Neuromodulation stimulator system, adjunct to rehabilitation therapy regime, controller

• A4594

  Neuromodulation stimulator system, adjunct to rehabilitation therapy regime, mouthpiece each

• 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

• 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

  Oral and/or 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

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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 6/3/2026

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