2021 HCPCS NOC Codes

When billing a service or procedure, select the HCPCS code that accurately identifies the service or procedure performed. If no such code exists, report the service or procedure using the appropriated unlisted procedure code or (Not Otherwise Classified) NOC code.

2021 NOC Codes 2020 NOC Codes 2019 NOC Codes 2018 NOC Codes

  • A Codes (View all HCPCS A Codes)

  • A0999

    Unlisted ambulance service

  • A4335

    Incontinence supply; miscellaneous

  • A4421

    Ostomy supply; miscellaneous

  • A4641

    Radiopharmaceutical, diagnostic, not otherwise classified

  • A4649

    Surgical supply; miscellaneous

  • A4913

    Miscellaneous dialysis supplies, not otherwise specified

  • A5507

    For diabetics only, not otherwise specified modification (including fitting) of off-the-shelf depth-inlay shoe or custom-molded shoe, per shoe

  • A6261

    Wound filler, gel/paste, per fluid ounce, not otherwise specified

  • A6262

    Wound filler, dry form, per gram, not otherwise specified

  • A6512

    Compression burn garment, not otherwise classified

  • A6549

    Gradient compression stocking/sleeve, not otherwise specified

  • 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

  • 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

  • A9579

    Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml

  • 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

  • A9698

    Non-radioactive contrast imaging material, not otherwise classified, per study

  • A9699

    Radiopharmaceutical, therapeutic, not otherwise classified

  • A9900

    Miscellaneous dme supply, accessory, and/or service component of another hcpcs code

  • A9999

    Miscellaneous dme supply or accessory, not otherwise specified

  • B Codes (View all HCPCS B Codes)

  • B4185

    Parenteral nutrition solution, not otherwise specified, 10 grams lipids

  • B9998

    Noc for enteral supplies

  • B9999

    Noc for parenteral supplies

  • C Codes (View all HCPCS C Codes)

  • C1889

    Implantable/insertable device, not otherwise classified

  • C2698

    Brachytherapy source, stranded, not otherwise specified, per source

  • C2699

    Brachytherapy source, non-stranded, not otherwise specified, per source

  • C9399

    Unclassified drugs or biologicals

  • E Codes (View all HCPCS E Codes)

  • E0446

    Topical oxygen delivery system, not otherwise specified, includes all supplies and accessories

  • E0625

    Patient lift, bathroom or toilet, not otherwise classified

  • E0676

    Intermittent limb compression device (includes all accessories), not otherwise specified

  • E0769

    Electrical stimulation or electromagnetic wound treatment device, not otherwise classified

  • E0770

    Functional electrical stimulator, transcutaneous stimulation of nerve and/or muscle groups, any type, complete system, not otherwise specified

  • E1229

    Wheelchair, pediatric size, not otherwise specified

  • E1239

    Power wheelchair, pediatric size, not otherwise specified

  • E1399

    Durable medical equipment, miscellaneous

  • E1699

    Dialysis equipment, not otherwise specified

  • E2599

    Accessory for speech generating device, not otherwise classified

  • G Codes (View all HCPCS G Codes)

  • G0235

    Pet imaging, any site, not otherwise specified

  • G1011

    Clinical decision support mechanism, qualified tool not otherwise specified, as defined by the medicare appropriate use criteria program

  • G2075

    Medication assisted treatment, medication not otherwise specified; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed (provision of the services by a medicare-enrolled opioid treatment program)

  • G6021

    Unlisted procedure, intestine

  • G6043

    Barbiturates, not elsewhere specified

  • G9012

    Other specified case management service not elsewhere classified

  • G9055

    Oncology; primary focus of visit; other, unspecified service not otherwise listed (for use in a medicare-approved demonstration project)

  • G9418

    Primary non-small cell lung cancer biopsy and cytology specimen report documents classification into specific histologic type or classified as nsclc-nos with an explanation

  • G9424

    Specimen site other than anatomic location of lung, or classified as nsclc-nos

  • G9743

    Psychiatric symptoms not assessed, reason not otherwise specified

  • H Codes (View all HCPCS H Codes)

  • H0046

    Mental health services, not otherwise specified

  • H0047

    Alcohol and/or other drug abuse services, not otherwise specified

  • J Codes (View all HCPCS J Codes)

  • J0220

    Injection, alglucosidase alfa, 10 mg, not otherwise specified

  • J0256

    Injection, alpha 1 proteinase inhibitor (human), not otherwise specified, 10 mg

  • J0641

    Injection, levoleucovorin, not otherwise specified, 0.5 mg

  • J0833

    Injection, cosyntropin, not otherwise specified, 0.25 mg

  • J1566

    Injection, immune globulin, intravenous, lyophilized (e.g., powder), not otherwise specified, 500 mg

  • J1599

    Injection, immune globulin, intravenous, non-lyophilized (e.g., liquid), not otherwise specified, 500 mg

  • J1729

    Injection, hydroxyprogesterone caproate, not otherwise specified, 10 mg

  • J3301

    Injection, triamcinolone acetonide, not otherwise specified, 10 mg

  • J3490

    Unclassified drugs

  • J3590

    Unclassified biologics

  • J3591

    Unclassified drug or biological used for esrd on dialysis

  • J7178

    Injection, human fibrinogen concentrate, not otherwise specified, 1 mg

  • J7192

    Factor viii (antihemophilic factor, recombinant) per i.u., not otherwise specified

  • J7195

    Injection, factor ix (antihemophilic factor, recombinant) per iu, not otherwise specified

  • J7199

    Hemophilia clotting factor, not otherwise classified

  • J7599

    Immunosuppressive drug, not otherwise classified

  • J7699

    Noc drugs, inhalation solution administered through dme

  • J7799

    Noc drugs, other than inhalation drugs, administered through dme

  • J7999

    Compounded drug, not otherwise classified

  • J8498

    Antiemetic drug, rectal/suppository, not otherwise specified

  • J8499

    Prescription drug, oral, non chemotherapeutic, nos

  • J8597

    Antiemetic drug, oral, not otherwise specified

  • J8999

    Prescription drug, oral, chemotherapeutic, nos

  • J9020

    Injection, asparaginase, not otherwise specified, 10,000 units

  • J9044

    Injection, bortezomib, not otherwise specified, 0.1 mg

  • J9201

    Injection, gemcitabine hydrochloride, not otherwise specified, 200 mg

  • J9245

    Injection, melphalan hydrochloride, not otherwise specified, 50 mg

  • J9305

    Injection, pemetrexed, not otherwise specified, 10 mg

  • J9999

    Not otherwise classified, antineoplastic drugs

  • K Codes (View all HCPCS K Codes)

  • K0108

    Wheelchair component or accessory, not otherwise specified

  • K0812

    Power operated vehicle, not otherwise classified

  • K0898

    Power wheelchair, not otherwise classified

  • L Codes (View all HCPCS L Codes)

  • L0999

    Addition to spinal orthosis, not otherwise specified

  • L1499

    Spinal orthosis, not otherwise specified

  • L2999

    Lower extremity orthoses, not otherwise specified

  • L3649

    Orthopedic shoe, modification, addition or transfer, not otherwise specified

  • L3999

    Upper limb orthosis, not otherwise specified

  • L5999

    Lower extremity prosthesis, not otherwise specified

  • L7499

    Upper extremity prosthesis, not otherwise specified

  • L8039

    Breast prosthesis, not otherwise specified

  • L8499

    Unlisted procedure for miscellaneous prosthetic services

  • L8608

    Miscellaneous external component, supply or accessory for use with the argus ii retinal prosthesis system

  • L8698

    Miscellaneous component, supply or accessory for use with total artificial heart system

  • L8699

    Prosthetic implant, not otherwise specified

  • P Codes (View all HCPCS P Codes)

  • P9099

    Blood component or product not otherwise classified

  • Q Codes (View all HCPCS Q Codes)

  • Q0161

    Chlorpromazine hydrochloride, 5 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen

  • Q0162

    Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen

  • Q0163

    Diphenhydramine hydrochloride, 50 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at time of chemotherapy treatment not to exceed a 48 hour dosage regimen

  • Q0164

    Prochlorperazine maleate, 5 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen

  • Q0166

    Granisetron hydrochloride, 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 24 hour dosage regimen

  • Q0167

    Dronabinol, 2.5 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen

  • Q0169

    Promethazine hydrochloride, 12.5 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen

  • Q0173

    Trimethobenzamide hydrochloride, 250 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen

  • Q0174

    Thiethylperazine maleate, 10 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen

  • Q0175

    Perphenazine, 4 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen

  • Q0177

    Hydroxyzine pamoate, 25 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen

  • Q0180

    Dolasetron mesylate, 100 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 24 hour dosage regimen

  • Q0181

    Unspecified oral dosage form, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for a iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen

  • Q0507

    Miscellaneous supply or accessory for use with an external ventricular assist device

  • Q0508

    Miscellaneous supply or accessory for use with an implanted ventricular assist device

  • Q0509

    Miscellaneous supply or accessory for use with any implanted ventricular assist device for which payment was not made under medicare part a

  • Q0510

    Pharmacy supply fee for initial immunosuppressive drug(s), first month following transplant

  • Q0511

    Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period

  • Q0512

    Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period

  • Q1004

    New technology intraocular lens category 4 as defined in federal register notice

  • Q1005

    New technology intraocular lens category 5 as defined in federal register notice

  • Q2039

    Influenza virus vaccine, not otherwise specified

  • Q2050

    Injection, doxorubicin hydrochloride, liposomal, not otherwise specified, 10 mg

  • Q4050

    Cast supplies, for unlisted types and materials of casts

  • Q4051

    Splint supplies, miscellaneous (includes thermoplastics, strapping, fasteners, padding and other supplies)

  • Q4082

    Drug or biological, not otherwise classified, part b drug competitive acquisition program (cap)

  • Q4100

    Skin substitute, not otherwise specified

  • Q5009

    Hospice or home health care provided in place not otherwise specified (nos)

  • Q9977

    Compounded drug, not otherwise classified

  • Q9985

    Injection, hydroxyprogesterone caproate, not otherwise specified, 10 mg

  • S Codes (View all HCPCS S Codes)

  • S2409

    Repair, congenital malformation of fetus, procedure performed in utero, not otherwise classified

  • S4015

    Complete in vitro fertilization cycle, not otherwise specified, case rate

  • S5130

    Homemaker service, nos; per 15 minutes

  • S5131

    Homemaker service, nos; per diem

  • S5150

    Unskilled respite care, not hospice; per 15 minutes

  • S5151

    Unskilled respite care, not hospice; per diem

  • S5181

    Home health respiratory therapy, nos, per diem

  • S5199

    Personal care item, nos, each

  • S5497

    Home infusion therapy, catheter care / maintenance, not otherwise classified; includes administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem

  • S8189

    Tracheostomy supply, not otherwise classified

  • S8301

    Infection control supplies, not otherwise specified

  • S9379

    Home infusion therapy, infusion therapy, not otherwise classified; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem

  • S9445

    Patient education, not otherwise classified, non-physician provider, individual, per session

  • S9446

    Patient education, not otherwise classified, non-physician provider, group, per session

  • S9542

    Home injectable therapy, not otherwise classified, including administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem

  • S9810

    Home therapy; professional pharmacy services for provision of infusion, specialty drug administration, and/or disease state management, not otherwise classified, per hour (do not use this code with any per diem code)

  • S9976

    Lodging, per diem, not otherwise classified

  • S9977

    Meals, per diem, not otherwise specified

  • S9986

    Not medically necessary service (patient is aware that service not medically necessary)

  • T Codes (View all HCPCS T Codes)

  • T1505

    Electronic medication compliance management device, includes all components and accessories, not otherwise classified

  • T1999

    Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks"

  • T2025

    Waiver services; not otherwise specified (nos)

  • T2028

    Specialized supply, not otherwise specified, waiver

  • T2029

    Specialized medical equipment, not otherwise specified, waiver

  • T2032

    Residential care, not otherwise specified (nos), waiver; per month

  • T2033

    Residential care, not otherwise specified (nos), waiver; per diem

  • T5999

    Supply, not otherwise specified

  • V Codes (View all HCPCS V Codes)

  • V2199

    Not otherwise classified, single vision lens

  • V2799

    Vision item or service, miscellaneous

  • V5090

    Dispensing fee, unspecified hearing aid

  • V5267

    Hearing aid or assistive listening device/supplies/accessories, not otherwise specified

  • V5274

    Assistive listening device, not otherwise specified

  • V5287

    Assistive listening device, personal fm/dm receiver, not otherwise specified

  • V5298

    Hearing aid, not otherwise classified

  • V5299

    Hearing service, miscellaneous