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Medicare HCPCS Codes (Definitions)

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Medicare HCPCS Codes (Definitions) Source: CMS 2020 HCPCS HCPCS Short 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 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 www.ahd.com Page 1 Source: CMS 2020 HCPCS 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 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 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 A4290 Sacral nerve stim test lead 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 www.ahd.com Page 2 Source: CMS 2020 HCPCS 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 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 www.ahd.com Page 3 Source: CMS 2020 HCPCS 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 A4450 Non-waterproof tape A4452 Waterproof tape A4455 Adhesive remover per ounce A4456 Adhesive remover, wipes A4458 Reusable enema bag A4459 Manual pump enema, reusable A4461 Surgicl dress hold non-reuse A4463 Surgical dress holder reuse A4465 Non-elastic extremity binder A4467 Belt strap sleev grmnt cover A4470 Gravlee jet washer A4480 Vabra aspirator A4481 Tracheostoma filter www.ahd.com Page 4 Source: CMS 2020 HCPCS 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 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 A4561 Pessary rubber, any type A4562 Pessary, non rubber,any type A4563 Vag inser rectal control sys A4565 Slings A4566 Should sling/vest/abrestrain A4570 Splint A4575 Hyperbaric o2 chamber disps A4580 Cast supplies (plaster) A4590 Special casting material A4595 Tens suppl 2 lead per month 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 www.ahd.com Page 5 Source: CMS 2020 HCPCS 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
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