Section A: Transportation, Medical & Surgical Supplies
849 HCPCS Level II codes in Section A (2026).
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 per 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, per ml
A2038
Marigen pacto, per sq cm
A2039
Innovamatrix fd, per 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
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, any
A4461
Surgicl dress hold non-reuse
A4463
Surgical dress holder reuse
A4465
Non-elastic extremity binder
A4466
Elastic garment/covering
A4467
Belt strap sleev grmnt cover
A4468
Exsuff belt incl all sup acc
A4470
Gravlee jet washer
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
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
A7011
Nondispos 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
A7042
Implanted pleural catheter
A7043
Vacuum drainagebottle/tubing
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
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
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
A9544
I131 tositumomab, dx
A9545
I131 tositumomab, 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
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
A9599
Radioph dx b amyloid pet nos
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