HCPCS Service Codes - Medical care

HCPCS Service Code 1 for Medical care.

HCPCS Type of Service (TOS) code is an indicator that the contractor places on Form CMS-1500. The indicator is mainly used for data purposes, however in some instances, it affects payment. All HCPCS codes have a corresponding TOS indicator.

Below are all available HCPCS TOS codes. Find an HCPCS code based on the type of service.

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

  • 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

  • C9293

    Injection, glucarpidase, 10 units

  • C9399

    Unclassified drugs or biologicals

  • C9460

    Injection, cangrelor, 1 mg

  • C9738

    Adjunctive blue light cystoscopy with fluorescent imaging agent (list separately in addition to code for primary procedure)

  • C9757

    Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and excision of herniated intervertebral disc, and repair of annular defect with implantation of bone anchored annular closure device, including annular defect measurement, alignment and sizing assessment, and image guidance; 1 interspace, lumbar

  • 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

  • G0068

    Professional services for the administration of anti-infective, pain management, chelation, pulmonary hypertension, inotropic, or other intravenous infusion drug or biological (excluding chemotherapy or other highly complex drug or biological) for each infusion drug administration calendar day in the individual's home, each 15 minutes

  • G0069

    Professional services for the administration of subcutaneous immunotherapy or other subcutaneous infusion drug or biological for each infusion drug administration calendar day in the individual's home, each 15 minutes

  • G0070

    Professional services for the administration of intravenous chemotherapy or other intravenous highly complex drug or biological infusion for each infusion drug administration calendar day in the individual's home, each 15 minutes

  • G0071

    Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (fqhc) practitioner and rhc or fqhc patient, or 5 minutes or more of remote evaluation of recorded video and/or images by an rhc or fqhc practitioner, occurring in lieu of an office visit; rhc or fqhc only

  • G0076

    Brief (20 minutes) care management home visit for a new patient. for use only in a medicare-approved cmmi model. (services must be furnished within a beneficiary's home, domiciliary, rest home, assisted living and/or nursing facility)

  • G0077

    Limited (30 minutes) care management home visit for a new patient. for use only in a medicare-approved cmmi model. (services must be furnished within a beneficiary's home, domiciliary, rest home, assisted living and/or nursing facility)

  • G0078

    Moderate (45 minutes) care management home visit for a new patient. for use only in a medicare-approved cmmi model. (services must be furnished within a beneficiary's home, domiciliary, rest home, assisted living and/or nursing facility)

  • G0079

    Comprehensive (60 minutes) care management home visit for a new patient. for use only in a medicare-approved cmmi model. (services must be furnished within a beneficiary's home, domiciliary, rest home, assisted living and/or nursing facility)

  • G0080

    Extensive (75 minutes) care management home visit for a new patient. for use only in a medicare-approved cmmi model. (services must be furnished within a beneficiary's home, domiciliary, rest home, assisted living and/or nursing facility)

  • G0081

    Brief (20 minutes) care management home visit for an existing patient. for use only in a medicare-approved cmmi model. (services must be furnished within a beneficiary's home, domiciliary, rest home, assisted living and/or nursing facility)

  • G0082

    Limited (30 minutes) care management home visit for an existing patient. for use only in a medicare-approved cmmi model. (services must be furnished within a beneficiary's home, domiciliary, rest home, assisted living and/or nursing facility)

  • G0083

    Moderate (45 minutes) care management home visit for an existing patient. for use only in a medicare-approved cmmi model. (services must be furnished within a beneficiary's home, domiciliary, rest home, assisted living and/or nursing facility)

  • G0084

    Comprehensive (60 minutes) care management home visit for an existing patient. for use only in a medicare-approved cmmi model. (services must be furnished within a beneficiary's home, domiciliary, rest home, assisted living and/or nursing facility)

  • G0085

    Extensive (75 minutes) care management home visit for an existing patient. for use only in a medicare-approved cmmi model. (services must be furnished within a beneficiary's home, domiciliary, rest home, assisted living and/or nursing facility)

  • G0086

    Limited (30 minutes) care management home care plan oversight. for use only in a medicare-approved cmmi model. (services must be furnished within a beneficiary's home, domiciliary, rest home, assisted living and/or nursing facility)

  • G0087

    Comprehensive (60 minutes) care management home care plan oversight. for use only in a medicare-approved cmmi model. (services must be furnished within a beneficiary's home, domiciliary, rest home, assisted living and/or nursing facility)

  • G0088

    Professional services, initial visit, for the administration of anti-infective, pain management, chelation, pulmonary hypertension, inotropic, or other intravenous infusion drug or biological (excluding chemotherapy or other highly complex drug or biological) for each infusion drug administration calendar day in the individual's home, each 15 minutes

  • G0089

    Professional services, initial visit, for the administration of subcutaneous immunotherapy or other subcutaneous infusion drug or biological for each infusion drug administration calendar day in the individual's home, each 15 minutes

  • G0090

    Professional services, initial visit, for the administration of intravenous chemotherapy or other highly complex infusion drug or biological for each infusion drug administration calendar day in the individual's home, each 15 minutes

  • 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