A codes: Ambulance, supplies and miscellaneous
Ambulance and other transport, medical and surgical supplies, and administrative, miscellaneous and investigational items.
Active HCPCS A codes
Each opens its own page with CMS’s full descriptor, Medicare indicators and dates.
A0021Ambulance service, outside state per mile, transport (medicaid only)A0080Non-emergency transportation, per mile - vehicle provided by volunteer (individual or…A0090Non-emergency transportation, per mile - vehicle provided by individual (family member…A0100Non-emergency transportation; taxiA0110Non-emergency transportation and bus, intra or inter state carrierA0120Non-emergency transportation: mini-bus, mountain area transports, or other…A0130Non-emergency transportation: wheelchair vanA0140Non-emergency transportation and air travel (private or commercial) intra or inter stateA0160Non-emergency transportation: per mile - case worker or social workerA0170Transportation ancillary: parking fees, tolls, otherA0180Non-emergency transportation: ancillary: lodging-recipientA0190Non-emergency transportation: ancillary: meals-recipientA0200Non-emergency transportation: ancillary: lodging escortA0210Non-emergency transportation: ancillary: meals-escortA0225Ambulance service, neonatal transport, base rate, emergency transport, one wayA0380Bls mileage (per mile)A0382Bls routine disposable suppliesA0384Bls specialized service disposable supplies; defibrillation (used by als ambulances and…A0390Als mileage (per mile)A0392Als specialized service disposable supplies; defibrillation (to be used only in…A0394Als specialized service disposable supplies; iv drug therapyA0396Als specialized service disposable supplies; esophageal intubationA0398Als routine disposable suppliesA0420Ambulance waiting time (als or bls), one half (1/2) hour incrementsA0422Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situationA0424Extra ambulance attendant, ground (als or bls) or air (fixed or rotary winged)…A0425Ground mileage, per statute mileA0426Ambulance service, advanced life support, non-emergency transport, level 1 (als 1)A0427Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)A0428Ambulance service, basic life support, non-emergency transport, (bls)A0429Ambulance service, basic life support, emergency transport (bls-emergency)A0430Ambulance service, conventional air services, transport, one way (fixed wing)A0431Ambulance service, conventional air services, transport, one way (rotary wing)A0432Paramedic intercept (pi), rural area, transport furnished by a volunteer ambulance…A0433Advanced life support, level 2 (als 2)A0434Specialty care transport (sct)A0435Fixed wing air mileage, per statute mileA0436Rotary wing air mileage, per statute mileA0888Noncovered ambulance mileage, per mile (e.g., for miles traveled beyond closest…A0998Ambulance response and treatment, no transportA0999Unlisted ambulance serviceA2001Innovamatrix ac, per square centimeter (add-on, list separately in addition to primary…A2002Mirragen advanced wound matrix, per square centimeter (add-on, list separately in…A2004Xcellistem, 1 mgA2005Microlyte matrix, per square centimeter (add-on, list separately in addition to primary…A2006Novosorb synpath dermal matrix, per square centimeter (add-on, list separately in…A2007Restrata, per square centimeter (add-on, list separately in addition to primary procedure)A2008Theragenesis, per square centimeter (add-on, list separately in addition to primary…A2009Symphony, per square centimeter (add-on, list separately in addition to primary procedure)A2010Apis, per square centimeter (add-on, list separately in addition to primary procedure)A2011Supra sdrm, per square centimeter (add-on, list separately in addition to primary…A2012Suprathel, per square centimeter (add-on, list separately in addition to primary…A2013Innovamatrix fs, per square centimeter (add-on, list separately in addition to primary…A2014Omeza collagen matrix or omeza complete matrix, per 100 mgA2015Phoenix wound matrix, per square centimeter (add-on, list separately in addition to…A2016Permeaderm b, per square centimeter (add-on, list separately in addition to primary…A2017Permeaderm glove, eachA2018Permeaderm c, per square centimeter (add-on, list separately in addition to primary…A2019Kerecis omega3 marigen shield, per square centimeter (add-on, list separately in…A2020Ac5 advanced wound system (ac5)A2021Neomatrix, per square centimeter (add-on, list separately in addition to primary…A2022Innovaburn or innovamatrix xl, per square centimeter (add-on, list separately in…A2023Innovamatrix pd, 1 mgA2024Resolve matrix or xenopatch, per square centimeter (add-on, list separately in addition…A2025Miro3d, per cubic centimeter (add-on, list separately in addition to primary procedure)A2026Restrata minimatrix, 5 mgA2027Matriderm, per square centimeter (add-on, list separately in addition to primary…A2028Micromatrix flex, per mgA2029Mirotract wound matrix sheet, per cubic centimeter (add-on, list separately in addition…A2030Miro3d fibers, per milligramA2031Mirodry wound matrix, per square centimeter (add-on, list separately in addition to…A2032Myriad matrix, per square centimeter (add-on, list separately in addition to primary…A2033Myriad morcells, 4 milligramsA2034Foundation drs solo, per square centimeter (add-on, list separately in addition to…A2035Corplex p or theracor p or allacor p, per milligramA2036Cohealyx collagen dermal matrix, per square centimeter (add-on, list separately in…A2037G4derm plus/suprello, per milliliterA2038Marigen pacto, per square centimeter (add-on, list separately in addition to primary…A2039Innovamatrix fd, per square centimeter (add-on, list separately in addition to primary…A2040Microlyte painguard (add-on, list separately in addition to primary procedure), per…A2041Foundation drs+ duo (add-on, list separately in addition to primary procedure), per…A2042Foundation drs+ solo (add-on, list separately in addition to primary procedure), per…A2043Biobrane (add-on, list separately in addition to primary procedure), per square centimeterA2044Biobrane glove, eachA2045Novashield or novogen wound matrix (add-on, list separately in addition to primary…A2046Dermisphere hdrt, per square centimeter (add-on, list separately in addition to primary…A2047Lacertamatrix, per square centimeter (add-on, list separately in addition to primary…A2048Puraply mz, per milligramA2049Theracor, per square centimeter (add-on, list separately in addition to primary procedure)A2050Fibrillar collagen wound dressing, per milligramA4100Non-sheet form skin substitute, fda cleared as a device, not otherwise specified (list…A4206Syringe with needle, sterile, 1 cc or less, eachA4207Syringe with needle, sterile 2 cc, eachA4208Syringe with needle, sterile 3 cc, eachA4209Syringe with needle, sterile 5 cc or greater, eachA4210Needle-free injection device, eachA4211Supplies for self-administered injectionsA4212Non-coring needle or stylet with or without catheterA4213Syringe, sterile, 20 cc or greater, eachA4215Needle, sterile, any size, eachA4216Sterile water, saline and/or dextrose, diluent/flush, 10 mlA4217Sterile water/saline, 500 mlA4218Sterile saline or water, metered dose dispenser, 10 mlA4220Refill kit for implantable infusion pumpA4221Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs…A4222Infusion supplies for external drug infusion pump, per cassette or bag (list drugs…A4223Infusion supplies not used with external infusion pump, per cassette or bag (list drugs…A4224Supplies for maintenance of insulin infusion catheter, per weekA4225Supplies for external insulin infusion pump, syringe type cartridge, sterile, eachA4226Supplies for maintenance of insulin infusion pump with dosage rate adjustment using…A4228Supplies for maintenance of non-insulin, device-drug combination infusion catheter, per…A4230Infusion set for external insulin pump, non needle cannula typeA4231Infusion set for external insulin pump, needle typeA4232Syringe with needle for external insulin pump, sterile, 3 ccA4233Replacement battery, alkaline (other than j cell), for use with medically necessary home…A4234Replacement battery, alkaline, j cell, for use with medically necessary home blood…A4235Replacement battery, lithium, for use with medically necessary home blood glucose…A4236Replacement battery, silver oxide, for use with medically necessary home blood glucose…A4238Supply allowance for adjunctive, non-implanted continuous glucose monitor (cgm)…A4239Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm)…A4244Alcohol or peroxide, per pintA4245Alcohol wipes, per boxA4246Betadine or phisohex solution, per pintA4247Betadine or iodine swabs/wipes, per boxA4248Chlorhexidine containing antiseptic, 1 mlA4250Urine test or reagent strips or tablets (100 tablets or strips)A4252Blood ketone test or reagent strip, eachA4253Blood glucose test or reagent strips for home blood glucose monitor, per 50 stripsA4255Platforms for home blood glucose monitor, 50 per boxA4256Normal, low and high calibrator solution / chipsA4257Replacement lens shield cartridge for use with laser skin piercing device, eachA4258Spring-powered device for lancet, eachA4259Lancets, per box of 100A4261Cervical cap for contraceptive useA4262Temporary, absorbable lacrimal duct implant, eachA4263Permanent, long term, non-dissolvable lacrimal duct implant, eachA4264Permanent implantable contraceptive intratubal occlusion device(s) and delivery systemA4265Paraffin, per poundA4266Diaphragm for contraceptive useA4267Contraceptive supply, condom, male, eachA4268Contraceptive supply, condom, female, eachA4269Contraceptive supply, spermicide (e.g., foam, gel), eachA4270Disposable endoscope sheath, eachA4271Integrated lancing and blood sample testing cartridges for home blood glucose monitor…A4280Adhesive skin support attachment for use with external breast prosthesis, eachA4281Tubing for breast pump, replacementA4282Adapter for breast pump, replacementA4283Cap for breast pump bottle, replacementA4284Breast shield and splash protector for use with breast pump, replacementA4285Polycarbonate bottle for use with breast pump, replacementA4286Locking ring for breast pump, replacementA4287Disposable collection and storage bag for breast milk, any size, any type, eachA4288Valve for breast pump, replacementA4290Sacral nerve stimulation test lead, eachA4295Intermittent urinary catheter; straight tip, hydrophilic coating, eachA4296Intermittent urinary catheter; coude (curved) tip, hydrophilic coating, eachA4297Intermittent urinary catheter; hydrophilic coating, with insertion suppliesA4300Implantable access catheter, (e.g., venous, arterial, epidural subarachnoid, or…A4301Implantable access total catheter, port/reservoir (e.g., venous, arterial, epidural…A4305Disposable drug delivery system, flow rate of 50 ml or greater per hourA4306Disposable drug delivery system, flow rate of less than 50 ml per hourA4310Insertion tray without drainage bag and without catheter (accessories only)A4311Insertion tray without drainage bag with indwelling catheter, foley type, two-way latex…A4312Insertion tray without drainage bag with indwelling catheter, foley type, two-way, all…A4313Insertion tray without drainage bag with indwelling catheter, foley type, three-way, for…A4314Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex…A4315Insertion tray with drainage bag with indwelling catheter, foley type, two-way, all…A4316Insertion tray with drainage bag with indwelling catheter, foley type, three-way, for…A4318Female external urinary collection cup, with or without ring attachment, per dayA4320Irrigation tray with bulb or piston syringe, any purposeA4321Therapeutic agent for urinary catheter irrigationA4322Irrigation syringe, bulb or piston, eachA4326Male external catheter with integral collection chamber, any type, eachA4327Female external urinary collection device; meatal cup, eachA4328Female external urinary collection device; pouch, eachA4330Perianal fecal collection pouch with adhesive, eachA4331Extension drainage tubing, any type, any length, with connector/adaptor, for use with…A4332Lubricant, individual sterile packet, eachA4333Urinary catheter anchoring device, adhesive skin attachment, eachA4334Urinary catheter anchoring device, leg strap, eachA4335Incontinence supply; miscellaneousA4336Incontinence supply, urethral insert, any type, eachA4337Incontinence supply, rectal insert, any type, eachA4338Indwelling catheter; foley type, two-way latex with coating (teflon, silicone, silicone…A4340Indwelling catheter; specialty type, (e.g., coude, mushroom, wing, etc.), eachA4341Indwelling intraurethral drainage device with valve, patient inserted, replacement only…A4342Accessories for patient inserted indwelling intraurethral drainage device with valve…A4344Indwelling catheter, foley type, two-way, all silicone or polyurethane, eachA4346Indwelling catheter; foley type, three way for continuous irrigation, eachA4349Male external catheter, with or without adhesive, disposable, eachA4351Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone…A4352Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon…A4353Intermittent urinary catheter, with insertion suppliesA4354Insertion tray with drainage bag but without catheterA4355Irrigation tubing set for continuous bladder irrigation through a three-way indwelling…A4356External urethral clamp or compression device (not to be used for catheter clamp), eachA4357Bedside drainage bag, day or night, with or without anti-reflux device, with or without…A4358Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, eachA4360Disposable external urethral clamp or compression device, with pad and/or pouch, eachA4361Ostomy faceplate, eachA4362Skin barrier; solid, 4 x 4 or equivalent; eachA4363Ostomy clamp, any type, replacement only, eachA4364Adhesive, liquid or equal, any type, per ozA4366Ostomy vent, any type, eachA4367Ostomy belt, eachA4368Ostomy filter, any type, eachA4369Ostomy skin barrier, liquid (spray, brush, etc.), per ozA4371Ostomy skin barrier, powder, per ozA4372Ostomy skin barrier, solid 4 x 4 or equivalent, standard wear, with built-in convexity…A4373Ostomy skin barrier, with flange (solid, flexible or accordion), with built-in…A4375Ostomy pouch, drainable, with faceplate attached, plastic, eachA4376Ostomy pouch, drainable, with faceplate attached, rubber, eachA4377Ostomy pouch, drainable, for use on faceplate, plastic, eachA4378Ostomy pouch, drainable, for use on faceplate, rubber, eachA4379Ostomy pouch, urinary, with faceplate attached, plastic, eachA4380Ostomy pouch, urinary, with faceplate attached, rubber, eachA4381Ostomy pouch, urinary, for use on faceplate, plastic, eachA4382Ostomy pouch, urinary, for use on faceplate, heavy plastic, eachA4383Ostomy pouch, urinary, for use on faceplate, rubber, eachA4384Ostomy faceplate equivalent, silicone ring, eachA4385Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in…A4387Ostomy pouch, closed, with barrier attached, with built-in convexity (1 piece), eachA4388Ostomy pouch, drainable, with extended wear barrier attached, (1 piece), eachA4389Ostomy pouch, drainable, with barrier attached, with built-in convexity (1 piece), eachA4390Ostomy pouch, drainable, with extended wear barrier attached, with built-in convexity (1…A4391Ostomy pouch, urinary, with extended wear barrier attached (1 piece), eachA4392Ostomy pouch, urinary, with standard wear barrier attached, with built-in convexity (1…A4393Ostomy pouch, urinary, with extended wear barrier attached, with built-in convexity (1…A4394Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounceA4395Ostomy deodorant for use in ostomy pouch, solid, per tabletA4396Ostomy belt with peristomal hernia supportA4398Ostomy irrigation supply; bag, eachA4399Ostomy irrigation supply; cone/catheter, with or without brushA4400Ostomy irrigation setA4402Lubricant, per ounceA4404Ostomy ring, eachA4405Ostomy skin barrier, non-pectin based, paste, per ounceA4406Ostomy skin barrier, pectin-based, paste, per ounceA4407Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with…A4408Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, with…A4409Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without…A4410Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without…A4411Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, with built-in convexity…A4412Ostomy pouch, drainable, high output, for use on a barrier with flange (2 piece system)…A4413Ostomy pouch, drainable, high output, for use on a barrier with flange (2 piece system)…A4414Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in…A4415Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in…A4416Ostomy pouch, closed, with barrier attached, with filter (1 piece), eachA4417Ostomy pouch, closed, with barrier attached, with built-in convexity, with filter (1…A4418Ostomy pouch, closed; without barrier attached, with filter (1 piece), eachA4419Ostomy pouch, closed; for use on barrier with non-locking flange, with filter (2 piece)…A4420Ostomy pouch, closed; for use on barrier with locking flange (2 piece), eachA4421Ostomy supply; miscellaneousA4422Ostomy absorbent material (sheet/pad/crystal packet) for use in ostomy pouch to thicken…A4423Ostomy pouch, closed; for use on barrier with locking flange, with filter (2 piece), eachA4424Ostomy pouch, drainable, with barrier attached, with filter (1 piece), eachA4425Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2…A4426Ostomy pouch, drainable; for use on barrier with locking flange (2 piece system), eachA4427Ostomy pouch, drainable; for use on barrier with locking flange, with filter (2 piece…A4428Ostomy pouch, urinary, with extended wear barrier attached, with faucet-type tap with…A4429Ostomy pouch, urinary, with barrier attached, with built-in convexity, with faucet-type…A4430Ostomy pouch, urinary, with extended wear barrier attached, with built-in convexity…A4431Ostomy pouch, urinary; with barrier attached, with faucet-type tap with valve (1 piece)…A4432Ostomy pouch, urinary; for use on barrier with non-locking flange, with faucet-type tap…A4433Ostomy pouch, urinary; for use on barrier with locking flange (2 piece), eachA4434Ostomy pouch, urinary; for use on barrier with locking flange, with faucet-type tap with…A4435Ostomy pouch, drainable, high output, with extended wear barrier (one-piece system)…A4436Irrigation supply; sleeve, reusable, per monthA4437Irrigation supply; sleeve, disposable, per monthA4438Adhesive clip applied to the skin to secure external electrical nerve stimulator…A4450Tape, non-waterproof, per 18 square inchesA4452Tape, waterproof, per 18 square inchesA4453Rectal catheter with or without balloon, for use with any type transanal irrigation…A4455Adhesive remover or solvent (for tape, cement or other adhesive), per ounceA4456Adhesive remover, wipes, any type, eachA4457Enema tube, with or without adapter, any type, replacement only, eachA4458Enema bag with tubing, reusableA4459Manual transanal irrigation system, includes water reservoir, pump, tubing, and…A4461Surgical dressing holder, non-reusable, eachA4463Surgical dressing holder, reusable, eachA4465Non-elastic binder for extremityA4467Belt, strap, sleeve, garment, or covering, any typeA4468Exsufflation belt, includes all supplies and accessoriesA4470Gravlee jet washerA4479Electronic transanal irrigation system, includes electronic pump, water reservoir…A4480Vabra aspiratorA4481Tracheostoma filter, any type, any size, eachA4483Moisture exchanger, disposable, for use with invasive mechanical ventilationA4490Surgical stockings above knee length, eachA4495Surgical stockings thigh length, eachA4500Surgical stockings below knee length, eachA4510Surgical stockings full length, eachA4520Incontinence garment, any type, (e.g., brief, diaper), eachA4540Distal transcutaneous electrical nerve stimulator, stimulates peripheral nerves of the…A4541Monthly supplies for use of device coded at e0733A4542Supplies and accessories for external upper limb tremor stimulator of the peripheral…A4543Supplies for transcutaneous electrical nerve stimulator, for nerves in the auricular…A4544Electrode for external lower extremity nerve stimulator for restless legs syndromeA4545Supplies and accessories for external tibial nerve stimulator (e.g., socks, gel pads…A4550Surgical traysA4553Non-disposable underpads, all sizesA4554Disposable underpads, all sizesA4555Electrode/transducer for use with electrical stimulation device used for cancer…A4556Electrodes, (e.g., apnea monitor), per pairA4557Lead wires, (e.g., apnea monitor), per pairA4558Conductive gel or paste, for use with electrical device (e.g., tens, nmes), per ozA4559Coupling gel or paste, for use with ultrasound device, per ozA4560Neuromuscular electrical stimulator (nmes), disposable, replacement onlyA4561Pessary, reusable, rubber, any typeA4562Pessary, reusable, non rubber, any typeA4563Rectal control system for vaginal insertion, for long term use, includes pump and all…A4564Pessary, disposable, any typeA4565SlingsA4566Shoulder sling or vest design, abduction restrainer, with or without swathe control…A4570SplintA4575Topical hyperbaric oxygen chamber, disposableA4580Cast supplies (e.g., plaster)A4590Special casting material (e.g., fiberglass)A4593Neuromodulation stimulator system, adjunct to rehabilitation therapy regime, controllerA4594Neuromodulation stimulator system, adjunct to rehabilitation therapy regime, mouthpiece…A4595Electrical stimulator supplies, 2 lead, per month, (e.g., tens, nmes)A4596Cranial electrotherapy stimulation (ces) system supplies and accessories, per monthA4600Sleeve for intermittent limb compression device, replacement only, eachA4601Lithium ion battery, rechargeable, for non-prosthetic use, replacementA4602Replacement battery for external infusion pump owned by patient, lithium, 1.5 volt, eachA4604Tubing with integrated heating element for use with positive airway pressure deviceA4605Tracheal suction catheter, closed system, eachA4606Oxygen probe for use with oximeter device, replacementA4608Transtracheal oxygen catheter, eachA4611Battery, heavy duty; replacement for patient owned ventilatorA4612Battery cables; replacement for patient-owned ventilatorA4613Battery charger; replacement for patient-owned ventilatorA4614Peak expiratory flow rate meter, hand heldA4615Cannula, nasalA4616Tubing (oxygen), per footA4617Mouth pieceA4618Breathing circuitsA4619Face tentA4620Variable concentration maskA4623Tracheostomy, inner cannulaA4624Tracheal suction catheter, any type other than closed system, eachA4625Tracheostomy care kit for new tracheostomyA4626Tracheostomy cleaning brush, eachA4627Spacer, bag or reservoir, with or without mask, for use with metered dose inhalerA4628Oral and/or oropharyngeal suction catheter, eachA4629Tracheostomy care kit for established tracheostomyA4630Replacement batteries, medically necessary, transcutaneous electrical stimulator, owned…A4633Replacement bulb/lamp for ultraviolet light therapy system, eachA4634Replacement bulb for therapeutic light box, tabletop modelA4635Underarm pad, crutch, replacement, eachA4636Replacement, handgrip, cane, crutch, or walker, eachA4637Replacement, tip, cane, crutch, walker, each.A4638Replacement battery for patient-owned ear pulse generator, eachA4639Replacement pad for infrared heating pad system, eachA4640Replacement pad for use with medically necessary alternating pressure pad owned by patientA4641Radiopharmaceutical, diagnostic, not otherwise classifiedA4642Indium in-111 satumomab pendetide, diagnostic, per study dose, up to 6 millicuriesA4648Tissue marker, implantable, any type, eachA4649Surgical supply; miscellaneousA4650Implantable radiation dosimeter, eachA4651Calibrated microcapillary tube, eachA4652Microcapillary tube sealantA4653Peritoneal dialysis catheter anchoring device, belt, eachA4657Syringe, with or without needle, eachA4660Sphygmomanometer/blood pressure apparatus with cuff and stethoscopeA4663Blood pressure cuff onlyA4670Automatic blood pressure monitorA4671Disposable cycler set used with cycler dialysis machine, eachA4672Drainage extension line, sterile, for dialysis, eachA4673Extension line with easy lock connectors, used with dialysisA4674Chemicals/antiseptics solution used to clean/sterilize dialysis equipment, per 8 ozA4680Activated carbon filter for hemodialysis, eachA4690Dialyzer (artificial kidneys), all types, all sizes, for hemodialysis, eachA4706Bicarbonate concentrate, solution, for hemodialysis, per gallonA4707Bicarbonate concentrate, powder, for hemodialysis, per packetA4708Acetate concentrate solution, for hemodialysis, per gallonA4709Acid concentrate, solution, for hemodialysis, per gallonA4714Treated water (deionized, distilled, or reverse osmosis) for peritoneal dialysis, per…A4719"y set" tubing for peritoneal dialysisA4720Dialysate solution, any concentration of dextrose, fluid volume greater than 249 cc, but…A4721Dialysate solution, any concentration of dextrose, fluid volume greater than 999 cc but…A4722Dialysate solution, any concentration of dextrose, fluid volume greater than 1999 cc but…A4723Dialysate solution, any concentration of dextrose, fluid volume greater than 2999 cc but…A4724Dialysate solution, any concentration of dextrose, fluid volume greater than 3999 cc but…A4725Dialysate solution, any concentration of dextrose, fluid volume greater than 4999 cc but…A4726Dialysate solution, any concentration of dextrose, fluid volume greater than 5999 cc…A4728Dialysate solution, non-dextrose containing, 500 mlA4730Fistula cannulation set for hemodialysis, eachA4736Topical anesthetic, for dialysis, per gramA4737Injectable anesthetic, for dialysis, per 10 mlA4740Shunt accessory, for hemodialysis, any type, eachA4750Blood tubing, arterial or venous, for hemodialysis, eachA4755Blood tubing, arterial and venous combined, for hemodialysis, eachA4760Dialysate solution test kit, for peritoneal dialysis, any type, eachA4765Dialysate concentrate, powder, additive for peritoneal dialysis, per packetA4766Dialysate concentrate, solution, additive for peritoneal dialysis, per 10 mlA4770Blood collection tube, vacuum, for dialysis, per 50A4771Serum clotting time tube, for dialysis, per 50A4772Blood glucose test strips, for dialysis, per 50A4773Occult blood test strips, for dialysis, per 50A4774Ammonia test strips, for dialysis, per 50A4802Protamine sulfate, for hemodialysis, per 50 mgA4860Disposable catheter tips for peritoneal dialysis, per 10A4870Plumbing and/or electrical work for home hemodialysis equipmentA4890Contracts, repair and maintenance, for hemodialysis equipmentA4911Drain bag/bottle, for dialysis, eachA4913Miscellaneous dialysis supplies, not otherwise specifiedA4918Venous pressure clamp, for hemodialysis, eachA4927Gloves, non-sterile, per 100A4928Surgical mask, per 20A4929Tourniquet for dialysis, eachA4930Gloves, sterile, per pairA4931Oral thermometer, reusable, any type, eachA4932Rectal thermometer, reusable, any type, eachA5051Ostomy pouch, closed; with barrier attached (1 piece), eachA5052Ostomy pouch, closed; without barrier attached (1 piece), eachA5053Ostomy pouch, closed; for use on faceplate, eachA5054Ostomy pouch, closed; for use on barrier with flange (2 piece), eachA5055Stoma capA5056Ostomy pouch, drainable, with extended wear barrier attached, with filter, (1 piece), eachA5057Ostomy pouch, drainable, with extended wear barrier attached, with built in convexity…A5061Ostomy pouch, drainable; with barrier attached, (1 piece), eachA5062Ostomy pouch, drainable; without barrier attached (1 piece), eachA5063Ostomy pouch, drainable; for use on barrier with flange (2 piece system), eachA5071Ostomy pouch, urinary; with barrier attached (1 piece), eachA5072Ostomy pouch, urinary; without barrier attached (1 piece), eachA5073Ostomy pouch, urinary; for use on barrier with flange (2 piece), eachA5081Stoma plug or seal, any typeA5082Continent device; catheter for continent stomaA5083Continent device, stoma absorptive cover for continent stomaA5093Ostomy accessory; convex insertA5102Bedside drainage bottle with or without tubing, rigid or expandable, eachA5105Urinary suspensory with leg bag, with or without tube, eachA5112Urinary drainage bag, leg or abdomen, latex, with or without tube, with straps, eachA5113Leg strap; latex, replacement only, per setA5114Leg strap; foam or fabric, replacement only, per setA5120Skin barrier, wipes or swabs, eachA5121Skin barrier; solid, 6 x 6 or equivalent, eachA5122Skin barrier; solid, 8 x 8 or equivalent, eachA5126Adhesive or non-adhesive; disk or foam padA5131Appliance cleaner, incontinence and ostomy appliances, per 16 oz.A5200Percutaneous catheter/tube anchoring device, adhesive skin attachmentA5500For diabetics only, fitting (including follow-up), custom preparation and supply of…A5501For diabetics only, fitting (including follow-up), custom preparation and supply of shoe…A5503For diabetics only, modification (including fitting) of off-the-shelf depth-inlay shoe…A5504For diabetics only, modification (including fitting) of off-the-shelf depth-inlay shoe…A5505For diabetics only, modification (including fitting) of off-the-shelf depth-inlay shoe…A5506For diabetics only, modification (including fitting) of off-the-shelf depth-inlay shoe…A5507For diabetics only, not otherwise specified modification (including fitting) of…A5508For diabetics only, deluxe feature of off-the-shelf depth-inlay shoe or custom-molded…A5510For diabetics only, direct formed, compression molded to patient's foot without external…A5512For diabetics only, multiple density insert, direct formed, molded to foot after…A5513For diabetics only, multiple density insert, custom molded from model of patient's foot…A5514For diabetics only, multiple density insert, made by direct carving with cam technology…A6000Non-contact wound warming wound cover for use with the non-contact wound warming device…A6010Collagen based wound filler, dry form, sterile, per gram of collagenA6011Collagen based wound filler, gel/paste, per gram of collagenA6021Collagen dressing, sterile, size 16 sq. in. or less, eachA6022Collagen dressing, sterile, size more than 16 sq. in. but less than or equal to 48 sq.…A6023Collagen dressing, sterile, size more than 48 sq. in., eachA6024Collagen dressing wound filler, sterile, per 6 inchesA6025Gel sheet for dermal or epidermal application, (e.g., silicone, hydrogel, other), eachA6154Wound pouch, eachA6196Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or…A6197Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 16…A6198Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 48…A6199Alginate or other fiber gelling dressing, wound filler, sterile, per 6 inchesA6203Composite dressing, sterile, pad size 16 sq. in. or less, with any size adhesive border…A6204Composite dressing, sterile, pad size more than 16 sq. in. but less than or equal to 48…A6205Composite dressing, sterile, pad size more than 48 sq. in., with any size adhesive…A6206Contact layer, sterile, 16 sq. in. or less, each dressingA6207Contact layer, sterile, more than 16 sq. in. but less than or equal to 48 sq. in., each…A6208Contact layer, sterile, more than 48 sq. in., each dressingA6209Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive…A6210Foam dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or…A6211Foam dressing, wound cover, sterile, pad size more than 48 sq. in., without adhesive…A6212Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive…A6213Foam dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or…A6214Foam dressing, wound cover, sterile, pad size more than 48 sq. in., with any size…A6215Foam dressing, wound filler, sterile, per gramA6216Gauze, non-impregnated, non-sterile, pad size 16 sq. in. or less, without adhesive…A6217Gauze, non-impregnated, non-sterile, pad size more than 16 sq. in. but less than or…A6218Gauze, non-impregnated, non-sterile, pad size more than 48 sq. in., without adhesive…A6219Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, with any size adhesive…A6220Gauze, non-impregnated, sterile, pad size more than 16 sq. in. but less than or equal to…A6221Gauze, non-impregnated, sterile, pad size more than 48 sq. in., with any size adhesive…A6222Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size…A6223Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size…A6224Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size…A6228Gauze, impregnated, water or normal saline, sterile, pad size 16 sq. in. or less…A6229Gauze, impregnated, water or normal saline, sterile, pad size more than 16 sq. in. but…A6230Gauze, impregnated, water or normal saline, sterile, pad size more than 48 sq. in.…A6231Gauze, impregnated, hydrogel, for direct wound contact, sterile, pad size 16 sq. in. or…A6232Gauze, impregnated, hydrogel, for direct wound contact, sterile, pad size greater than…A6233Gauze, impregnated, hydrogel, for direct wound contact, sterile, pad size more than 48…A6234Hydrocolloid dressing, wound cover, sterile, pad size 16 sq. in. or less, without…A6235Hydrocolloid dressing, wound cover, sterile, pad size more than 16 sq. in. but less than…A6236Hydrocolloid dressing, wound cover, sterile, pad size more than 48 sq. in., without…A6237Hydrocolloid dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size…A6238Hydrocolloid dressing, wound cover, sterile, pad size more than 16 sq. in. but less than…A6239Hydrocolloid dressing, wound cover, sterile, pad size more than 48 sq. in., with any…A6240Hydrocolloid dressing, wound filler, paste, sterile, per ounceA6241Hydrocolloid dressing, wound filler, dry form, sterile, per gramA6242Hydrogel dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive…A6243Hydrogel dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or…A6244Hydrogel dressing, wound cover, sterile, pad size more than 48 sq. in., without adhesive…A6245Hydrogel dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size…A6246Hydrogel dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or…A6247Hydrogel dressing, wound cover, sterile, pad size more than 48 sq. in., with any size…A6248Hydrogel dressing, wound filler, gel, per fluid ounceA6250Skin sealants, protectants, moisturizers, ointments, any type, any sizeA6251Specialty absorptive dressing, wound cover, sterile, pad size 16 sq. in. or less…A6252Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but…A6253Specialty absorptive dressing, wound cover, sterile, pad size more than 48 sq. in.…A6254Specialty absorptive dressing, wound cover, sterile, pad size 16 sq. in. or less, with…A6255Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but…A6256Specialty absorptive dressing, wound cover, sterile, pad size more than 48 sq. in., with…A6257Transparent film, sterile, 16 sq. in. or less, each dressingA6258Transparent film, sterile, more than 16 sq. in. but less than or equal to 48 sq. in.…A6259Transparent film, sterile, more than 48 sq. in., each dressingA6260Wound cleansers, any type, any sizeA6261Wound filler, gel/paste, per fluid ounce, not otherwise specifiedA6262Wound filler, dry form, per gram, not otherwise specifiedA6266Gauze, impregnated, other than water, normal saline, or zinc paste, sterile, any width…A6402Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border…A6403Gauze, non-impregnated, sterile, pad size more than 16 sq. in. less than or equal to 48…A6404Gauze, non-impregnated, sterile, pad size more than 48 sq. in., without adhesive border…A6407Packing strips, non-impregnated, sterile, up to 2 inches in width, per linear yardA6410Eye pad, sterile, eachA6411Eye pad, non-sterile, eachA6412Eye patch, occlusive, eachA6413Adhesive bandage, first-aid type, any size, eachA6441Padding bandage, non-elastic, non-woven/non-knitted, width greater than or equal to…A6442Conforming bandage, non-elastic, knitted/woven, non-sterile, width less than three…A6443Conforming bandage, non-elastic, knitted/woven, non-sterile, width greater than or equal…A6444Conforming bandage, non-elastic, knitted/woven, non-sterile, width greater than or equal…A6445Conforming bandage, non-elastic, knitted/woven, sterile, width less than three inches…A6446Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to…A6447Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to…A6448Light compression bandage, elastic, knitted/woven, width less than three inches, per yardA6449Light compression bandage, elastic, knitted/woven, width greater than or equal to three…A6450Light compression bandage, elastic, knitted/woven, width greater than or equal to five…A6451Moderate compression bandage, elastic, knitted/woven, load resistance of 1.25 to 1.34…A6452High compression bandage, elastic, knitted/woven, load resistance greater than or equal…A6453Self-adherent bandage, elastic, non-knitted/non-woven, width less than three inches, per…A6454Self-adherent bandage, elastic, non-knitted/non-woven, width greater than or equal to…A6455Self-adherent bandage, elastic, non-knitted/non-woven, width greater than or equal to…A6456Zinc paste impregnated bandage, non-elastic, knitted/woven, width greater than or equal…A6457Tubular dressing with or without elastic, any width, per linear yardA6460Synthetic resorbable wound dressing, sterile, pad size 16 sq. in. or less, without…A6461Synthetic resorbable wound dressing, sterile, pad size more than 16 sq. in. but less…A6501Compression burn garment, bodysuit (head to foot), custom fabricatedA6502Compression burn garment, chin strap, custom fabricatedA6503Compression burn garment, facial hood, custom fabricatedA6504Compression burn garment, glove to wrist, custom fabricatedA6505Compression burn garment, glove to elbow, custom fabricatedA6506Compression burn garment, glove to axilla, custom fabricatedA6507Compression burn garment, foot to knee length, custom fabricatedA6508Compression burn garment, foot to thigh length, custom fabricatedA6509Compression burn garment, upper trunk to waist including arm openings (vest), custom…A6510Compression burn garment, trunk, including arms down to leg openings (leotard), custom…A6511Compression burn garment, lower trunk including leg openings (panty), custom fabricatedA6512Compression burn garment, not otherwise classifiedA6513Compression burn mask, face and/or neck, plastic or equal, custom fabricatedA6515Gradient compression wrap with adjustable straps, full leg, each, customA6516Gradient compression wrap with adjustable straps, foot, each, customA6517Gradient compression wrap with adjustable straps, below knee, each, customA6518Gradient compression wrap with adjustable straps, arm, each, customA6519Gradient compression garment, not otherwise specified, for nighttime use, eachA6520Gradient compression garment, glove, padded, for nighttime use, eachA6521Gradient compression garment, glove, padded, for nighttime use, custom, eachA6522Gradient compression garment, arm, padded, for nighttime use, eachA6523Gradient compression garment, arm, padded, for nighttime use, custom, eachA6524Gradient compression garment, lower leg and foot, padded, for nighttime use, eachA6525Gradient compression garment, lower leg and foot, padded, for nighttime use, custom, eachA6526Gradient compression garment, full leg and foot, padded, for nighttime use, eachA6527Gradient compression garment, full leg and foot, padded, for nighttime use, custom, eachA6528Gradient compression garment, bra, for nighttime use, eachA6529Gradient compression garment, bra, for nighttime use, custom, eachA6530Gradient compression stocking, below knee, 18-30 mmhg, eachA6531Gradient compression stocking, below knee, 30-40 mmhg, used as a surgical dressing, eachA6532Gradient compression stocking, below knee, 40-50 mmhg, used as a surgical dressing, eachA6533Gradient compression stocking, thigh length, 18-30 mmhg, eachA6534Gradient compression stocking, thigh length, 30-40 mmhg, eachA6535Gradient compression stocking, thigh length, 40 mmhg or greater, eachA6536Gradient compression stocking, full length/chap style, 18-30 mmhg, eachA6537Gradient compression stocking, full length/chap style, 30-40 mmhg, eachA6538Gradient compression stocking, full length/chap style, 40 mmhg or greater, eachA6539Gradient compression stocking, waist length, 18-30 mmhg, eachA6540Gradient compression stocking, waist length, 30-40 mmhg, eachA6541Gradient compression stocking, waist length, 40 mmhg or greater, eachA6544Gradient compression stocking, garter beltA6545Gradient compression wrap, non-elastic, below knee, 30-50 mmhg, used as a surgical…A6548Accessory to custom gradient compression garment, silicone band, any sizeA6549Gradient compression garment, not otherwise specified, for daytime use, eachA6550Wound care set, for negative pressure wound therapy electrical pump, includes all…A6552Gradient compression stocking, below knee, 30-40 mmhg, eachA6553Gradient compression stocking, below knee, 30-40 mmhg, custom, eachA6554Gradient compression stocking, below knee, 40 mmhg or greater, eachA6555Gradient compression stocking, below knee, 40 mmhg or greater, custom, eachA6556Gradient compression stocking, thigh length, 18-30 mmhg, custom, eachA6557Gradient compression stocking, thigh length, 30-40 mmhg, custom, eachA6558Gradient compression stocking, thigh length, 40 mmhg or greater, custom, eachA6559Gradient compression stocking, full length/chap style, 18-30 mmhg, custom, eachA6560Gradient compression stocking, full length/chap style, 30-40 mmhg, custom, eachA6561Gradient compression stocking, full length/chap style, 40 mmhg or greater, custom, eachA6562Gradient compression stocking, waist length, 18-30 mmhg, custom, eachA6563Gradient compression stocking, waist length, 30-40 mmhg, custom, eachA6564Gradient compression stocking, waist length, 40 mmhg or greater, custom, eachA6565Gradient compression gauntlet, custom, eachA6566Gradient compression garment, neck/head, eachA6567Gradient compression garment, neck/head, custom, eachA6568Gradient compression garment, torso and shoulder, eachA6569Gradient compression garment, torso/shoulder, custom, eachA6570Gradient compression garment, genital region, eachA6571Gradient compression garment, genital region, custom, eachA6572Gradient compression garment, toe caps, eachA6573Gradient compression garment, toe caps, custom, eachA6574Gradient compression arm sleeve and glove combination, custom, eachA6575Gradient compression arm sleeve and glove combination, eachA6576Gradient compression arm sleeve, custom, medium weight, eachA6577Gradient compression arm sleeve, custom, heavy weight, eachA6578Gradient compression arm sleeve, eachA6579Gradient compression glove, custom, medium weight, eachA6580Gradient compression glove, custom, heavy weight, eachA6581Gradient compression glove, eachA6582Gradient compression gauntlet, eachA6583Gradient compression wrap with adjustable straps, below knee, eachA6584Gradient compression wrap with adjustable straps, not otherwise specifiedA6585Gradient compression wrap with adjustable straps, above knee, eachA6586Gradient compression wrap with adjustable straps, full leg, eachA6587Gradient compression wrap with adjustable straps, foot, eachA6588Gradient compression wrap with adjustable straps, arm, eachA6589Gradient pressure wrap with adjustable straps, bra, eachA6590External urinary catheters; disposable, with wicking material, for use with suction…A6591External urinary catheter; non-disposable, for use with suction pump, per monthA6593Accessory for gradient compression garment or wrap with adjustable straps, not-otherwise…A6594Gradient compression bandaging supply, bandage liner, lower extremity, any size or…A6595Gradient compression bandaging supply, bandage liner, upper extremity, any size or…A6596Gradient compression bandaging supply, conforming gauze, per linear yard, any width, eachA6597Gradient compression bandage roll, elastic long stretch, linear yard, any width, eachA6598Gradient compression bandage roll, elastic medium stretch, per linear yard, any width…A6599Gradient compression bandage roll, inelastic short stretch, per linear yard, any width…A6600Gradient compression bandaging supply, high density foam sheet, per 250 square…A6601Gradient compression bandaging supply, high density foam pad, any size or shape, eachA6602Gradient compression bandaging supply, high density foam roll for bandage, per linear…A6603Gradient compression bandaging supply, low density channel foam sheet, per 250 square…A6604Gradient compression bandaging supply, low density flat foam sheet, per 250 square…A6605Gradient compression bandaging supply, padded foam, per linear yard, any width, eachA6606Gradient compression bandaging supply, padded textile, per linear yard, any width, eachA6607Gradient compression bandaging supply, tubular protective absorption layer, per linear…A6608Gradient compression bandaging supply, tubular protective absorption padded layer, per…A6609Gradient compression bandaging supply, not otherwise specifiedA6610Gradient compression stocking, below knee, 18-30 mmhg, custom, eachA6611Gradient compression wrap with adjustable straps, above knee, each, customA6614Supplies and accessories for use with an external ocular negative pressure pump, any…A7000Canister, disposable, used with suction pump, eachA7001Canister, non-disposable, used with suction pump, eachA7002Tubing, used with suction pump, eachA7003Administration set, with small volume nonfiltered pneumatic nebulizer, disposableA7004Small volume nonfiltered pneumatic nebulizer, disposableA7005Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposableA7006Administration set, with small volume filtered pneumatic nebulizerA7007Large volume nebulizer, disposable, unfilled, used with aerosol compressorA7008Large volume nebulizer, disposable, prefilled, used with aerosol compressorA7009Reservoir bottle, non-disposable, used with large volume ultrasonic nebulizerA7010Corrugated tubing, disposable, used with large volume nebulizer, 100 feetA7012Water collection device, used with large volume nebulizerA7013Filter, disposable, used with aerosol compressor or ultrasonic generatorA7014Filter, nondisposable, used with aerosol compressor or ultrasonic generatorA7015Aerosol mask, used with dme nebulizerA7016Dome and mouthpiece, used with small volume ultrasonic nebulizerA7017Nebulizer, durable, glass or autoclavable plastic, bottle type, not used with oxygenA7018Water, distilled, used with large volume nebulizer, 1000 mlA7020Interface for cough stimulating device, includes all components, replacement onlyA7021Supplies and accessories for lung expansion airway clearance, continuous high frequency…A7023Mechanical allergen particle barrier/inhalation filter, cream, nasal, topicalA7025High frequency chest wall oscillation system vest, replacement for use with patient…A7026High frequency chest wall oscillation system hose, replacement for use with patient…A7027Combination oral/nasal mask, used with continuous positive airway pressure device, eachA7028Oral cushion for combination oral/nasal mask, replacement only, eachA7029Nasal pillows for combination oral/nasal mask, replacement only, pairA7030Full face mask used with positive airway pressure device, eachA7031Face mask interface, replacement for full face mask, eachA7032Cushion for use on nasal mask interface, replacement only, eachA7033Pillow for use on nasal cannula type interface, replacement only, pairA7034Nasal interface (mask or cannula type) used with positive airway pressure device, with…A7035Headgear used with positive airway pressure deviceA7036Chinstrap used with positive airway pressure deviceA7037Tubing used with positive airway pressure deviceA7038Filter, disposable, used with positive airway pressure deviceA7039Filter, non disposable, used with positive airway pressure deviceA7040One way chest drain valveA7041Water seal drainage container and tubing for use with implanted chest tubeA7044Oral interface used with positive airway pressure device, eachA7045Exhalation port with or without swivel used with accessories for positive airway…A7046Water chamber for humidifier, used with positive airway pressure device, replacement, eachA7047Oral interface used with respiratory suction pump, eachA7048Vacuum drainage collection unit and tubing kit, including all supplies needed for…A7049Expiratory positive airway pressure intranasal resistance valveA7501Tracheostoma valve, including diaphragm, eachA7502Replacement diaphragm/faceplate for tracheostoma valve, eachA7503Filter holder or filter cap, reusable, for use in a tracheostoma heat and moisture…A7504Filter for use in a tracheostoma heat and moisture exchange system, eachA7505Housing, reusable without adhesive, for use in a heat and moisture exchange system…A7506Adhesive disc for use in a heat and moisture exchange system and/or with tracheostoma…A7507Filter holder and integrated filter without adhesive, for use in a tracheostoma heat and…A7508Housing and integrated adhesive, for use in a tracheostoma heat and moisture exchange…A7509Filter holder and integrated filter housing, and adhesive, for use as a tracheostoma…A7520Tracheostomy/laryngectomy tube, non-cuffed, polyvinylchloride (pvc), silicone or equal…A7521Tracheostomy/laryngectomy tube, cuffed, polyvinylchloride (pvc), silicone or equal, eachA7522Tracheostomy/laryngectomy tube, stainless steel or equal (sterilizable and reusable), eachA7523Tracheostomy shower protector, eachA7524Tracheostoma stent/stud/button, eachA7525Tracheostomy mask, eachA7526Tracheostomy tube collar/holder, eachA7527Tracheostomy/laryngectomy tube plug/stop, eachA8000Helmet, protective, soft, prefabricated, includes all components and accessoriesA8001Helmet, protective, hard, prefabricated, includes all components and accessoriesA8002Helmet, protective, soft, custom fabricated, includes all components and accessoriesA8003Helmet, protective, hard, custom fabricated, includes all components and accessoriesA8004Soft interface for helmet, replacement onlyA8005Powered, cable driven grip assist glove, hand, finger, includes microprocessor, pressure…A8006Powered, cable driven grip assist glove, hand, finger, includes pressure sensors, glove…A9150Non-prescription drugsA9152Single vitamin/mineral/trace element, oral, per dose, not otherwise specifiedA9153Multiple vitamins, with or without minerals and trace elements, oral, per dose, not…A9154Artificial saliva, 1 mlA9156Oral mucoadhesive, any type (liquid, gel, paste, etc.), per 1 mlA9180Pediculosis (lice infestation) treatment, topical, for administration by patient/caretakerA9268Programmer for transient, orally ingested capsuleA9269Programable, transient, orally ingested capsule, for use with external programmer, per…A9270Non-covered item or serviceA9272Wound suction, disposable, includes dressing, all accessories and components, any type…A9273Cold or hot fluid bottle, ice cap or collar, heat and/or cold wrap, any typeA9274External ambulatory insulin delivery system, disposable, each, includes all supplies and…A9275Home glucose disposable monitor, includes test stripsA9276Sensor; invasive (e.g., subcutaneous), disposable, for use with non-durable medical…A9277Transmitter; external, for use with non-durable medical equipment interstitial…A9278Receiver (monitor); external, for use with non-durable medical equipment interstitial…A9279Monitoring feature/device, stand-alone or integrated, any type, includes all…A9280Alert or alarm device, not otherwise classifiedA9281Reaching/grabbing device, any type, any length, eachA9282Wig, any type, eachA9283Foot pressure off loading/supportive device, any type, eachA9284Spirometer, non-electronic, includes all accessoriesA9285Inversion/eversion correction deviceA9286Hygienic item or device, disposable or non-disposable, any type, eachA9291Prescription digital cognitive and/or behavioral therapy, fda cleared, per course of…A9292Prescription digital visual therapy, software-only, fda cleared, per course of treatmentA9293Fertility cycle (contraception & conception) tracking software application, fda cleared…A9294Prescription digital cognitive and/or behavioral therapy, biofeedback, fda cleared, per…A9300Exercise equipmentA9500Technetium tc-99m sestamibi, diagnostic, per study doseA9501Technetium tc-99m teboroxime, diagnostic, per study doseA9502Technetium tc-99m tetrofosmin, diagnostic, per study doseA9503Technetium tc-99m medronate, diagnostic, per study dose, up to 30 millicuriesA9504Technetium tc-99m apcitide, diagnostic, per study dose, up to 20 millicuriesA9505Thallium tl-201 thallous chloride, diagnostic, per millicurieA9506Graphite crucible for preparation of technetium tc 99m-labeled carbon aerosol, one…A9507Indium in-111 capromab pendetide, diagnostic, per study dose, up to 10 millicuriesA9508Iodine i-131 iobenguane sulfate, diagnostic, per 0.5 millicurieA9509Iodine i-123 sodium iodide, diagnostic, per millicurieA9510Technetium tc-99m disofenin, diagnostic, per study dose, up to 15 millicuriesA9512Technetium tc-99m pertechnetate, diagnostic, per millicurieA9513Lutetium lu 177, dotatate, therapeutic, 1 millicurieA9515Choline c-11, diagnostic, per study dose up to 20 millicuriesA9516Iodine i-123 sodium iodide, diagnostic, per 100 microcuries, up to 999 microcuriesA9517Iodine i-131 sodium iodide capsule(s), therapeutic, per millicurieA9520Technetium tc-99m tilmanocept, diagnostic, up to 0.5 millicuriesA9521Technetium tc-99m exametazime, diagnostic, per study dose, up to 25 millicuriesA9524Iodine i-131 iodinated serum albumin, diagnostic, per 5 microcuriesA9526Nitrogen n-13 ammonia, diagnostic, per study dose, up to 40 millicuriesA9527Iodine i-125, sodium iodide solution, therapeutic, per millicurieA9528Iodine i-131 sodium iodide capsule(s), diagnostic, per millicurieA9529Iodine i-131 sodium iodide solution, diagnostic, per millicurieA9530Iodine i-131 sodium iodide solution, therapeutic, per millicurieA9531Iodine i-131 sodium iodide, diagnostic, per microcurie (up to 100 microcuries)A9532Iodine i-125 serum albumin, diagnostic, per 5 microcuriesA9536Technetium tc-99m depreotide, diagnostic, per study dose, up to 35 millicuriesA9537Technetium tc-99m mebrofenin, diagnostic, per study dose, up to 15 millicuriesA9538Technetium tc-99m pyrophosphate, diagnostic, per study dose, up to 25 millicuriesA9539Technetium tc-99m pentetate, diagnostic, per study dose, up to 25 millicuriesA9540Technetium tc-99m macroaggregated albumin, diagnostic, per study dose, up to 10…A9541Technetium tc-99m sulfur colloid, diagnostic, per study dose, up to 20 millicuriesA9542Indium in-111 ibritumomab tiuxetan, diagnostic, per study dose, up to 5 millicuriesA9543Yttrium y-90 ibritumomab tiuxetan, therapeutic, per treatment dose, up to 40 millicuriesA9546Cobalt co-57/58, cyanocobalamin, diagnostic, per study dose, up to 1 microcurieA9547Indium in-111 oxyquinoline, diagnostic, per 0.5 millicurieA9548Indium in-111 pentetate, diagnostic, per 0.5 millicurieA9550Technetium tc-99m sodium gluceptate, diagnostic, per study dose, up to 25 millicurieA9551Technetium tc-99m succimer, diagnostic, per study dose, up to 10 millicuriesA9552Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuriesA9553Chromium cr-51 sodium chromate, diagnostic, per study dose, up to 250 microcuriesA9554Iodine i-125 sodium iothalamate, diagnostic, per study dose, up to 10 microcuriesA9555Rubidium rb-82, diagnostic, per study dose, up to 60 millicuriesA9556Gallium ga-67 citrate, diagnostic, per millicurieA9557Technetium tc-99m bicisate, diagnostic, per study dose, up to 25 millicuriesA9558Xenon xe-133 gas, diagnostic, per 10 millicuriesA9559Cobalt co-57 cyanocobalamin, oral, diagnostic, per study dose, up to 1 microcurieA9560Technetium tc-99m labeled red blood cells, diagnostic, per study dose, up to 30…A9561Technetium tc-99m oxidronate, diagnostic, per study dose, up to 30 millicuriesA9562Technetium tc-99m mertiatide, diagnostic, per study dose, up to 15 millicuriesA9563Sodium phosphate p-32, therapeutic, per millicurieA9564Chromic phosphate p-32 suspension, therapeutic, per millicurieA9566Technetium tc-99m fanolesomab, diagnostic, per study dose, up to 25 millicuriesA9567Technetium tc-99m pentetate, diagnostic, aerosol, per study dose, up to 75 millicuriesA9568Technetium tc-99m arcitumomab, diagnostic, per study dose, up to 45 millicuriesA9569Technetium tc-99m exametazime labeled autologous white blood cells, diagnostic, per…A9570Indium in-111 labeled autologous white blood cells, diagnostic, per study doseA9571Indium in-111 labeled autologous platelets, diagnostic, per study doseA9572Indium in-111 pentetreotide, diagnostic, per study dose, up to 6 millicuriesA9573Injection, gadopiclenol, 1 mlA9574Injection, ferumoxytol, 1 mgA9575Injection, gadoterate meglumine, 0.1 mlA9576Injection, gadoteridol, (prohance multipack), per mlA9577Injection, gadobenate dimeglumine (multihance), per mlA9578Injection, gadobenate dimeglumine (multihance multipack), per mlA9579Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified…A9580Sodium fluoride f-18, diagnostic, per study dose, up to 30 millicuriesA9581Injection, gadoxetate disodium, 1 mlA9582Iodine i-123 iobenguane, diagnostic, per study dose, up to 15 millicuriesA9583Injection, gadofosveset trisodium, 1 mlA9584Iodine 1-123 ioflupane, diagnostic, per study dose, up to 5 millicuriesA9585Injection, gadobutrol, 0.1 mlA9586Florbetapir f18, diagnostic, per study dose, up to 10 millicuriesA9587Gallium ga-68, dotatate, diagnostic, 0.1 millicurieA9588Fluciclovine f-18, diagnostic, 1 millicurieA9589Instillation, hexaminolevulinate hydrochloride, 100 mgA9590Iodine i-131, iobenguane, 1 millicurieA9591Fluoroestradiol f 18, diagnostic, 1 millicurieA9592Copper cu-64, dotatate, diagnostic, 1 millicurieA9593Gallium ga-68 psma-11, diagnostic, (ucsf), 1 millicurieA9594Gallium ga-68 psma-11, diagnostic, (ucla), 1 millicurieA9595Piflufolastat f 18 (pylarify), diagnostic, 1 millicurieA9596Gallium ga-68 gozetotide, diagnostic, (illuccix), 1 millicurieA9597Positron emission tomography radiopharmaceutical, diagnostic, for tumor identification…A9598Positron emission tomography radiopharmaceutical, diagnostic, for non-tumor…A9600Strontium sr-89 chloride, therapeutic, per millicurieA9601Flortaucipir f 18 injection, diagnostic, 1 millicurieA9602Fluorodopa f-18, diagnostic, per millicurieA9603Injection, pafolacianine, 0.1 mgA9604Samarium sm-153 lexidronam, therapeutic, per treatment dose, up to 150 millicuriesA9606Radium ra-223 dichloride, therapeutic, per microcurieA9607Lutetium lu 177 vipivotide tetraxetan, therapeutic, 1 millicurieA9608Flotufolastat f 18, diagnostic, 1 millicurieA9609Fludeoxyglucose f18 up to 15 millicuriesA9610Xenon xe-129 hyperpolarized gas, diagnostic, per study doseA9611Flurpiridaz f 18, diagnostic, 1 millicurieA9612Injection, fluorescein, 1 mgA9613Piflufolastat f 18 (pylarify truvu), diagnostic, 1 millicurieA9615Injection, pegulicianine, 1 mgA9616Gallium ga-68 gozetotide (gozellix), diagnostic, 1 millicurieA9697Injection, carboxydextran-coated superparamagnetic iron oxide, per study doseA9698Non-radioactive contrast imaging material, not otherwise classified, per studyA9699Radiopharmaceutical, therapeutic, not otherwise classifiedA9700Supply of injectable contrast material for use in echocardiography, per studyA9800Gallium ga-68 gozetotide, diagnostic, (locametz), 1 millicurieA9900Miscellaneous dme supply, accessory, and/or service component of another hcpcs codeA9901Dme delivery, set up, and/or dispensing service component of another hcpcs codeA9999Miscellaneous dme supply or accessory, not otherwise specified
Terminated HCPCS A codes
Codes CMS has ended, kept for looking up older claims. Each page gives its last date of service.
Source and release
- Data release
- HCPCS Level II · October 2026
- Effective date
- Oct 1, 2026
- Publisher
- CMS
This list is built from the HCPCS Level II catalog that Vero Codes reads when it suggests codes, imported from CMS’s October 2026 HCPCS file and checked against it.
Frequently asked questions
What are HCPCS A codes?
HCPCS A codes cover ambulance and other transport, medical and surgical supplies, and administrative, miscellaneous and investigational items.
How many HCPCS A codes are there?
CMS’s October 2026 HCPCS file lists 861 active HCPCS A codes, and 9 more that it has terminated.
Are terminated HCPCS A codes listed?
Yes, after the active codes, each with its last date of service, for looking up older claims. A terminated code can’t be used for newer services.