HCPCS Codes — A
855 Codes Found
| Code | Description |
|---|---|
| A0021 |
Outside state ambulance serv
|
| A0080 |
Noninterest escort in non er
|
| A0090 |
Interest escort in non er
|
| A0100 |
Nonemergency transport taxi
|
| A0110 |
Nonemergency transport bus
|
| A0120 |
Noner transport mini-bus
|
| A0130 |
Noner transport wheelch van
|
| A0140 |
Nonemergency transport air
|
| A0160 |
Noner transport case worker
|
| A0170 |
Transport parking fees/tolls
|
| A0180 |
Noner transport lodgng recip
|
| A0190 |
Noner transport meals recip
|
| A0200 |
Noner transport lodgng escrt
|
| A0210 |
Noner transport meals escort
|
| A0225 |
Neonatal emergency transport
|
| A0380 |
Basic life support mileage
|
| A0382 |
Basic support routine suppls
|
| A0384 |
Bls defibrillation supplies
|
| A0390 |
Advanced life support mileag
|
| A0392 |
Als defibrillation supplies
|
| A0394 |
Als iv drug therapy supplies
|
| A0396 |
Als esophageal intub suppls
|
| A0398 |
Als routine disposble suppls
|
| A0420 |
Ambulance waiting 1/2 hr
|
| A0422 |
Ambulance 02 life sustaining
|
| A0424 |
Extra ambulance attendant
|
| A0425 |
Ground mileage
|
| A0426 |
Als 1
|
| A0427 |
Als1-emergency
|
| A0428 |
Bls
|
| A0429 |
Bls-emergency
|
| A0430 |
Fixed wing air transport
|
| A0431 |
Rotary wing air transport
|
| A0432 |
Pi volunteer ambulance co
|
| A0433 |
Als 2
|
| A0434 |
Specialty care transport
|
| A0435 |
Fixed wing air mileage
|
| A0436 |
Rotary wing air mileage
|
| A0888 |
Noncovered ambulance mileage
|
| A0998 |
Ambulance response/treatment
|
| A0999 |
Unlisted ambulance service
|
| A2001 |
Innovamatrix ac, per sq cm
|
| A2002 |
Mirragen adv wnd mat per sq
|
| A2004 |
Xcellistem, 1 mg
|
| A2005 |
Microlyte matrix, per sq cm
|
| A2006 |
Novosorb synpath per sq cm
|
| A2007 |
Restrata, per sq cm
|
| A2008 |
Theragenesis, per sq cm
|
| A2009 |
Symphony, per sq cm
|
| A2010 |
Apis, per square centimeter
|
| A2011 |
Supra sdrm, per sq cm
|
| A2012 |
Suprathel, per sq cm
|
| A2013 |
Innovamatrix fs, per sq cm
|
| A2014 |
Omeza collag compl 100 mg
|
| A2015 |
Phoenix wnd mtrx, per sq cm
|
| A2016 |
Permeaderm b, per sq cm
|
| A2017 |
Permeaderm glove, each
|
| A2018 |
Permeaderm c, per sq cm
|
| A2019 |
Kerecis marigen shld sq cm
|
| A2020 |
Ac5 wound system
|
| A2021 |
Neomatrix per sq cm
|
| A2022 |
Innovabrn/innovamatx xl sqcm
|
| A2023 |
Innovamatrix pd, 1 mg
|
| A2024 |
Resolve or xenopatch sq cm
|
| A2025 |
Miro3d per cubic cm
|
| A2026 |
Restrata minimatrix, 5 mg
|
| A2027 |
Matriderm per sq cm
|
| A2028 |
Micromatrix flex per mg
|
| A2029 |
Mirotract matrix sheet
|
| A2030 |
Miro3d fibers, per mg
|
| A2031 |
Mirodry, per sq cm
|
| A2032 |
Myriad matrix, per sq cm
|
| A2033 |
Myriad morcells, 4 mg
|
| A2034 |
Found drs solo, per sq cm
|
| A2035 |
Corpl p therac p allac p mg
|
| A2036 |
Cohealyx col dml mx pr sq cm
|
| A2037 |
G4derm plus/suprello, pr ml
|
| A2038 |
Marigen pacto, per sq cm
|
| A2039 |
Innovamatrix fd, per sq cm
|
| A2040 |
Microlyte painguard pr sq cm
|
| A2041 |
Foundation drs+ duo pr sq cm
|
| A2042 |
Foundation drs+ solo, sq cm
|
| A2043 |
Biobrane, per sq cm
|
| A2044 |
Biobrane glove, each
|
| A2045 |
Novashield/novogen pr sq cm
|
| A4100 |
Nosht skin sub fda clrd nos
|
| A4206 |
1 cc sterile syringe&needle
|
| A4207 |
2 cc sterile syringe&needle
|
| A4208 |
3 cc sterile syringe&needle
|
| A4209 |
5+ cc sterile syringe&needle
|
| A4210 |
Nonneedle injection device
|
| A4211 |
Supp for self-adm injections
|
| A4212 |
Non coring needle or stylet
|
| A4213 |
20+ cc syringe only
|
| A4215 |
Sterile needle
|
| A4216 |
Sterile water/saline, 10 ml
|
| A4217 |
Sterile water/saline, 500 ml
|
| A4218 |
Sterile saline or water
|
| A4220 |
Infusion pump refill kit
|
| A4221 |
Supp non-insulin inf cath/wk
|
| A4222 |
Infusion supplies with pump
|
| A4223 |
Infusion supplies w/o pump
|
| A4224 |
Supply insulin inf cath/wk
|
| A4225 |
Sup/ext insulin inf pump syr
|
| A4226 |
Weekly supply maint cgs pump
|
| A4230 |
Infus insulin pump non needl
|
| A4231 |
Infusion insulin pump needle
|
| A4232 |
Syringe w/needle insulin 3cc
|
| A4233 |
Alkalin batt for glucose mon
|
| A4234 |
J-cell batt for glucose mon
|
| A4235 |
Lithium batt for glucose mon
|
| A4236 |
Silvr oxide batt glucose mon
|
| A4238 |
Adju cgm supply allowance
|
| A4239 |
Non-adju cgm supply allow
|
| A4244 |
Alcohol or peroxide per pint
|
| A4245 |
Alcohol wipes per box
|
| A4246 |
Betadine/phisohex solution
|
| A4247 |
Betadine/iodine swabs/wipes
|
| A4248 |
Chlorhexidine antisept
|
| A4250 |
Urine reagent strips/tablets
|
| A4252 |
Blood ketone test or strip
|
| A4253 |
Blood glucose/reagent strips
|
| A4255 |
Glucose monitor platforms
|
| A4256 |
Calibrator solution/chips
|
| A4257 |
Replace lensshield cartridge
|
| A4258 |
Lancet device each
|
| A4259 |
Lancets per box
|
| A4261 |
Cervical cap contraceptive
|
| A4262 |
Temporary tear duct plug
|
| A4263 |
Permanent tear duct plug
|
| A4264 |
Intratubal occlusion device
|
| A4265 |
Paraffin
|
| A4266 |
Diaphragm
|
| A4267 |
Male condom
|
| A4268 |
Female condom
|
| A4269 |
Spermicide
|
| A4270 |
Disposable endoscope sheath
|
| A4271 |
Home lancing/test cartridges
|
| A4280 |
Brst prsths adhsv attchmnt
|
| A4281 |
Replacement breastpump tube
|
| A4282 |
Replacement breastpump adpt
|
| A4283 |
Replacement breastpump cap
|
| A4284 |
Replcmnt breast pump shield
|
| A4285 |
Replcmnt breast pump bottle
|
| A4286 |
Replcmnt breastpump lok ring
|
| A4287 |
Disp col sto bag breast milk
|
| A4288 |
Replacement breastpump valve
|
| A4290 |
Sacral nerve stim test lead
|
| A4295 |
Straigh tip hydrophilic cath
|
| A4296 |
Coude tip hydrophilic cath
|
| A4297 |
Hydrophilic coat insert sup
|
| A4300 |
Cath impl vasc access portal
|
| A4301 |
Implantable access syst perc
|
| A4305 |
Drug delivery system >=50 ml
|
| A4306 |
Drug delivery system <=50 ml
|
| A4310 |
Insert tray w/o bag/cath
|
| A4311 |
Catheter w/o bag 2-way latex
|
| A4312 |
Cath w/o bag 2-way silicone
|
| A4313 |
Catheter w/bag 3-way
|
| A4314 |
Cath w/drainage 2-way latex
|
| A4315 |
Cath w/drainage 2-way silcne
|
| A4316 |
Cath w/drainage 3-way
|
| A4318 |
Fem urinary cup w/wo attch
|
| A4320 |
Irrigation tray
|
| A4321 |
Cath therapeutic irrig agent
|
| A4322 |
Irrigation syringe
|
| A4326 |
Male external catheter
|
| A4327 |
Fem urinary collect dev cup
|
| A4328 |
Fem urinary collect pouch
|
| A4330 |
Stool collection pouch
|
| A4331 |
Extension drainage tubing
|
| A4332 |
Lube sterile packet
|
| A4333 |
Urinary cath anchor device
|
| A4334 |
Urinary cath leg strap
|
| A4335 |
Incontinence supply
|
| A4336 |
Urethral insert
|
| A4337 |
Incontinent rectal insert
|
| A4338 |
Indwelling catheter latex
|
| A4340 |
Indwelling catheter special
|
| A4341 |
Iduc valve pat inst repl
|
| A4342 |
Iduc valve sply repl
|
| A4344 |
Cath indw foley 2 way silicn
|
| A4346 |
Cath indw foley 3 way
|
| A4349 |
Disposable male external cat
|
| A4351 |
Straight tip urine catheter
|
| A4352 |
Coude tip urinary catheter
|
| A4353 |
Intermittent urinary cath
|
| A4354 |
Cath insertion tray w/bag
|
| A4355 |
Bladder irrigation tubing
|
| A4356 |
Ext ureth clmp or compr dvc
|
| A4357 |
Bedside drainage bag
|
| A4358 |
Urinary leg or abdomen bag
|
| A4360 |
Disposable ext urethral dev
|
| A4361 |
Ostomy face plate
|
| A4362 |
Solid skin barrier
|
| A4363 |
Ostomy clamp, replacement
|
| A4364 |
Adhesive, liquid or equal
|
| A4366 |
Ostomy vent
|
| A4367 |
Ostomy belt
|
| A4368 |
Ostomy filter
|
| A4369 |
Skin barrier liquid per oz
|
| A4371 |
Skin barrier powder per oz
|
| A4372 |
Skin barrier solid 4x4 equiv
|
| A4373 |
Skin barrier with flange
|
| A4375 |
Drainable plastic pch w fcpl
|
| A4376 |
Drainable rubber pch w fcplt
|
| A4377 |
Drainable plstic pch w/o fp
|
| A4378 |
Drainable rubber pch w/o fp
|
| A4379 |
Urinary plastic pouch w fcpl
|
| A4380 |
Urinary rubber pouch w fcplt
|
| A4381 |
Urinary plastic pouch w/o fp
|
| A4382 |
Urinary hvy plstc pch w/o fp
|
| A4383 |
Urinary rubber pouch w/o fp
|
| A4384 |
Ostomy faceplt/silicone ring
|
| A4385 |
Ost skn barrier sld ext wear
|
| A4387 |
Ost clsd pouch w att st barr
|
| A4388 |
Drainable pch w ex wear barr
|
| A4389 |
Drainable pch w st wear barr
|
| A4390 |
Drainable pch ex wear convex
|
| A4391 |
Urinary pouch w ex wear barr
|
| A4392 |
Urinary pouch w st wear barr
|
| A4393 |
Urine pch w ex wear bar conv
|
| A4394 |
Ostomy pouch liq deodorant
|
| A4395 |
Ostomy pouch solid deodorant
|
| A4396 |
Peristomal hernia supprt blt
|
| A4397 |
Irrigation supply sleeve
|
| A4398 |
Ostomy irrigation bag
|
| A4399 |
Ostomy irrig cone/cath w brs
|
| A4400 |
Ostomy irrigation set
|
| A4402 |
Lubricant per ounce
|
| A4404 |
Ostomy ring each
|
| A4405 |
Nonpectin based ostomy paste
|
| A4406 |
Pectin based ostomy paste
|
| A4407 |
Ext wear ost skn barr <=4sq"
|
| A4408 |
Ext wear ost skn barr >4sq"
|
| A4409 |
Ost skn barr convex <=4 sq i
|
| A4410 |
Ost skn barr extnd >4 sq
|
| A4411 |
Ost skn barr extnd =4sq
|
| A4412 |
Ost pouch drain high output
|
| A4413 |
2 pc drainable ost pouch
|
| A4414 |
Ost sknbar w/o conv<=4 sq in
|
| A4415 |
Ost skn barr w/o conv >4 sqi
|
| A4416 |
Ost pch clsd w barrier/filtr
|
| A4417 |
Ost pch w bar/bltinconv/fltr
|
| A4418 |
Ost pch clsd w/o bar w filtr
|
| A4419 |
Ost pch for bar w flange/flt
|
| A4420 |
Ost pch clsd for bar w lk fl
|
| A4421 |
Ostomy supply misc
|
| A4422 |
Ost pouch absorbent material
|
| A4423 |
Ost pch for bar w lk fl/fltr
|
| A4424 |
Ost pch drain w bar & filter
|
| A4425 |
Ost pch drain for barrier fl
|
| A4426 |
Ost pch drain 2 piece system
|
| A4427 |
Ost pch drain/barr lk flng/f
|
| A4428 |
Urine ost pouch w faucet/tap
|
| A4429 |
Urine ost pouch w bltinconv
|
| A4430 |
Ost urine pch w b/bltin conv
|
| A4431 |
Ost pch urine w barrier/tapv
|
| A4432 |
Os pch urine w bar/fange/tap
|
| A4433 |
Urine ost pch bar w lock fln
|
| A4434 |
Ost pch urine w lock flng/ft
|
| A4435 |
1pc ost pch drain hgh output
|
| A4436 |
Irr supply sleev reus per mo
|
| A4437 |
Irr supply sleev disp per mo
|
| A4438 |
Adhesive clip ext ens contr
|
| A4450 |
Non-waterproof tape
|
| A4452 |
Waterproof tape
|
| A4453 |
Rec cath any transanal, each
|
| A4455 |
Adhesive remover per ounce
|
| A4456 |
Adhesive remover, wipes
|
| A4457 |
Enema tube any type repl
|
| A4458 |
Reusable enema bag
|
| A4459 |
Transanal irrigation, manual
|
| A4461 |
Surgicl dress hold non-reuse
|
| A4463 |
Surgical dress holder reuse
|
| A4465 |
Non-elastic extremity binder
|
| A4467 |
Belt strap sleev grmnt cover
|
| A4468 |
Exsuff belt incl all sup acc
|
| A4470 |
Gravlee jet washer
|
| A4479 |
Transanal irrigation, electr
|
| A4480 |
Vabra aspirator
|
| A4481 |
Tracheostoma filter
|
| A4483 |
Moisture exchanger
|
| A4490 |
Above knee surgical stocking
|
| A4495 |
Thigh length surg stocking
|
| A4500 |
Below knee surgical stocking
|
| A4510 |
Full length surg stocking
|
| A4520 |
Incontinence garment anytype
|
| A4540 |
Trans elec nerv periph nerv
|
| A4541 |
Monthly supp use with e0733
|
| A4542 |
Supp ext up limb tremor stim
|
| A4543 |
Supply trans elec nerve stim
|
| A4544 |
Electro nerve stimulator rls
|
| A4545 |
Suppl accessor tibial stim
|
| A4550 |
Surgical trays
|
| A4553 |
Nondisp underpads, all sizes
|
| A4554 |
Disposable underpads
|
| A4555 |
Ca tx e-stim electr/transduc
|
| A4556 |
Electrodes, pair
|
| A4557 |
Lead wires, pair
|
| A4558 |
Conductive gel or paste
|
| A4559 |
Coupling gel or paste
|
| A4560 |
Nmes disposable
|
| A4561 |
Pessary reusable rub anytype
|
| A4562 |
Pessary reusable nonrubber
|
| A4563 |
Vag inser rectal control sys
|
| A4564 |
Pessary, disposable any type
|
| A4565 |
Slings
|
| A4566 |
Should sling/vest/abrestrain
|
| A4570 |
Splint
|
| A4575 |
Hyperbaric o2 chamber disps
|
| A4580 |
Cast supplies (plaster)
|
| A4590 |
Special casting material
|
| A4593 |
Neuromod sti sys adj rehab
|
| A4594 |
Neuromod adj rehab mouthpie
|
| A4595 |
Tens suppl 2 lead per month
|
| A4596 |
Ces system monthly supp
|
| A4600 |
Sleeve, inter limb comp dev
|
| A4601 |
Lith ion non prosth recharge
|
| A4602 |
Replace lithium battery 1.5v
|
| A4604 |
Tubing with heating element
|
| A4605 |
Trach suction cath close sys
|
| A4606 |
Oxygen probe used w oximeter
|
| A4608 |
Transtracheal oxygen cath
|
| A4611 |
Heavy duty battery
|
| A4612 |
Battery cables
|
| A4613 |
Battery charger
|
| A4614 |
Hand-held pefr meter
|
| A4615 |
Cannula nasal
|
| A4616 |
Tubing (oxygen) per foot
|
| A4617 |
Mouth piece
|
| A4618 |
Breathing circuits
|
| A4619 |
Face tent
|
| A4620 |
Variable concentration mask
|
| A4623 |
Tracheostomy inner cannula
|
| A4624 |
Tracheal suction tube
|
| A4625 |
Trach care kit for new trach
|
| A4626 |
Tracheostomy cleaning brush
|
| A4627 |
Spacer bag/reservoir
|
| A4628 |
Oropharyngeal suction cath
|
| A4629 |
Tracheostomy care kit
|
| A4630 |
Repl bat t.e.n.s. own by pt
|
| A4633 |
Uvl replacement bulb
|
| A4634 |
Replacement bulb th lightbox
|
| A4635 |
Underarm crutch pad
|
| A4636 |
Handgrip for cane etc
|
| A4637 |
Repl tip cane/crutch/walker
|
| A4638 |
Repl batt pulse gen sys
|
| A4639 |
Infrared ht sys replcmnt pad
|
| A4640 |
Alternating pressure pad
|
| A4641 |
Radiopharm dx agent noc
|
| A4642 |
In111 satumomab
|
| A4648 |
Implantable tissue marker
|
| A4649 |
Surgical supplies
|
| A4650 |
Implant radiation dosimeter
|
| A4651 |
Calibrated microcap tube
|
| A4652 |
Microcapillary tube sealant
|
| A4653 |
Pd catheter anchor belt
|
| A4657 |
Syringe w/wo needle
|
| A4660 |
Sphyg/bp app w cuff and stet
|
| A4663 |
Dialysis blood pressure cuff
|
| A4670 |
Automatic bp monitor, dial
|
| A4671 |
Disposable cycler set
|
| A4672 |
Drainage ext line, dialysis
|
| A4673 |
Ext line w easy lock connect
|
| A4674 |
Chem/antisept solution, 8oz
|
| A4680 |
Activated carbon filter, ea
|
| A4690 |
Dialyzer, each
|
| A4706 |
Bicarbonate conc sol per gal
|
| A4707 |
Bicarbonate conc pow per pac
|
| A4708 |
Acetate conc sol per gallon
|
| A4709 |
Acid conc sol per gallon
|
| A4714 |
Treated water per gallon
|
| A4719 |
"y set" tubing
|
| A4720 |
Dialysat sol fld vol > 249cc
|
| A4721 |
Dialysat sol fld vol > 999cc
|
| A4722 |
Dialys sol fld vol > 1999cc
|
| A4723 |
Dialys sol fld vol > 2999cc
|
| A4724 |
Dialys sol fld vol > 3999cc
|
| A4725 |
Dialys sol fld vol > 4999cc
|
| A4726 |
Dialys sol fld vol > 5999cc
|
| A4728 |
Dialysate solution, non-dex
|
| A4730 |
Fistula cannulation set, ea
|
| A4736 |
Topical anesthetic, per gram
|
| A4737 |
Inj anesthetic per 10 ml
|
| A4740 |
Shunt accessory
|
| A4750 |
Art or venous blood tubing
|
| A4755 |
Comb art/venous blood tubing
|
| A4760 |
Dialysate sol test kit, each
|
| A4765 |
Dialysate conc pow per pack
|
| A4766 |
Dialysate conc sol add 10 ml
|
| A4770 |
Blood collection tube/vacuum
|
| A4771 |
Serum clotting time tube
|
| A4772 |
Blood glucose test strips
|
| A4773 |
Occult blood test strips
|
| A4774 |
Ammonia test strips
|
| A4802 |
Protamine sulfate per 50 mg
|
| A4860 |
Disposable catheter tips
|
| A4870 |
Plumb/elec wk hm hemo equip
|
| A4890 |
Repair/maint cont hemo equip
|
| A4911 |
Drain bag/bottle
|
| A4913 |
Misc dialysis supplies noc
|
| A4918 |
Venous pressure clamp
|
| A4927 |
Non-sterile gloves
|
| A4928 |
Surgical mask
|
| A4929 |
Tourniquet for dialysis, ea
|
| A4930 |
Sterile, gloves per pair
|
| A4931 |
Reusable oral thermometer
|
| A4932 |
Reusable rectal thermometer
|
| A5051 |
Pouch clsd w barr attached
|
| A5052 |
Clsd ostomy pouch w/o barr
|
| A5053 |
Clsd ostomy pouch faceplate
|
| A5054 |
Clsd ostomy pouch w/flange
|
| A5055 |
Stoma cap
|
| A5056 |
1 pc ost pouch w filter
|
| A5057 |
1 pc ost pou w built-in conv
|
| A5061 |
Pouch drainable w barrier at
|
| A5062 |
Drnble ostomy pouch w/o barr
|
| A5063 |
Drain ostomy pouch w/flange
|
| A5071 |
Urinary pouch w/barrier
|
| A5072 |
Urinary pouch w/o barrier
|
| A5073 |
Urinary pouch on barr w/flng
|
| A5081 |
Stoma plug or seal, any type
|
| A5082 |
Continent stoma catheter
|
| A5083 |
Stoma absorptive cover
|
| A5093 |
Ostomy accessory convex inse
|
| A5102 |
Bedside drain btl w/wo tube
|
| A5105 |
Urinary suspensory
|
| A5112 |
Urinary leg bag
|
| A5113 |
Latex leg strap
|
| A5114 |
Foam/fabric leg strap
|
| A5120 |
Skin barrier, wipe or swab
|
| A5121 |
Solid skin barrier 6x6
|
| A5122 |
Solid skin barrier 8x8
|
| A5126 |
Disk/foam pad +or- adhesive
|
| A5131 |
Appliance cleaner
|
| A5200 |
Percutaneous catheter anchor
|
| A5500 |
Diab shoe for density insert
|
| A5501 |
Diabetic custom molded shoe
|
| A5503 |
Diabetic shoe w/roller/rockr
|
| A5504 |
Diabetic shoe with wedge
|
| A5505 |
Diab shoe w/metatarsal bar
|
| A5506 |
Diabetic shoe w/off set heel
|
| A5507 |
Modification diabetic shoe
|
| A5508 |
Diabetic deluxe shoe
|
| A5510 |
Compression form shoe insert
|
| A5512 |
Multi den insert direct form
|
| A5513 |
Multi den insert custom mold
|
| A5514 |
Mult den insert dir carv/cam
|
| A6000 |
Wound warming wound cover
|
| A6010 |
Collagen based wound filler
|
| A6011 |
Collagen gel/paste wound fil
|
| A6021 |
Collagen dressing <=16 sq in
|
| A6022 |
Collagen drsg>16<=48 sq in
|
| A6023 |
Collagen dressing >48 sq in
|
| A6024 |
Collagen dsg wound filler
|
| A6025 |
Silicone gel sheet, each
|
| A6154 |
Wound pouch each
|
| A6196 |
Alginate dressing <=16 sq in
|
| A6197 |
Alginate drsg >16 <=48 sq in
|
| A6198 |
Alginate dressing > 48 sq in
|
| A6199 |
Alginate drsg wound filler
|
| A6203 |
Composite drsg <= 16 sq in
|
| A6204 |
Composite drsg >16<=48 sq in
|
| A6205 |
Composite drsg > 48 sq in
|
| A6206 |
Contact layer <= 16 sq in
|
| A6207 |
Contact layer >16<= 48 sq in
|
| A6208 |
Contact layer > 48 sq in
|
| A6209 |
Foam drsg <=16 sq in w/o bdr
|
| A6210 |
Foam drg >16<=48 sq in w/o b
|
| A6211 |
Foam drg > 48 sq in w/o brdr
|
| A6212 |
Foam drg <=16 sq in w/border
|
| A6213 |
Foam drg >16<=48 sq in w/bdr
|
| A6214 |
Foam drg > 48 sq in w/border
|
| A6215 |
Foam dressing wound filler
|
| A6216 |
Non-sterile gauze<=16 sq in
|
| A6217 |
Non-sterile gauze>16<=48 sq
|
| A6218 |
Non-sterile gauze > 48 sq in
|
| A6219 |
Gauze <= 16 sq in w/border
|
| A6220 |
Gauze >16 <=48 sq in w/bordr
|
| A6221 |
Gauze > 48 sq in w/border
|
| A6222 |
Gauze <=16 in no w/sal w/o b
|
| A6223 |
Gauze >16<=48 no w/sal w/o b
|
| A6224 |
Gauze > 48 in no w/sal w/o b
|
| A6228 |
Gauze <= 16 sq in water/sal
|
| A6229 |
Gauze >16<=48 sq in watr/sal
|
| A6230 |
Gauze > 48 sq in water/salne
|
| A6231 |
Hydrogel dsg<=16 sq in
|
| A6232 |
Hydrogel dsg>16<=48 sq in
|
| A6233 |
Hydrogel dressing >48 sq in
|
| A6234 |
Hydrocolld drg <=16 w/o bdr
|
| A6235 |
Hydrocolld drg >16<=48 w/o b
|
| A6236 |
Hydrocolld drg > 48 in w/o b
|
| A6237 |
Hydrocolld drg <=16 in w/bdr
|
| A6238 |
Hydrocolld drg >16<=48 w/bdr
|
| A6239 |
Hydrocolld drg > 48 in w/bdr
|
| A6240 |
Hydrocolld drg filler paste
|
| A6241 |
Hydrocolloid drg filler dry
|
| A6242 |
Hydrogel drg <=16 in w/o bdr
|
| A6243 |
Hydrogel drg >16<=48 w/o bdr
|
| A6244 |
Hydrogel drg >48 in w/o bdr
|
| A6245 |
Hydrogel drg <= 16 in w/bdr
|
| A6246 |
Hydrogel drg >16<=48 in w/b
|
| A6247 |
Hydrogel drg > 48 sq in w/b
|
| A6248 |
Hydrogel drsg gel filler
|
| A6250 |
Skin seal protect moisturizr
|
| A6251 |
Absorpt drg <=16 sq in w/o b
|
| A6252 |
Absorpt drg >16 <=48 w/o bdr
|
| A6253 |
Absorpt drg > 48 sq in w/o b
|
| A6254 |
Absorpt drg <=16 sq in w/bdr
|
| A6255 |
Absorpt drg >16<=48 in w/bdr
|
| A6256 |
Absorpt drg > 48 sq in w/bdr
|
| A6257 |
Transparent film <= 16 sq in
|
| A6258 |
Transparent film >16<=48 in
|
| A6259 |
Transparent film > 48 sq in
|
| A6260 |
Wound cleanser any type/size
|
| A6261 |
Wound filler gel/paste /oz
|
| A6262 |
Wound filler dry form / gram
|
| A6266 |
Impreg gauze no h20/sal/yard
|
| A6402 |
Sterile gauze <= 16 sq in
|
| A6403 |
Sterile gauze>16 <= 48 sq in
|
| A6404 |
Sterile gauze > 48 sq in
|
| A6407 |
Packing strips, non-impreg
|
| A6410 |
Sterile eye pad
|
| A6411 |
Non-sterile eye pad
|
| A6412 |
Occlusive eye patch
|
| A6413 |
Adhesive bandage, first-aid
|
| A6441 |
Pad band w>=3" <5"/yd
|
| A6442 |
Conform band n/s w<3"/yd
|
| A6443 |
Conform band n/s w>=3"<5"/yd
|
| A6444 |
Conform band n/s w>=5"/yd
|
| A6445 |
Conform band s w <3"/yd
|
| A6446 |
Conform band s w>=3" <5"/yd
|
| A6447 |
Conform band s w >=5"/yd
|
| A6448 |
Lt compres band <3"/yd
|
| A6449 |
Lt compres band >=3" <5"/yd
|
| A6450 |
Lt compres band >=5"/yd
|
| A6451 |
Mod compres band w>=3"<5"/yd
|
| A6452 |
High compres band w>=3"<5"yd
|
| A6453 |
Self-adher band w <3"/yd
|
| A6454 |
Self-adher band w>=3" <5"/yd
|
| A6455 |
Self-adher band >=5"/yd
|
| A6456 |
Zinc paste band w >=3"<5"/yd
|
| A6457 |
Tubular dressing
|
| A6460 |
Synthetic drsg <= 16 sq in
|
| A6461 |
Synthetic drsg >16<=48 sq in
|
| A6501 |
Compres burngarment bodysuit
|
| A6502 |
Compres burngarment chinstrp
|
| A6503 |
Compres burngarment facehood
|
| A6504 |
Cmprsburngarment glove-wrist
|
| A6505 |
Cmprsburngarment glove-elbow
|
| A6506 |
Cmprsburngrmnt glove-axilla
|
| A6507 |
Cmprs burngarment foot-knee
|
| A6508 |
Cmprs burngarment foot-thigh
|
| A6509 |
Compres burn garment jacket
|
| A6510 |
Compres burn garment leotard
|
| A6511 |
Compres burn garment panty
|
| A6512 |
Compres burn garment, noc
|
| A6513 |
Compress burn mask face/neck
|
| A6515 |
Grad com wrap w str fu le cu
|
| A6516 |
Grad com wrap w strap foo cu
|
| A6517 |
Grad com wrap w strap bn cus
|
| A6518 |
Grad com wrap w strap arm cu
|
| A6519 |
Grad com garm noc night use
|
| A6520 |
G com garmnt glove nghttime
|
| A6521 |
G com garmnt glove nght cust
|
| A6522 |
G com garment arm nighttime
|
| A6523 |
G com garment arm nght custm
|
| A6524 |
G com garmnt lwr leg/ft nght
|
| A6525 |
G com garm lwrleg/ft ngt cus
|
| A6526 |
G com garmt full leg/ft nght
|
| A6527 |
G garmt full leg/ft nght cus
|
| A6528 |
G com garment bra nighttime
|
| A6529 |
G com garmt bra night custm
|
| A6530 |
Compression stocking bk18-30
|
| A6531 |
Compress stking bk30-40 surg
|
| A6532 |
Compress stking bk40-50 surg
|
| A6533 |
Gc stocking thighlngth 18-30
|
| A6534 |
Gc stocking thighlngth 30-40
|
| A6535 |
Gc stocking thighlngth 40+
|
| A6536 |
Gc stocking full lngth 18-30
|
| A6537 |
Gc stocking full lngth 30-40
|
| A6538 |
Gc stocking full lngth 40+
|
| A6539 |
Gc stocking waistlngth 18-30
|
| A6540 |
Gc stocking waistlngth 30-40
|
| A6541 |
Gc stocking waistlngth 40+
|
| A6544 |
Gc stocking garter belt
|
| A6545 |
Grad com non-elastic bk surg
|
| A6548 |
Acces cust grad silic band
|
| A6549 |
Grad com garm noc day use
|
| A6550 |
Neg pres wound ther drsg set
|
| A6552 |
Grad com stocking bk 30-40
|
| A6553 |
G com stcking bk 30-40 custm
|
| A6554 |
Grad com stocking bk 40+
|
| A6555 |
G com stcking bk 40+ custm
|
| A6556 |
G com stcking thgh18-30 cust
|
| A6557 |
G com stcking thgh30-40 cust
|
| A6558 |
G com stcking thgh 40+ cust
|
| A6559 |
G stckng full/chap18-30 cust
|
| A6560 |
G stckng full/chap30-40 cust
|
| A6561 |
G stockng full/chap 40+ cust
|
| A6562 |
G com stckng waist18-30 cust
|
| A6563 |
G com stckng waist30-40 cust
|
| A6564 |
G com stckng waist 40+ cust
|
| A6565 |
Grad comp gauntlet custom
|
| A6566 |
Grad com garment neck/head
|
| A6567 |
G com garment neck/head cust
|
| A6568 |
G com garment torso/shldr
|
| A6569 |
G com garmnt torso/shdr cust
|
| A6570 |
Grad com garment genital
|
| A6571 |
G com garment genital custm
|
| A6572 |
Grad com garment toe caps
|
| A6573 |
Grad com garmnt toe cap cust
|
| A6574 |
Custom gradient sleev/glov
|
| A6575 |
Gradient comp sleev/glov
|
| A6576 |
Custom grad com sleeve med
|
| A6577 |
Custom grad cm sleeve heavy
|
| A6578 |
Gradient comp sleeve
|
| A6579 |
Custom grad com glove med
|
| A6580 |
Custom grad com glove heavy
|
| A6581 |
Gradient comp glove
|
| A6582 |
Gradient comp gauntlet
|
| A6583 |
Grad com wrap w straps bk
|
| A6584 |
Grad com wrap w straps
|
| A6585 |
Grad com wrap w straps ak
|
| A6586 |
Grad com wrap w strap fu leg
|
| A6587 |
Grad com wrap w straps foot
|
| A6588 |
Grad com wrap w strap arm
|
| A6589 |
Grad com wrap w straps bra
|
| A6590 |
Urinary cath disp suc pump
|
| A6591 |
Urinary cath suc pump
|
| A6593 |
Grad com accessory gmt_wrap
|
| A6594 |
G comp bandge liner lwr extr
|
| A6595 |
G comp bandge liner upr extr
|
| A6596 |
G comp bandge conform gauze
|
| A6597 |
G comp bandage long stretch
|
| A6598 |
G comp bandage med stretch
|
| A6599 |
G comp bandage short stretch
|
| A6600 |
G com bandge hgh dn foam sht
|
| A6601 |
G com bandge hgh dn foam pad
|
| A6602 |
G com bandge hgh dn foamroll
|
| A6603 |
G com bandge low dn foamchnl
|
| A6604 |
G com bandge low dn foam flt
|
| A6605 |
G com bandage padded foam
|
| A6606 |
G com bandage padded textile
|
| A6607 |
G com bandage tub protct lyr
|
| A6608 |
G com bandage tub protct pad
|
| A6609 |
G compression bandaging
|
| A6610 |
G com stcking bk 18-30 custm
|
| A6611 |
Grad com wrap w strap ak cus
|
| A7000 |
Disposable canister for pump
|
| A7001 |
Nondisposable pump canister
|
| A7002 |
Tubing used w suction pump
|
| A7003 |
Nebulizer administration set
|
| A7004 |
Disposable nebulizer sml vol
|
| A7005 |
Nondisposable nebulizer set
|
| A7006 |
Filtered nebulizer admin set
|
| A7007 |
Lg vol nebulizer disposable
|
| A7008 |
Disposable nebulizer prefill
|
| A7009 |
Nebulizer reservoir bottle
|
| A7010 |
Disposable corrugated tubing
|
| A7012 |
Nebulizer water collec devic
|
| A7013 |
Disposable compressor filter
|
| A7014 |
Compressor nondispos filter
|
| A7015 |
Aerosol mask used w nebulize
|
| A7016 |
Nebulizer dome & mouthpiece
|
| A7017 |
Nebulizer not used w oxygen
|
| A7018 |
Water distilled w/nebulizer
|
| A7020 |
Interface, cough stim device
|
| A7021 |
Suppl and access lung expan
|
| A7023 |
Mech allergen parti barrier
|
| A7025 |
Replace chest compress vest
|
| A7026 |
Replace chst cmprss sys hose
|
| A7027 |
Combination oral/nasal mask
|
| A7028 |
Repl oral cushion combo mask
|
| A7029 |
Repl nasal pillow comb mask
|
| A7030 |
Cpap full face mask
|
| A7031 |
Replacement facemask interfa
|
| A7032 |
Replacement nasal cushion
|
| A7033 |
Replacement nasal pillows
|
| A7034 |
Nasal application device
|
| A7035 |
Pos airway press headgear
|
| A7036 |
Pos airway press chinstrap
|
| A7037 |
Pos airway pressure tubing
|
| A7038 |
Pos airway pressure filter
|
| A7039 |
Filter, non disposable w pap
|
| A7040 |
One way chest drain valve
|
| A7041 |
Water seal drain container
|
| A7044 |
Pap oral interface
|
| A7045 |
Repl exhalation port for pap
|
| A7046 |
Repl water chamber, pap dev
|
| A7047 |
Resp suction oral interface
|
| A7048 |
Vacuum drain bottle/tube kit
|
| A7049 |
Epap nasal valve
|
| A7501 |
Tracheostoma valve w diaphra
|
| A7502 |
Replacement diaphragm/fplate
|
| A7503 |
Hmes filter holder or cap
|
| A7504 |
Tracheostoma hmes filter
|
| A7505 |
Hmes or trach valve housing
|
| A7506 |
Hmes/trachvalve adhesivedisk
|
| A7507 |
Integrated filter & holder
|
| A7508 |
Housing & integrated adhesiv
|
| A7509 |
Heat & moisture exchange sys
|
| A7520 |
Trach/laryn tube non-cuffed
|
| A7521 |
Trach/laryn tube cuffed
|
| A7522 |
Trach/laryn tube stainless
|
| A7523 |
Tracheostomy shower protect
|
| A7524 |
Tracheostoma stent/stud/bttn
|
| A7525 |
Tracheostomy mask
|
| A7526 |
Tracheostomy tube collar
|
| A7527 |
Trach/laryn tube plug/stop
|
| A8000 |
Soft protect helmet prefab
|
| A8001 |
Hard protect helmet prefab
|
| A8002 |
Soft protect helmet custom
|
| A8003 |
Hard protect helmet custom
|
| A8004 |
Repl soft interface, helmet
|
| A8005 |
Grip glove w microprocessor
|
| A8006 |
Grip glove replacement only
|
| A9150 |
Misc/exper non-prescript dru
|
| A9152 |
Single vitamin nos
|
| A9153 |
Multi-vitamin nos
|
| A9154 |
Artificial saliva, 1 ml
|
| A9155 |
Artificial saliva
|
| A9156 |
Oral mucoadhesive per 1 ml
|
| A9180 |
Lice treatment, topical
|
| A9268 |
Programmer orally ingest cap
|
| A9269 |
Programable ingest capsule
|
| A9270 |
Non-covered item or service
|
| A9272 |
Disp wound suct, drsg/access
|
| A9273 |
Hot/cold botle/cap/col/wrap
|
| A9274 |
Ext amb insulin delivery sys
|
| A9275 |
Disp home glucose monitor
|
| A9276 |
Disposable sensor, cgm sys
|
| A9277 |
External transmitter, cgm
|
| A9278 |
External receiver, cgm sys
|
| A9279 |
Monitoring feature/devicenoc
|
| A9280 |
Alert device, noc
|
| A9281 |
Reaching/grabbing device
|
| A9282 |
Wig any type
|
| A9283 |
Foot press off load supp dev
|
| A9284 |
Non-electronic spirometer
|
| A9285 |
Inversion eversion cor devic
|
| A9286 |
Any hygienic item, device
|
| A9291 |
Pres dig cog behav thera fda
|
| A9292 |
Pres dig visual therapy fda
|
| A9293 |
Fertility cycl tracking soft
|
| A9294 |
Biofeed dig cog behav tx fda
|
| A9300 |
Exercise equipment
|
| A9500 |
Tc99m sestamibi
|
| A9501 |
Technetium tc-99m teboroxime
|
| A9502 |
Tc99m tetrofosmin
|
| A9503 |
Tc99m medronate
|
| A9504 |
Tc99m apcitide
|
| A9505 |
Tl201 thallium
|
| A9506 |
Tc-99m graphite crucible
|
| A9507 |
In111 capromab
|
| A9508 |
I131 iodobenguate, dx
|
| A9509 |
Iodine i-123 sod iodide mil
|
| A9510 |
Tc99m disofenin
|
| A9512 |
Tc99m pertechnetate
|
| A9513 |
Lutetium lu 177 dotatat ther
|
| A9515 |
Choline c-11
|
| A9516 |
Iodine i-123 sod iodide mic
|
| A9517 |
I131 iodide cap, rx
|
| A9520 |
Tc99 tilmanocept diag 0.5mci
|
| A9521 |
Tc99m exametazime
|
| A9524 |
I131 serum albumin, dx
|
| A9526 |
Nitrogen n-13 ammonia
|
| A9527 |
Iodine i-125 sodium iodide
|
| A9528 |
Iodine i-131 iodide cap, dx
|
| A9529 |
I131 iodide sol, dx
|
| A9530 |
I131 iodide sol, rx
|
| A9531 |
I131 max 100uci
|
| A9532 |
I125 serum albumin, dx
|
| A9536 |
Tc99m depreotide
|
| A9537 |
Tc99m mebrofenin
|
| A9538 |
Tc99m pyrophosphate
|
| A9539 |
Tc99m pentetate
|
| A9540 |
Tc99m maa
|
| A9541 |
Tc99m sulfur colloid
|
| A9542 |
In111 ibritumomab, dx
|
| A9543 |
Y90 ibritumomab, rx
|
| A9546 |
Co57/58
|
| A9547 |
In111 oxyquinoline
|
| A9548 |
In111 pentetate
|
| A9550 |
Tc99m gluceptate
|
| A9551 |
Tc99m succimer
|
| A9552 |
F18 fdg
|
| A9553 |
Cr51 chromate
|
| A9554 |
I125 iothalamate, dx
|
| A9555 |
Rb82 rubidium
|
| A9556 |
Ga67 gallium
|
| A9557 |
Tc99m bicisate
|
| A9558 |
Xe133 xenon 10mci
|
| A9559 |
Co57 cyano
|
| A9560 |
Tc99m labeled rbc
|
| A9561 |
Tc99m oxidronate
|
| A9562 |
Tc99m mertiatide
|
| A9563 |
P32 na phosphate
|
| A9564 |
P32 chromic phosphate
|
| A9566 |
Tc99m fanolesomab
|
| A9567 |
Technetium tc-99m aerosol
|
| A9568 |
Technetium tc99m arcitumomab
|
| A9569 |
Technetium tc-99m auto wbc
|
| A9570 |
Indium in-111 auto wbc
|
| A9571 |
Indium in-111 auto platelet
|
| A9572 |
Indium in-111 pentetreotide
|
| A9573 |
Inj, gadopiclenol, 1 ml
|
| A9574 |
Inj. ferumoxytol, 1 mg
|
| A9575 |
Inj gadoterate meglumi 0.1ml
|
| A9576 |
Inj prohance multipack
|
| A9577 |
Inj multihance
|
| A9578 |
Inj multihance multipack
|
| A9579 |
Gad-base mr contrast nos,1ml
|
| A9580 |
Sodium fluoride f-18
|
| A9581 |
Gadoxetate disodium inj
|
| A9582 |
Iodine i-123 iobenguane
|
| A9583 |
Gadofosveset trisodium inj
|
| A9584 |
Iodine i-123 ioflupane
|
| A9585 |
Gadobutrol injection
|
| A9586 |
Florbetapir f18
|
| A9587 |
Gallium ga-68
|
| A9588 |
Fluciclovine f-18
|
| A9589 |
Insti hexaminolevulinate hcl
|
| A9590 |
Iodine i-131 iobenguane 1mci
|
| A9591 |
Fluoroestradiol f 18
|
| A9592 |
Copper cu 64 dotatate diag
|
| A9593 |
Gallium ga-68 psma-11 ucsf
|
| A9594 |
Gallium ga-68 psma-11, ucla
|
| A9595 |
Piflu f-18, dia 1 millicurie
|
| A9596 |
Gallium illuccix 1 millicure
|
| A9597 |
Pet, dx, for tumor id, noc
|
| A9598 |
Pet dx for non-tumor id, noc
|
| A9600 |
Sr89 strontium
|
| A9601 |
Flortaucipir inj 1 millicuri
|
| A9602 |
Fluorodopa f-18 diag per mci
|
| A9603 |
Inj, pafolacianine, 0.1 mg
|
| A9604 |
Sm 153 lexidronam
|
| A9606 |
Radium ra223 dichloride ther
|
| A9607 |
Lutetium lu 177 vipivotide
|
| A9608 |
Flotufolastat f18 diag 1 mci
|
| A9609 |
F18 fdg, 15 millicuries
|
| A9610 |
Xe129 xenon, diagnostic
|
| A9611 |
Flurpiridaz f18, diag, 1 mci
|
| A9612 |
Inj, fluorescein, 1 mg
|
| A9615 |
Inj, pegulicianine, 1 mg
|
| A9616 |
Gallium gozellix 1 millicuri
|
| A9697 |
Inj, magtrace per study dose
|
| A9698 |
Non-rad contrast materialnoc
|
| A9699 |
Radiopharm rx agent noc
|
| A9700 |
Echocardiography contrast
|
| A9800 |
Gallium locametz 1 millicuri
|
| A9900 |
Supply/accessory/service
|
| A9901 |
Delivery/set up/dispensing
|
| A9999 |
Dme supply or accessory, nos
|
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