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)

  • 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, and/or inotropic infusion drug(s) for each infusion drug administration calendar day in the individual's home, each 15 minutes

  • G0069

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

  • G0070

    Professional services for the administration of chemotherapy 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)

  • 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