2010 HCPCS A0021 Ambulance service, outside state per mile, transport (medicaid only)2010 HCPCS A0080 Non-emergency transportation, per mile - vehicle provided by volunteer (individual or organization), with no vested interest2010 HCPCS A0090 Non-emergency transportation, per mile - vehicle provided by individual (family member, self, neighbor) with vested interest2010 HCPCS A0100 Non-emergency transportation; taxi2010 HCPCS A0110 Non-emergency transportation and bus, intra or inter state carrier2010 HCPCS A0120 Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems2010 HCPCS A0130 Non-emergency transportation: wheel-chair van2010 HCPCS A0140 Non-emergency transportation and air travel (private or commercial) intra or inter state2010 HCPCS A0160 Non-emergency transportation: per mile - case worker or social worker2010 HCPCS A0170 Transportation ancillary: parking fees, tolls, other2010 HCPCS A0180 Non-emergency transportation: ancillary: lodging-recipient2010 HCPCS A0190 Non-emergency transportation: ancillary: meals-recipient2010 HCPCS A0200 Non-emergency transportation: ancillary: lodging escort2010 HCPCS A0210 Non-emergency transportation: ancillary: meals-escort2010 HCPCS A0225 Ambulance service, neonatal transport, base rate, emergency transport, one way2010 HCPCS A0380 Bls mileage (per mile)2010 HCPCS A0382 Bls routine disposable supplies2010 HCPCS A0384 Bls specialized service disposable supplies; defibrillation (used by als ambulances and bls ambulances in jurisdictions where defibrillation is permitted in bls ambulances)2010 HCPCS A0390 Als mileage (per mile)2010 HCPCS A0392 Als specialized service disposable supplies; defibrillation (to be used only in jurisdictions where defibrillation cannot be performed in bls ambulances)2010 HCPCS A0394 Als specialized service disposable supplies; iv drug therapy2010 HCPCS A0396 Als specialized service disposable supplies; esophageal intubation2010 HCPCS A0398 Als routine disposable supplies2010 HCPCS A0420 Ambulance waiting time (als or bls), one half (1/2) hour increments2010 HCPCS A0422 Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation2010 HCPCS A0424 Extra ambulance attendant, ground (als or bls) or air (fixed or rotary winged); (requires medical review)2010 HCPCS A0425 Ground mileage, per statute mile2010 HCPCS A0426 Ambulance service, advanced life support, non-emergency transport, level 1 (als 1)2010 HCPCS A0427 Ambulance service, advanced life support, emergency transport, level 1 (als1-emergency)2010 HCPCS A0428 Ambulance service, basic life support, non-emergency transport, (bls)2010 HCPCS A0429 Ambulance service, basic life support, emergency transport (bls-emergency)2010 HCPCS A0430 Ambulance service, conventional air services, transport, one way (fixed wing)2010 HCPCS A0431 Ambulance service, conventional air services, transport, one way (rotary wing)2010 HCPCS A0432 Paramedic intercept (pi), rural area, transport furnished by a volunteer ambulance company which is prohibited by state law from billing third party payers2010 HCPCS A0433 Advanced life support, level 2 (als 2)2010 HCPCS A0434 Specialty care transport (sct)2010 HCPCS A0435 Fixed wing air mileage, per statute mile2010 HCPCS A0436 Rotary wing air mileage, per statute mile2010 HCPCS A0800 TERMINATED 12/31/2006 : Ambulance transport provided between the hours of 7pm and 7am2010 HCPCS A0888 Noncovered ambulance mileage, per mile (e.g., for miles traveled beyond closest appropriate facility)2010 HCPCS A0998 Ambulance response and treatment, no transport2010 HCPCS A0999 Unlisted ambulance service2010 HCPCS A4206 Syringe with needle, sterile, 1 cc or less, each2010 HCPCS A4207 Syringe with needle, sterile 2cc, each2010 HCPCS A4208 Syringe with needle, sterile 3cc, each2010 HCPCS A4209 Syringe with needle, sterile 5cc or greater, each2010 HCPCS A4210 Needle-free injection device, each2010 HCPCS A4211 Supplies for self-administered injections2010 HCPCS A4212 Non-coring needle or stylet with or without catheter2010 HCPCS A4213 Syringe, sterile, 20 cc or greater, each2010 HCPCS A4215 Needle, sterile, any size, each2010 HCPCS A4216 Sterile water, saline and/or dextrose, diluent/flush, 10 ml2010 HCPCS A4217 Sterile water/saline, 500 ml2010 HCPCS A4218 Sterile saline or water, metered dose dispenser, 10 ml2010 HCPCS A4220 Refill kit for implantable infusion pump2010 HCPCS A4221 Supplies for maintenance of drug infusion catheter, per week (list drug separately)2010 HCPCS A4222 Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)2010 HCPCS A4223 Infusion supplies not used with external infusion pump, per cassette or bag (list drugs separately)2010 HCPCS A4230 Infusion set for external insulin pump, non needle cannula type2010 HCPCS A4231 Infusion set for external insulin pump, needle type2010 HCPCS A4232 Syringe with needle for external insulin pump, sterile, 3cc2010 HCPCS A4233 Replacement battery, alkaline (other than j cell), for use with medically necessary home blood glucose monitor owned by patient, each2010 HCPCS A4234 Replacement battery, alkaline, j cell, for use with medically necessary home blood glucose monitor owned by patient, each2010 HCPCS A4235 Replacement battery, lithium, for use with medically necessary home blood glucose monitor owned by patient, each2010 HCPCS A4236 Replacement battery, silver oxide, for use with medically necessary home blood glucose monitor owned by patient, each2010 HCPCS A4244 Alcohol or peroxide, per pint2010 HCPCS A4245 Alcohol wipes, per box2010 HCPCS A4246 Betadine or phisohex solution, per pint2010 HCPCS A4247 Betadine or iodine swabs/wipes, per box2010 HCPCS A4248 Chlorhexidine containing antiseptic, 1 ml2010 HCPCS A4250 Urine test or reagent strips or tablets (100 tablets or strips)2010 HCPCS A4252 Blood ketone test or reagent strip, each2010 HCPCS A4253 Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips2010 HCPCS A4255 Platforms for home blood glucose monitor, 50 per box2010 HCPCS A4256 Normal, low and high calibrator solution / chips2010 HCPCS A4257 Replacement lens shield cartridge for use with laser skin piercing device, each2010 HCPCS A4258 Spring-powered device for lancet, each2010 HCPCS A4259 Lancets, per box of 1002010 HCPCS A4261 Cervical cap for contraceptive use2010 HCPCS A4262 Temporary, absorbable lacrimal duct implant, each2010 HCPCS A4263 Permanent, long term, non-dissolvable lacrimal duct implant, each2010 HCPCS A4264 Permanent implantable contraceptive intratubal occlusion device(s) and delivery system2010 HCPCS A4265 Paraffin, per pound2010 HCPCS A4266 Diaphragm for contraceptive use2010 HCPCS A4267 Contraceptive supply, condom, male, each2010 HCPCS A4268 Contraceptive supply, condom, female, each2010 HCPCS A4269 Contraceptive supply, spermicide (e.g., foam, gel), each2010 HCPCS A4270 Disposable endoscope sheath, each2010 HCPCS A4280 Adhesive skin support attachment for use with external breast prosthesis, each2010 HCPCS A4281 Tubing for breast pump, replacement2010 HCPCS A4282 Adapter for breast pump, replacement2010 HCPCS A4283 Cap for breast pump bottle, replacement2010 HCPCS A4284 Breast shield and splash protector for use with breast pump, replacement2010 HCPCS A4285 Polycarbonate bottle for use with breast pump, replacement2010 HCPCS A4286 Locking ring for breast pump, replacement2010 HCPCS A4290 Sacral nerve stimulation test lead, each2010 HCPCS A4300 Implantable access catheter, (e,g., venous, arterial, epidural subarachnoid, or peritoneal, etc.) external access2010 HCPCS A4301 Implantable access total catheter, port/reservoir (e.g., venous, arterial, epidural, subarachnoid, peritoneal, etc.)2010 HCPCS A4305 Disposable drug delivery system, flow rate of 50 ml or greater per hour2010 HCPCS A4306 Disposable drug delivery system, flow rate of less than 50 ml per hour2010 HCPCS A4310 Insertion tray without drainage bag and without catheter (accessories only)2010 HCPCS A4311 Insertion tray without drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)2010 HCPCS A4312 Insertion tray without drainage bag with indwelling catheter, foley type, two-way, all silicone2010 HCPCS A4313 Insertion tray without drainage bag with indwelling catheter, foley type, three-way, for continuous irrigation2010 HCPCS A4314 Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)2010 HCPCS A4315 Insertion tray with drainage bag with indwelling catheter, foley type, two-way, all silicone2010 HCPCS A4316 Insertion tray with drainage bag with indwelling catheter, foley type, three-way, for continuous irrigation2010 HCPCS A4320 Irrigation tray with bulb or piston syringe, any purpose2010 HCPCS A4321 Therapeutic agent for urinary catheter irrigation2010 HCPCS A4322 Irrigation syringe, bulb or piston, each2010 HCPCS A4326 Male external catheter with integral collection chamber, any type, each2010 HCPCS A4327 Female external urinary collection device; meatal cup, each2010 HCPCS A4328 Female external urinary collection device; pouch, each2010 HCPCS A4330 Perianal fecal collection pouch with adhesive, each2010 HCPCS A4331 Extension drainage tubing, any type, any length, with connector/adaptor, for use with urinary leg bag or urostomy pouch, each2010 HCPCS A4332 Lubricant, individual sterile packet, each2010 HCPCS A4333 Urinary catheter anchoring device, adhesive skin attachment, each2010 HCPCS A4334 Urinary catheter anchoring device, leg strap, each2010 HCPCS A4335 Incontinence supply; miscellaneous2010 HCPCS A4336 Incontinence supply, urethral insert, any type, each2010 HCPCS A4338 Indwelling catheter; foley type, two-way latex with coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each2010 HCPCS A4340 Indwelling catheter; specialty type, eg; coude, mushroom, wing, etc.), each2010 HCPCS A4344 Indwelling catheter, foley type, two-way, all silicone, each2010 HCPCS A4346 Indwelling catheter; foley type, three way for continuous irrigation, each2010 HCPCS A4348 TERMINATED 12/31/2006 : Male external catheter with integral collection compartment, extended wear, each (e.g., 2 per month)2010 HCPCS A4349 Male external catheter, with or without adhesive, disposable, each2010 HCPCS A4351 Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each2010 HCPCS A4352 Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each2010 HCPCS A4353 Intermittent urinary catheter, with insertion supplies2010 HCPCS A4354 Insertion tray with drainage bag but without catheter2010 HCPCS A4355 Irrigation tubing set for continuous bladder irrigation through a three-way indwelling foley catheter, each2010 HCPCS A4356 External urethral clamp or compression device (not to be used for catheter clamp), each2010 HCPCS A4357 Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each2010 HCPCS A4358 Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each2010 HCPCS A4359 TERMINATED 12/31/2006 : Urinary suspensory without leg bag, each2010 HCPCS A4360 Disposable external urethral clamp or compression device, with pad and/or pouch, each2010 HCPCS A4361 Ostomy faceplate, each2010 HCPCS A4362 Skin barrier; solid, 4 x 4 or equivalent; each2010 HCPCS A4363 Ostomy clamp, any type, replacement only, each2010 HCPCS A4364 Adhesive, liquid or equal, any type, per oz2010 HCPCS A4365 TERMINATED 12/31/2009 : Adhesive remover wipes, any type, per 502010 HCPCS A4366 Ostomy vent, any type, each2010 HCPCS A4367 Ostomy belt, each2010 HCPCS A4368 Ostomy filter, any type, each2010 HCPCS A4369 Ostomy skin barrier, liquid (spray, brush, etc), per oz2010 HCPCS A4371 Ostomy skin barrier, powder, per oz2010 HCPCS A4372 Ostomy skin barrier, solid 4x4 or equivalent, standard wear, with built-in convexity, each2010 HCPCS A4373 Ostomy skin barrier, with flange (solid, flexible or accordian), with built-in convexity, any size, each2010 HCPCS A4375 Ostomy pouch, drainable, with faceplate attached, plastic, each2010 HCPCS A4376 Ostomy pouch, drainable, with faceplate attached, rubber, each2010 HCPCS A4377 Ostomy pouch, drainable, for use on faceplate, plastic, each2010 HCPCS A4378 Ostomy pouch, drainable, for use on faceplate, rubber, each2010 HCPCS A4379 Ostomy pouch, urinary, with faceplate attached, plastic, each2010 HCPCS A4380 Ostomy pouch, urinary, with faceplate attached, rubber, each2010 HCPCS A4381 Ostomy pouch, urinary, for use on faceplate, plastic, each2010 HCPCS A4382 Ostomy pouch, urinary, for use on faceplate, heavy plastic, each2010 HCPCS A4383 Ostomy pouch, urinary, for use on faceplate, rubber, each2010 HCPCS A4384 Ostomy faceplate equivalent, silicone ring, each2010 HCPCS A4385 Ostomy skin barrier, solid 4x4 or equivalent, extended wear, without built-in convexity, each2010 HCPCS A4387 Ostomy pouch, closed, with barrier attached, with built-in convexity (1 piece), each2010 HCPCS A4388 Ostomy pouch, drainable, with extended wear barrier attached, (1 piece), each2010 HCPCS A4389 Ostomy pouch, drainable, with barrier attached, with built-in convexity (1 piece), each2010 HCPCS A4390 Ostomy pouch, drainable, with extended wear barrier attached, with built-in convexity (1 piece), each2010 HCPCS A4391 Ostomy pouch, urinary, with extended wear barrier attached (1 piece), each2010 HCPCS A4392 Ostomy pouch, urinary, with standard wear barrier attached, with built-in convexity (1 piece), each2010 HCPCS A4393 Ostomy pouch, urinary, with extended wear barrier attached, with built-in convexity (1 piece), each2010 HCPCS A4394 Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce2010 HCPCS A4395 Ostomy deodorant for use in ostomy pouch, solid, per tablet2010 HCPCS A4396 Ostomy belt with peristomal hernia support2010 HCPCS A4397 Irrigation supply; sleeve, each2010 HCPCS A4398 Ostomy irrigation supply; bag, each2010 HCPCS A4399 Ostomy irrigation supply; cone/catheter, including brush2010 HCPCS A4400 Ostomy irrigation set2010 HCPCS A4402 Lubricant, per ounce2010 HCPCS A4404 Ostomy ring, each2010 HCPCS A4405 Ostomy skin barrier, non-pectin based, paste, per ounce2010 HCPCS A4406 Ostomy skin barrier, pectin-based, paste, per ounce2010 HCPCS A4407 Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each2010 HCPCS A4408 Ostomy skin barrier, wtih flange (solid, flexible or accordion), extended wear, with built-in convexity, larger than 4 x 4 inches, each2010 HCPCS A4409 Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each2010 HCPCS A4410 Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, larger than 4 x 4 inches, each2010 HCPCS A4411 Ostomy skin barrier, solid 4x4 or equivalent, extended wear, with built-in convexity, each2010 HCPCS A4412 Ostomy pouch, drainable, high output, for use on a barrier with flange (2 piece system), without filter, each2010 HCPCS A4413 Ostomy pouch, drainable, high output, for use on a barrier with flange (2 piece system), with filter, each2010 HCPCS A4414 Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each2010 HCPCS A4415 Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, larger than 4x4 inches, each2010 HCPCS A4416 Ostomy pouch, closed, with barrier attached, with filter (1 piece), each2010 HCPCS A4417 Ostomy pouch, closed, with barrier attached, with built-in convexity, with filter (1 piece), each2010 HCPCS A4418 Ostomy pouch, closed; without barrier attached, with filter (1 piece), each2010 HCPCS A4419 Ostomy pouch, closed; for use on barrier with non-locking flange, with filter (2 piece), each2010 HCPCS A4420 Ostomy pouch, closed; for use on barrier with locking flange (2 piece), each2010 HCPCS A4421 Ostomy supply; miscellaneous2010 HCPCS A4422 Ostomy absorbent material (sheet/pad/crystal packet) for use in ostomy pouch to thicken liquid stomal output, each2010 HCPCS A4423 Ostomy pouch, closed; for use on barrier with locking flange, with filter (2 piece), each2010 HCPCS A4424 Ostomy pouch, drainable, with barrier attached, with filter (1 piece), each2010 HCPCS A4425 Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each2010 HCPCS A4426 Ostomy pouch, drainable; for use on barrier with locking flange (2 piece system), each2010 HCPCS A4427 Ostomy pouch, drainable; for use on barrier with locking flange, with filter (2 piece system), each2010 HCPCS A4428 Ostomy pouch, urinary, with extended wear barrier attached, with faucet-type tap with valve (1 piece), each2010 HCPCS A4429 Ostomy pouch, urinary, with barrier attached, with built-in convexity, with faucet-type tap with valve (1 piece), each2010 HCPCS A4430 Ostomy pouch, urinary, with extended wear barrier attached, with built-in convexity, with faucet-type tap with valve (1 piece), each2010 HCPCS A4431 Ostomy pouch, urinary; with barrier attached, with faucet-type tap with valve (1 piece), each2010 HCPCS A4432 Ostomy pouch, urinary; for use on barrier with non-locking flange, with faucet-type tap with valve (2 piece), each2010 HCPCS A4433 Ostomy pouch, urinary; for use on barrier with locking flange (2 piece), each2010 HCPCS A4434 Ostomy pouch, urinary; for use on barrier with locking flange, with faucet-type tap with valve (2 piece), each2010 HCPCS A4450 Tape, non-waterproof, per 18 square inches2010 HCPCS A4452 Tape, waterproof, per 18 square inches2010 HCPCS A4455 Adhesive remover or solvent (for tape, cement or other adhesive), per ounce2010 HCPCS A4456 Adhesive remover, wipes, any type, each2010 HCPCS A4458 Enema bag with tubing, reusable2010 HCPCS A4461 Surgical dressing holder, non-reusable, each2010 HCPCS A4462 TERMINATED 12/31/2006 : Abdominal dressing holder, each2010 HCPCS A4463 Surgical dressing holder, reusable, each2010 HCPCS A4465 Non-elastic binder for extremity2010 HCPCS A4466 Garment, belt, sleeve or other covering, elastic or similar stretchable material, any type, each2010 HCPCS A4470 Gravlee jet washer2010 HCPCS A4480 Vabra aspirator2010 HCPCS A4481 Tracheostoma filter, any type, any size, each2010 HCPCS A4483 Moisture exchanger, disposable, for use with invasive mechanical ventilation2010 HCPCS A4490 Surgical stockings above knee length, each2010 HCPCS A4495 Surgical stockings thigh length, each2010 HCPCS A4500 Surgical stockings below knee length, each2010 HCPCS A4510 Surgical stockings full length, each2010 HCPCS A4520 Incontinence garment, any type, (e.g. brief, diaper), each2010 HCPCS A4550 Surgical trays2010 HCPCS A4554 Disposable underpads, all sizes2010 HCPCS A4556 Electrodes, (e.g., apnea monitor), per pair2010 HCPCS A4557 Lead wires, (e.g., apnea monitor), per pair2010 HCPCS A4558 Conductive gel or paste, for use with electrical device (e.g., tens, nmes), per oz2010 HCPCS A4559 Coupling gel or paste, for use with ultrasound device, per oz2010 HCPCS A4561 Pessary, rubber, any type2010 HCPCS A4562 Pessary, non rubber, any type2010 HCPCS A4565 Slings2010 HCPCS A4570 Splint2010 HCPCS A4575 Topical hyperbaric oxygen chamber, disposable2010 HCPCS A4580 Cast supplies (e.g. plaster)2010 HCPCS A4590 Special casting material (e.g. fiberglass)2010 HCPCS A4595 Electrical stimulator supplies, 2 lead, per month, (e.g. tens, nmes)2010 HCPCS A4600 Sleeve for intermittent limb compression device, replacement only, each2010 HCPCS A4601 Lithium ion battery for non-prosthetic use, replacement2010 HCPCS A4604 Tubing with integrated heating element for use with positive airway pressure device2010 HCPCS A4605 Tracheal suction catheter, closed system, each2010 HCPCS A4606 Oxygen probe for use with oximeter device, replacement2010 HCPCS A4608 Transtracheal oxygen catheter, each2010 HCPCS A4611 Battery, heavy duty; replacement for patient owned ventilator2010 HCPCS A4612 Battery cables; replacement for patient-owned ventilator2010 HCPCS A4613 Battery charger; replacement for patient-owned ventilator2010 HCPCS A4614 Peak expiratory flow rate meter, hand held2010 HCPCS A4615 Cannula, nasal2010 HCPCS A4616 Tubing (oxygen), per foot2010 HCPCS A4617 Mouth piece2010 HCPCS A4618 Breathing circuits2010 HCPCS A4619 Face tent2010 HCPCS A4620 Variable concentration mask2010 HCPCS A4623 Tracheostomy, inner cannula2010 HCPCS A4624 Tracheal suction catheter, any type other than closed system, each2010 HCPCS A4625 Tracheostomy care kit for new tracheostomy2010 HCPCS A4626 Tracheostomy cleaning brush, each2010 HCPCS A4627 Spacer, bag or reservoir, with or without mask, for use with metered dose inhaler2010 HCPCS A4628 Oropharyngeal suction catheter, each2010 HCPCS A4629 Tracheostomy care kit for established tracheostomy2010 HCPCS A4630 Replacement batteries, medically necessary, transcutaneous electrical stimulator, owned by patient2010 HCPCS A4632 TERMINATED 12/31/2006 : Replacement battery for external infusion pump, any type, each2010 HCPCS A4633 Replacement bulb/lamp for ultraviolet light therapy system, each2010 HCPCS A4634 Replacement bulb for therapeutic light box, tabletop model2010 HCPCS A4635 Underarm pad, crutch, replacement, each2010 HCPCS A4636 Replacement, handgrip, cane, crutch, or walker, each2010 HCPCS A4637 Replacement, tip, cane, crutch, walker, each.2010 HCPCS A4638 Replacement battery for patient-owned ear pulse generator, each2010 HCPCS A4639 Replacement pad for infrared heating pad system, each2010 HCPCS A4640 Replacement pad for use with medically necessary alternating pressure pad owned by patient2010 HCPCS A4641 Radiopharmaceutical, diagnostic, not otherwise classified2010 HCPCS A4642 Indium in-111 satumomab pendetide, diagnostic, per study dose, up to 6 millicuries2010 HCPCS A4648 Tissue marker, implantable, any type, each2010 HCPCS A4649 Surgical supply; miscellaneous2010 HCPCS A4650 Implantable radiation dosimeter, each2010 HCPCS A4651 Calibrated microcapillary tube, each2010 HCPCS A4652 Microcapillary tube sealant2010 HCPCS A4653 Peritoneal dialysis catheter anchoring device, belt, each2010 HCPCS A4657 Syringe, with or without needle, each2010 HCPCS A4660 Sphygmomanometer/blood pressure apparatus with cuff and stethoscope2010 HCPCS A4663 Blood pressure cuff only2010 HCPCS A4670 Automatic blood pressure monitor2010 HCPCS A4671 Disposable cycler set used with cycler dialysis machine, each2010 HCPCS A4672 Drainage extension line, sterile, for dialysis, each2010 HCPCS A4673 Extension line with easy lock connectors, used with dialysis2010 HCPCS A4674 Chemicals/antiseptics solution used to clean/sterilize dialysis equipment, per 8 oz2010 HCPCS A4680 Activated carbon filter for hemodialysis, each2010 HCPCS A4690 Dialyzer (artificial kidneys), all types, all sizes, for hemodialysis, each2010 HCPCS A4706 Bicarbonate concentrate, solution, for hemodialysis, per gallon2010 HCPCS A4707 Bicarbonate concentrate, powder, for hemodialysis, per packet2010 HCPCS A4708 Acetate concentrate solution, for hemodialysis, per gallon2010 HCPCS A4709 Acid concentrate, solution, for hemodialysis, per gallon2010 HCPCS A4714 Treated water (deionized, distilled, or reverse osmosis) for peritoneal dialysis, per gallon2010 HCPCS A4719 "y set" tubing for peritoneal dialysis2010 HCPCS A4720 Dialysate solution, any concentration of dextrose, fluid volume greater than 249cc, but less than or equal to 999cc, for peritoneal dialysis2010 HCPCS A4721 Dialysate solution, any concentration of dextrose, fluid volume greater than 999cc but less than or equal to 1999cc, for peritoneal dialysis2010 HCPCS A4722 Dialysate solution, any concentration of dextrose, fluid volume greater than 1999cc but less than or equal to 2999cc, for peritoneal dialysis2010 HCPCS A4723 Dialysate solution, any concentration of dextrose, fluid volume greater than 2999cc but less than or equal to 3999cc, for peritoneal dialysis2010 HCPCS A4724 Dialysate solution, any concentration of dextrose, fluid volume greater than 3999cc but less than or equal to 4999cc, for peritoneal dialysis2010 HCPCS A4725 Dialysate solution, any concentration of dextrose, fluid volume greater than 4999cc but less than or equal to 5999cc, for peritoneal dialysis2010 HCPCS A4726 Dialysate solution, any concentration of dextrose, fluid volume greater than 5999cc, for peritoneal dialysis2010 HCPCS A4728 Dialysate solution, non-dextrose containing, 500 ml2010 HCPCS A4730 Fistula cannulation set for hemodialysis, each2010 HCPCS A4736 Topical anesthetic, for dialysis, per gram2010 HCPCS A4737 Injectable anesthetic, for dialysis, per 10 ml2010 HCPCS A4740 Shunt accessory, for hemodialysis, any type, each2010 HCPCS A4750 Blood tubing, arterial or venous, for hemodialysis, each2010 HCPCS A4755 Blood tubing, arterial and venous combined, for hemodialysis, each2010 HCPCS A4760 Dialysate solution test kit, for peritoneal dialysis, any type, each2010 HCPCS A4765 Dialysate concentrate, powder, additive for peritoneal dialysis, per packet2010 HCPCS A4766 Dialysate concentrate, solution, additive for peritoneal dialysis, per 10 ml2010 HCPCS A4770 Blood collection tube, vacuum, for dialysis, per 502010 HCPCS A4771 Serum clotting time tube, for dialysis, per 502010 HCPCS A4772 Blood glucose test strips, for dialysis, per 502010 HCPCS A4773 Occult blood test strips, for dialysis, per 502010 HCPCS A4774 Ammonia test strips, for dialysis, per 502010 HCPCS A4802 Protamine sulfate, for hemodialysis, per 50 mg2010 HCPCS A4860 Disposable catheter tips for peritoneal dialysis, per 102010 HCPCS A4870 Plumbing and/or electrical work for home hemodialysis equipment2010 HCPCS A4890 Contracts, repair and maintenance, for hemodialysis equipment2010 HCPCS A4911 Drain bag/bottle, for dialysis, each2010 HCPCS A4913 Miscellaneous dialysis supplies, not otherwise specified2010 HCPCS A4918 Venous pressure clamp, for hemodialysis, each2010 HCPCS A4927 Gloves, non-sterile, per 1002010 HCPCS A4928 Surgical mask, per 202010 HCPCS A4929 Tourniquet for dialysis, each2010 HCPCS A4930 Gloves, sterile, per pair2010 HCPCS A4931 Oral thermometer, reusable, any type, each2010 HCPCS A4932 Rectal thermometer, reusable, any type, each2010 HCPCS A5051 Ostomy pouch, closed; with barrier attached (1 piece), each2010 HCPCS A5052 Ostomy pouch, closed; without barrier attached (1 piece), each2010 HCPCS A5053 Ostomy pouch, closed; for use on faceplate, each2010 HCPCS A5054 Ostomy pouch, closed; for use on barrier with flange (2 piece), each2010 HCPCS A5055 Stoma cap2010 HCPCS A5061 Ostomy pouch, drainable; with barrier attached, (1 piece), each2010 HCPCS A5062 Ostomy pouch, drainable; without barrier attached (1 piece), each2010 HCPCS A5063 Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each2010 HCPCS A5071 Ostomy pouch, urinary; with barrier attached (1 piece), each2010 HCPCS A5072 Ostomy pouch, urinary; without barrier attached (1 piece), each2010 HCPCS A5073 Ostomy pouch, urinary; for use on barrier with flange (2 piece), each2010 HCPCS A5081 Continent device; plug for continent stoma2010 HCPCS A5082 Continent device; catheter for continent stoma2010 HCPCS A5083 Continent device, stoma absorptive cover for continent stoma2010 HCPCS A5093 Ostomy accessory; convex insert2010 HCPCS A5102 Bedside drainage bottle with or without tubing, rigid or expandable, each2010 HCPCS A5105 Urinary suspensory with leg bag, with or without tube, each2010 HCPCS A5112 Urinary leg bag; latex2010 HCPCS A5113 Leg strap; latex, replacement only, per set2010 HCPCS A5114 Leg strap; foam or fabric, replacement only, per set2010 HCPCS A5120 Skin barrier, wipes or swabs, each2010 HCPCS A5121 Skin barrier; solid, 6 x 6 or equivalent, each2010 HCPCS A5122 Skin barrier; solid, 8 x 8 or equivalent, each2010 HCPCS A5126 Adhesive or non-adhesive; disk or foam pad2010 HCPCS A5131 Appliance cleaner, incontinence and ostomy appliances, per 16 oz.2010 HCPCS A5200 Percutaneous catheter/tube anchoring device, adhesive skin attachment2010 HCPCS A5500 For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi- density insert(s), per shoe2010 HCPCS A5501 For diabetics only, fitting (including follow-up), custom preparation and supply of shoe molded from cast(s) of patient's foot (custom molded shoe), per shoe2010 HCPCS A5503 For diabetics only, modification (including fitting) of off-the-shelf depth-inlay shoe or custom-molded shoe with roller or rigid rocker bottom, per shoe2010 HCPCS A5504 For diabetics only, modification (including fitting) of off-the-shelf depth-inlay shoe or custom-molded shoe with wedge(s), per shoe2010 HCPCS A5505 For diabetics only, modification (including fitting) of off-the-shelf depth-inlay shoe or custom-molded shoe with metatarsal bar, per shoe2010 HCPCS A5506 For diabetics only, modification (including fitting) of off-the-shelf depth-inlay shoe or custom-molded shoe with off-set heel(s), per shoe2010 HCPCS A5507 For diabetics only, not otherwise specified modification (including fitting) of off-the-shelf depth-inlay shoe or custom-molded shoe, per shoe2010 HCPCS A5508 For diabetics only, deluxe feature of off-the-shelf depth-inlay shoe or custom-molded shoe, per shoe2010 HCPCS A5510 For diabetics only, direct formed, compression molded to patient's foot without external heat source, multiple-density insert(s) prefabricated, per shoe2010 HCPCS A5512 For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or 3/16 inch material of shore a 40 durometer (or higher), prefabricated, each2010 HCPCS A5513 For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer or higher), includes arch filler and other shaping material, custom fabricated, each2010 HCPCS A6000 Non-contact wound warming wound cover for use with the non-contact wound warming device and warming card2010 HCPCS A6010 Collagen based wound filler, dry form, sterile, per gram of collagen2010 HCPCS A6011 Collagen based wound filler, gel/paste, sterile, per gram of collagen2010 HCPCS A6021 Collagen dressing, sterile, pad size 16 sq. in. or less, each2010 HCPCS A6022 Collagen dressing, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., each2010 HCPCS A6023 Collagen dressing, sterile, pad size more than 48 sq. in., each2010 HCPCS A6024 Collagen dressing wound filler, sterile, per 6 inches2010 HCPCS A6025 Gel sheet for dermal or epidermal application, (e.g., silicone, hydrogel, other), each2010 HCPCS A6154 Wound pouch, each2010 HCPCS A6196 Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing2010 HCPCS A6197 Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., each dressing2010 HCPCS A6198 Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 48 sq. in., each dressing2010 HCPCS A6199 Alginate or other fiber gelling dressing, wound filler, sterile, per 6 inches2010 HCPCS A6200 TERMINATED 12/31/2009 : Composite dressing, pad size 16 sq. in. or less, without adhesive border, each dressing2010 HCPCS A6201 TERMINATED 12/31/2009 : Composite dressing, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing2010 HCPCS A6202 TERMINATED 12/31/2009 : Composite dressing, pad size more than 48 sq. in., without adhesive border, each dressing2010 HCPCS A6203 Composite dressing, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing2010 HCPCS A6204 Composite dressing, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing2010 HCPCS A6205 Composite dressing, sterile, pad size more than 48 sq. in., with any size adhesive border, each dressing2010 HCPCS A6206 Contact layer, sterile, 16 sq. in. or less, each dressing2010 HCPCS A6207 Contact layer, sterile, more than 16 sq. in. but less than or equal to 48 sq. in., each dressing2010 HCPCS A6208 Contact layer, sterile, more than 48 sq. in., each dressing2010 HCPCS A6209 Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing2010 HCPCS A6210 Foam dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing2010 HCPCS A6211 Foam dressing, wound cover, sterile, pad size more than 48 sq. in., without adhesive border, each dressing2010 HCPCS A6212 Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing2010 HCPCS A6213 Foam dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing2010 HCPCS A6214 Foam dressing, wound cover, sterile, pad size more than 48 sq. in., with any size adhesive border, each dressing2010 HCPCS A6215 Foam dressing, wound filler, sterile, per gram2010 HCPCS A6216 Gauze, non-impregnated, non-sterile, pad size 16 sq. in. or less, without adhesive border, each dressing2010 HCPCS A6217 Gauze, non-impregnated, non-sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing2010 HCPCS A6218 Gauze, non-impregnated, non-sterile, pad size more than 48 sq. in., without adhesive border, each dressing2010 HCPCS A6219 Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing2010 HCPCS A6220 Gauze, non-impregnated, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing2010 HCPCS A6221 Gauze, non-impregnated, sterile, pad size more than 48 sq. in., with any size adhesive border, each dressing2010 HCPCS A6222 Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing2010 HCPCS A6223 Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size more than 16 sq. in., but less than or equal to 48 sq. in., without adhesive border, each dressing2010 HCPCS A6224 Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size more than 48 sq. in., without adhesive border, each dressing2010 HCPCS A6228 Gauze, impregnated, water or normal saline, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing2010 HCPCS A6229 Gauze, impregnated, water or normal saline, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing2010 HCPCS A6230 Gauze, impregnated, water or normal saline, sterile, pad size more than 48 sq. in., without adhesive border, each dressing2010 HCPCS A6231 Gauze, impregnated, hydrogel, for direct wound contact, sterile, pad size 16 sq. in. or less, each dressing2010 HCPCS A6232 Gauze, impregnated, hydrogel, for direct wound contact, sterile, pad size greater than 16 sq. in., but less than or equal to 48 sq. in., each dressing2010 HCPCS A6233 Gauze, impregnated, hydrogel, for direct wound contact, sterile, pad size more than 48 sq. in., each dressing2010 HCPCS A6234 Hydrocolloid dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing2010 HCPCS A6235 Hydrocolloid dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing2010 HCPCS A6236 Hydrocolloid dressing, wound cover, sterile, pad size more than 48 sq. in., without adhesive border, each dressing2010 HCPCS A6237 Hydrocolloid dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing2010 HCPCS A6238 Hydrocolloid dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing2010 HCPCS A6239 Hydrocolloid dressing, wound cover, sterile, pad size more than 48 sq. in., with any size adhesive border, each dressing2010 HCPCS A6240 Hydrocolloid dressing, wound filler, paste, sterile, per ounce2010 HCPCS A6241 Hydrocolloid dressing, wound filler, dry form, sterile, per gram2010 HCPCS A6242 Hydrogel dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing2010 HCPCS A6243 Hydrogel dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing2010 HCPCS A6244 Hydrogel dressing, wound cover, sterile, pad size more than 48 sq. in., without adhesive border, each dressing2010 HCPCS A6245 Hydrogel dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing2010 HCPCS A6246 Hydrogel dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing2010 HCPCS A6247 Hydrogel dressing, wound cover, sterile, pad size more than 48 sq. in., with any size adhesive border, each dressing2010 HCPCS A6248 Hydrogel dressing, wound filler, gel, sterile, per fluid ounce2010 HCPCS A6250 Skin sealants, protectants, moisturizers, ointments, any type, any size2010 HCPCS A6251 Specialty absorptive dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing2010 HCPCS A6252 Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing2010 HCPCS A6253 Specialty absorptive dressing, wound cover, sterile, pad size more than 48 sq. in., without adhesive border, each dressing2010 HCPCS A6254 Specialty absorptive dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing2010 HCPCS A6255 Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing2010 HCPCS A6256 Specialty absorptive dressing, wound cover, sterile, pad size more than 48 sq. in., with any size adhesive border, each dressing2010 HCPCS A6257 Transparent film, sterile, 16 sq. in. or less, each dressing2010 HCPCS A6258 Transparent film, sterile, more than 16 sq. in. but less than or equal to 48 sq. in., each dressing2010 HCPCS A6259 Transparent film, sterile, more than 48 sq. in., each dressing2010 HCPCS A6260 Wound cleansers, sterile, any type, any size2010 HCPCS A6261 Wound filler, gel/paste, sterile, per fluid ounce, not otherwise specified2010 HCPCS A6262 Wound filler, dry form, sterile, per gram, not otherwise specified2010 HCPCS A6266 Gauze, impregnated, other than water, normal saline, or zinc paste, sterile, any width, per linear yard2010 HCPCS A6402 Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing2010 HCPCS A6403 Gauze, non-impregnated, sterile, pad size more than 16 sq. in. less than or equal to 48 sq. in., without adhesive border, each dressing2010 HCPCS A6404 Gauze, non-impregnated, sterile, pad size more than 48 sq. in., without adhesive border, each dressing2010 HCPCS A6407 Packing strips, non-impregnated, sterile, up to 2 inches in width, per linear yard2010 HCPCS A6410 Eye pad, sterile, each2010 HCPCS A6411 Eye pad, non-sterile, each2010 HCPCS A6412 Eye patch, occlusive, each2010 HCPCS A6413 Adhesive bandage, first-aid type, any size, each2010 HCPCS A6441 Padding bandage, non-elastic, non-woven/non-knitted, width greater than or equal to three inches and less than five inches, per yard2010 HCPCS A6442 Conforming bandage, non-elastic, knitted/woven, non-sterile, width less than three inches, per yard2010 HCPCS A6443 Conforming bandage, non-elastic, knitted/woven, non-sterile, width greater than or equal to three inches and less than five inches, per yard2010 HCPCS A6444 Conforming bandage, non-elastic, knitted/woven, non-sterile, width greater than or equal to 5 inches, per yard2010 HCPCS A6445 Conforming bandage, non-elastic, knitted/woven, sterile, width less than three inches, per yard2010 HCPCS A6446 Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard2010 HCPCS A6447 Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to five inches, per yard2010 HCPCS A6448 Light compression bandage, elastic, knitted/woven, width less than three inches, per yard2010 HCPCS A6449 Light compression bandage, elastic, knitted/woven, width greater than or equal to three inches and less than five inches, per yard2010 HCPCS A6450 Light compression bandage, elastic, knitted/woven, width greater than or equal to five inches, per yard2010 HCPCS A6451 Moderate compression bandage, elastic, knitted/woven, load resistance of 1.25 to 1.34 foot pounds at 50% maximum stretch, width greater than or equal to three inches and less than five inches, per yard2010 HCPCS A6452 High compression bandage, elastic, knitted/woven, load resistance greater than or equal to 1.35 foot pounds at 50% maximum stretch, width greater than or equal to three inches and less than five inches, per yard2010 HCPCS A6453 Self-adherent bandage, elastic, non-knitted/non-woven, width less than three inches, per yard2010 HCPCS A6454 Self-adherent bandage, elastic, non-knitted/non-woven, width greater than or equal to three inches and less than five inches, per yard2010 HCPCS A6455 Self-adherent bandage, elastic, non-knitted/non-woven, width greater than or equal to five inches, per yard2010 HCPCS A6456 Zinc paste impregnated bandage, non-elastic, knitted/woven, width greater than or equal to three inches and less than five inches, per yard2010 HCPCS A6457 Tubular dressing with or without elastic, any width, per linear yard2010 HCPCS A6501 Compression burn garment, bodysuit (head to foot), custom fabricated2010 HCPCS A6502 Compression burn garment, chin strap, custom fabricated2010 HCPCS A6503 Compression burn garment, facial hood, custom fabricated2010 HCPCS A6504 Compression burn garment, glove to wrist, custom fabricated2010 HCPCS A6505 Compression burn garment, glove to elbow, custom fabricated2010 HCPCS A6506 Compression burn garment, glove to axilla, custom fabricated2010 HCPCS A6507 Compression burn garment, foot to knee length, custom fabricated2010 HCPCS A6508 Compression burn garment, foot to thigh length, custom fabricated2010 HCPCS A6509 Compression burn garment, upper trunk to waist including arm openings (vest), custom fabricated2010 HCPCS A6510 Compression burn garment, trunk, including arms down to leg openings (leotard), custom fabricated2010 HCPCS A6511 Compression burn garment, lower trunk including leg openings (panty), custom fabricated2010 HCPCS A6512 Compression burn garment, not otherwise classified2010 HCPCS A6513 Compression burn mask, face and/or neck, plastic or equal, custom fabricated2010 HCPCS A6530 Gradient compression stocking, below knee, 18-30 mmhg, each2010 HCPCS A6531 Gradient compression stocking, below knee, 30-40 mmhg, each2010 HCPCS A6532 Gradient compression stocking, below knee, 40-50 mmhg, each2010 HCPCS A6533 Gradient compression stocking, thigh length, 18-30 mmhg, each2010 HCPCS A6534 Gradient compression stocking, thigh length, 30-40 mmhg, each2010 HCPCS A6535 Gradient compression stocking, thigh length, 40-50 mmhg, each2010 HCPCS A6536 Gradient compression stocking, full length/chap style, 18-30 mmhg, each2010 HCPCS A6537 Gradient compression stocking, full length/chap style, 30-40 mmhg, each2010 HCPCS A6538 Gradient compression stocking, full length/chap style, 40-50 mmhg, each2010 HCPCS A6539 Gradient compression stocking, waist length, 18-30 mmhg, each2010 HCPCS A6540 Gradient compression stocking, waist length, 30-40 mmhg, each2010 HCPCS A6541 Gradient compression stocking, waist length, 40-50 mmhg, each2010 HCPCS A6542 TERMINATED 12/31/2009 : Gradient compression stocking, custom made2010 HCPCS A6543 TERMINATED 12/31/2009 : Gradient compression stocking, lymphedema2010 HCPCS A6544 Gradient compression stocking, garter belt2010 HCPCS A6545 Gradient compression wrap, non-elastic, below knee, 30-50 mm hg, each2010 HCPCS A6549 Gradient compression stocking/sleeve, not otherwise specified2010 HCPCS A6550 Wound care set, for negative pressure wound therapy electrical pump, includes all supplies and accessories2010 HCPCS A7000 Canister, disposable, used with suction pump, each2010 HCPCS A7001 Canister, non-disposable, used with suction pump, each2010 HCPCS A7002 Tubing, used with suction pump, each2010 HCPCS A7003 Administration set, with small volume nonfiltered pneumatic nebulizer, disposable2010 HCPCS A7004 Small volume nonfiltered pneumatic nebulizer, disposable2010 HCPCS A7005 Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable2010 HCPCS A7006 Administration set, with small volume filtered pneumatic nebulizer2010 HCPCS A7007 Large volume nebulizer, disposable, unfilled, used with aerosol compressor2010 HCPCS A7008 Large volume nebulizer, disposable, prefilled, used with aerosol compressor2010 HCPCS A7009 Reservoir bottle, non-disposable, used with large volume ultrasonic nebulizer2010 HCPCS A7010 Corrugated tubing, disposable, used with large volume nebulizer, 100 feet2010 HCPCS A7011 Corrugated tubing, non-disposable, used with large volume nebulizer, 10 feet2010 HCPCS A7012 Water collection device, used with large volume nebulizer2010 HCPCS A7013 Filter, disposable, used with aerosol compressor2010 HCPCS A7014 Filter, nondisposable, used with aerosol compressor or ultrasonic generator2010 HCPCS A7015 Aerosol mask, used with dme nebulizer2010 HCPCS A7016 Dome and mouthpiece, used with small volume ultrasonic nebulizer2010 HCPCS A7017 Nebulizer, durable, glass or autoclavable plastic, bottle type, not used with oxygen2010 HCPCS A7018 Water, distilled, used with large volume nebulizer, 1000 ml2010 HCPCS A7025 High frequency chest wall oscillation system vest, replacement for use with patient owned equipment, each2010 HCPCS A7026 High frequency chest wall oscillation system hose, replacement for use with patient owned equipment, each2010 HCPCS A7027 Combination oral/nasal mask, used with continuous positive airway pressure device, each2010 HCPCS A7028 Oral cushion for combination oral/nasal mask, replacement only, each2010 HCPCS A7029 Nasal pillows for combination oral/nasal mask, replacement only, pair2010 HCPCS A7030 Full face mask used with positive airway pressure device, each2010 HCPCS A7031 Face mask interface, replacement for full face mask, each2010 HCPCS A7032 Cushion for use on nasal mask interface, replacement only, each2010 HCPCS A7033 Pillow for use on nasal cannula type interface, replacement only, pair2010 HCPCS A7034 Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap2010 HCPCS A7035 Headgear used with positive airway pressure device2010 HCPCS A7036 Chinstrap used with positive airway pressure device2010 HCPCS A7037 Tubing used with positive airway pressure device2010 HCPCS A7038 Filter, disposable, used with positive airway pressure device2010 HCPCS A7039 Filter, non disposable, used with positive airway pressure device2010 HCPCS A7040 One way chest drain valve2010 HCPCS A7041 Water seal drainage container and tubing for use with implanted chest tube2010 HCPCS A7042 Implanted pleural catheter, each2010 HCPCS A7043 Vacuum drainage bottle and tubing for use with implanted catheter2010 HCPCS A7044 Oral interface used with positive airway pressure device, each2010 HCPCS A7045 Exhalation port with or without swivel used with accessories for positive airway devices, replacement only2010 HCPCS A7046 Water chamber for humidifier, used with positive airway pressure device, replacement, each2010 HCPCS A7501 Tracheostoma valve, including diaphragm, each2010 HCPCS A7502 Replacement diaphragm/faceplate for tracheostoma valve, each2010 HCPCS A7503 Filter holder or filter cap, reusable, for use in a tracheostoma heat and moisture exchange system, each2010 HCPCS A7504 Filter for use in a tracheostoma heat and moisture exchange system, each2010 HCPCS A7505 Housing, reusable without adhesive, for use in a heat and moisture exchange system and/or with a tracheostoma valve, each2010 HCPCS A7506 Adhesive disc for use in a heat and moisture exchange system and/or with tracheostoma valve, any type each2010 HCPCS A7507 Filter holder and integrated filter without adhesive, for use in a tracheostoma heat and moisture exchange system, each2010 HCPCS A7508 Housing and integrated adhesive, for use in a tracheostoma heat and moisture exchange system and/or with a tracheostoma valve, each2010 HCPCS A7509 Filter holder and integrated filter housing, and adhesive, for use as a tracheostoma heat and moisture exchange system, each2010 HCPCS A7520 Tracheostomy/laryngectomy tube, non-cuffed, polyvinylchloride (pvc), silicone or equal, each2010 HCPCS A7521 Tracheostomy/laryngectomy tube, cuffed, polyvinylchloride (pvc), silicone or equal, each2010 HCPCS A7522 Tracheostomy/laryngectomy tube, stainless steel or equal (sterilizable and reusable), each2010 HCPCS A7523 Tracheostomy shower protector, each2010 HCPCS A7524 Tracheostoma stent/stud/button, each2010 HCPCS A7525 Tracheostomy mask, each2010 HCPCS A7526 Tracheostomy tube collar/holder, each2010 HCPCS A7527 Tracheostomy/laryngectomy tube plug/stop, each2010 HCPCS A8000 Helmet, protective, soft, prefabricated, includes all components and accessories2010 HCPCS A8001 Helmet, protective, hard, prefabricated, includes all components and accessories2010 HCPCS A8002 Helmet, protective, soft, custom fabricated, includes all components and accessories2010 HCPCS A8003 Helmet, protective, hard, custom fabricated, includes all components and accessories2010 HCPCS A8004 Soft interface for helmet, replacement only2010 HCPCS A9150 Non-prescription drugs2010 HCPCS A9152 Single vitamin/mineral/trace element, oral, per dose, not otherwise specified2010 HCPCS A9153 Multiple vitamins, with or without minerals and trace elements, oral, per dose, not otherwise specified2010 HCPCS A9155 Artificial saliva, 30 ml2010 HCPCS A9180 Pediculosis (lice infestation) treatment, topical, for administration by patient/caretaker2010 HCPCS A9270 Non-covered item or service2010 HCPCS A9274 External ambulatory insulin delivery system, disposable, each, includes all supplies and accessories2010 HCPCS A9275 Home glucose disposable monitor, includes test strips2010 HCPCS A9276 Sensor; invasive (e.g. subcutaneous), disposable, for use with interstitial continuous glucose monitoring system, one unit = 1 day supply2010 HCPCS A9277 Transmitter; external, for use with interstitial continuous glucose monitoring system2010 HCPCS A9278 Receiver (monitor); external, for use with interstitial continuous glucose monitoring system2010 HCPCS A9279 Monitoring feature/device, stand-alone or integrated, any type, includes all accessories, components and electronics, not otherwise classified2010 HCPCS A9280 Alert or alarm device, not otherwise classified2010 HCPCS A9281 Reaching/grabbing device, any type, any length, each2010 HCPCS A9282 Wig, any type, each2010 HCPCS A9283 Foot pressure off loading/supportive device, any type, each2010 HCPCS A9284 Spirometer, non-electronic, includes all accessories2010 HCPCS A9300 Exercise equipment2010 HCPCS A9500 Technetium tc-99m sestamibi, diagnostic, per study dose2010 HCPCS A9501 Technetium tc-99m teboroxime, diagnostic, per study dose2010 HCPCS A9502 Technetium tc-99m tetrofosmin, diagnostic, per study dose2010 HCPCS A9503 Technetium tc-99m medronate, diagnostic, per study dose, up to 30 millicuries2010 HCPCS A9504 Technetium tc-99m apcitide, diagnostic, per study dose, up to 20 millicuries2010 HCPCS A9505 Thallium tl-201 thallous chloride, diagnostic, per millicurie2010 HCPCS A9507 Indium in-111 capromab pendetide, diagnostic, per study dose, up to 10 millicuries2010 HCPCS A9508 Iodine i-131 iobenguane sulfate, diagnostic, per 0.5 millicurie2010 HCPCS A9509 Iodine i-123 sodium iodide, diagnostic, per millicurie2010 HCPCS A9510 Technetium tc-99m disofenin, diagnostic, per study dose, up to 15 millicuries2010 HCPCS A9512 Technetium tc-99m pertechnetate, diagnostic, per millicurie2010 HCPCS A9516 Iodine i-123 sodium iodide, diagnostic, per 100 microcuries, up to 999 microcuries2010 HCPCS A9517 Iodine i-131 sodium iodide capsule(s), therapeutic, per millicurie2010 HCPCS A9521 Technetium tc-99m exametazime, diagnostic, per study dose, up to 25 millicuries2010 HCPCS A9524 Iodine i-131 iodinated serum albumin, diagnostic, per 5 microcuries2010 HCPCS A9526 Nitrogen n-13 ammonia, diagnostic, per study dose, up to 40 millicuries2010 HCPCS A9527 Iodine i-125, sodium iodide solution, therapeutic, per millicurie2010 HCPCS A9528 Iodine i-131 sodium iodide capsule(s), diagnostic, per millicurie2010 HCPCS A9529 Iodine i-131 sodium iodide solution, diagnostic, per millicurie2010 HCPCS A9530 Iodine i-131 sodium iodide solution, therapeutic, per millicurie2010 HCPCS A9531 Iodine i-131 sodium iodide, diagnostic, per microcurie (up to 100 microcuries)2010 HCPCS A9532 Iodine i-125 serum albumin, diagnostic, per 5 microcuries2010 HCPCS A9535 TERMINATED 12/31/2009 : Injection, methylene blue, 1 ml2010 HCPCS A9536 Technetium tc-99m depreotide, diagnostic, per study dose, up to 35 millicuries2010 HCPCS A9537 Technetium tc-99m mebrofenin, diagnostic, per study dose, up to 15 millicuries2010 HCPCS A9538 Technetium tc-99m pyrophosphate, diagnostic, per study dose, up to 25 millicuries2010 HCPCS A9539 Technetium tc-99m pentetate, diagnostic, per study dose, up to 25 millicuries2010 HCPCS A9540 Technetium tc-99m macroaggregated albumin, diagnostic, per study dose, up to 10 millicuries2010 HCPCS A9541 Technetium tc-99m sulfur colloid, diagnostic, per study dose, up to 20 millicuries2010 HCPCS A9542 Indium in-111 ibritumomab tiuxetan, diagnostic, per study dose, up to 5 millicuries2010 HCPCS A9543 Yttrium y-90 ibritumomab tiuxetan, therapeutic, per treatment dose, up to 40 millicuries2010 HCPCS A9544 Iodine i-131 tositumomab, diagnostic, per study dose2010 HCPCS A9545 Iodine i-131 tositumomab, therapeutic, per treatment dose2010 HCPCS A9546 Cobalt co-57/58, cyanocobalamin, diagnostic, per study dose, up to 1 microcurie2010 HCPCS A9547 Indium in-111 oxyquinoline, diagnostic, per 0.5 millicurie2010 HCPCS A9548 Indium in-111 pentetate, diagnostic, per 0.5 millicurie2010 HCPCS A9549 TERMINATED 12/31/2006 : Technetium tc-99m arcitumomab, diagnostic, per study dose, up to 25 millicuries2010 HCPCS A9550 Technetium tc-99m sodium gluceptate, diagnostic, per study dose, up to 25 millicurie2010 HCPCS A9551 Technetium tc-99m succimer, diagnostic, per study dose, up to 10 millicuries2010 HCPCS A9552 Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries2010 HCPCS A9553 Chromium cr-51 sodium chromate, diagnostic, per study dose, up to 250 microcuries2010 HCPCS A9554 Iodine i-125 sodium iothalamate, diagnostic, per study dose, up to 10 microcuries2010 HCPCS A9555 Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries2010 HCPCS A9556 Gallium ga-67 citrate, diagnostic, per millicurie2010 HCPCS A9557 Technetium tc-99m bicisate, diagnostic, per study dose, up to 25 millicuries2010 HCPCS A9558 Xenon xe-133 gas, diagnostic, per 10 millicuries2010 HCPCS A9559 Cobalt co-57 cyanocobalamin, oral, diagnostic, per study dose, up to 1 microcurie2010 HCPCS A9560 Technetium tc-99m labeled red blood cells, diagnostic, per study dose, up to 30 millicuries2010 HCPCS A9561 Technetium tc-99m oxidronate, diagnostic, per study dose, up to 30 millicuries2010 HCPCS A9562 Technetium tc-99m mertiatide, diagnostic, per study dose, up to 15 millicuries2010 HCPCS A9563 Sodium phosphate p-32, therapeutic, per millicurie2010 HCPCS A9564 Chromic phosphate p-32 suspension, therapeutic, per millicurie2010 HCPCS A9565 TERMINATED 12/31/2007 : Indium in-111 pentetreotide, diagnostic, per millicurie2010 HCPCS A9566 Technetium tc-99m fanolesomab, diagnostic, per study dose, up to 25 millicuries2010 HCPCS A9567 Technetium tc-99m pentetate, diagnostic, aerosol, per study dose, up to 75 millicuries2010 HCPCS A9568 Technetium tc-99m arcitumomab, diagnostic, per study dose, up to 45 millicuries2010 HCPCS A9569 Technetium tc-99m exametazime labeled autologous white blood cells, diagnostic, per study dose2010 HCPCS A9570 Indium in-111 labeled autologous white blood cells, diagnostic, per study dose2010 HCPCS A9571 Indium in-111 labeled autologous platelets, diagnostic, per study dose2010 HCPCS A9572 Indium in-111 pentetreotide, diagnostic, per study dose, up to 6 millicuries2010 HCPCS A9576 Injection, gadoteridol, (prohance multipack), per ml2010 HCPCS A9577 Injection, gadobenate dimeglumine (multihance), per ml2010 HCPCS A9578 Injection, gadobenate dimeglumine (multihance multipack), per ml2010 HCPCS A9579 Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml2010 HCPCS A9580 Sodium fluoride f-18, diagnostic, per study dose, up to 30 millicuries2010 HCPCS A9581 Injection, gadoxetate disodium, 1 ml2010 HCPCS A9582 Iodine i-123 iobenguane, diagnostic, per study dose, up to 15 millicuries2010 HCPCS A9583 Injection, gadofosveset trisodium, 1 ml2010 HCPCS A9600 Strontium sr-89 chloride, therapeutic, per millicurie2010 HCPCS A9604 Samarium sm-153 lexidronam, therapeutic, per treatment dose, up to 150 millicuries2010 HCPCS A9605 TERMINATED 12/31/2009 : Samarium sm-153 lexidronamm, therapeutic, per 50 millicuries2010 HCPCS A9698 Non-radioactive contrast imaging material, not otherwise classified, per study2010 HCPCS A9699 Radiopharmaceutical, therapeutic, not otherwise classified2010 HCPCS A9700 Supply of injectable contrast material for use in echocardiography, per study2010 HCPCS A9900 Miscellaneous dme supply, accessory, and/or service component of another hcpcs code2010 HCPCS A9901 Dme delivery, set up, and/or dispensing service component of another hcpcs code2010 HCPCS A9999 Miscellaneous dme supply or accessory, not otherwise specified
