HCPCS Service Codes - Other medical items or services

HCPCS Codes for Other medical items or services

• A4649

  Surgical supply; miscellaneous

• A4650

  Implantable radiation dosimeter, each

• A4932

  Rectal thermometer, reusable, any type, each

• A6025

  Gel sheet for dermal or epidermal application, (e.g., silicone, hydrogel, other), each

• A7023

  Mechanical allergen particle barrier/inhalation filter, cream, nasal, topical

• A7049

  Expiratory positive airway pressure intranasal resistance valve

• 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

• 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

• 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

• A9282

  Wig, any type, each

• 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)

• A9300

  Exercise equipment

• A9506

  Graphite crucible for preparation of technetium tc 99m-labeled carbon aerosol, one crucible

• A9700

  Supply of injectable contrast material for use in echocardiography, per study

• A9900

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

• A9901

  Dme delivery, set up, and/or dispensing service component of another hcpcs code

• A9999

  Miscellaneous dme supply or accessory, not otherwise specified

• C1052

  Hemostatic agent, gastrointestinal, topical

• C1062

  Intravertebral body fracture augmentation with implant (e.g., metal, polymer)

• C1300

  Hyperbaric oxygen under pressure, full body chamber, per 30 minute interval

• C1600

  Catheter, transluminal intravascular lesion preparation device, bladed, sheathed (insertable)

• C1601

  Endoscope, single-use (i.e. disposable), pulmonary, imaging/illumination device (insertable)

• C1602

  Orthopedic/device/drug matrix/absorbable bone void filler, antimicrobial-eluting (implantable)

• C1603

  Retrieval device, insertable, laser (used to retrieve intravascular inferior vena cava filter)

• C1604

  Graft, transmural transvenous arterial bypass (implantable), with all delivery system components

• C1605

  Pacemaker, leadless, dual chamber (right atrial and right ventricular implantable components), rate-responsive, including all necessary components for implantation

• C1606

  Adapter, single-use (i.e. disposable), for attaching ultrasound system to upper gastrointestinal endoscope

• C1713

  Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable)

• C1714

  Catheter, transluminal atherectomy, directional

• C1715

  Brachytherapy needle

• C1721

  Cardioverter-defibrillator, dual chamber (implantable)

• C1722

  Cardioverter-defibrillator, single chamber (implantable)