HCPCS Procedure & Supply Codes

Medical And Surgical Supplies

section notes

Miscellaneous Medical and Surgical Supplies

section notes
A4206‑A4209   Syringe with needle, sterile
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‑A4218   Sterile water/saline
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‑A4236   Replacement Battery, Home Blood Glucose Monitor
A4238‑A4239   Supply Allowance for Non-implanted Continuous Glucose Monitor (CGM)
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‑A4269   Contraceptive supplies
A4262   Temporary tear duct plug
A4263   Permanent tear duct plug
A4265   Paraffin
A4270   Disposable endoscope sheath
A4271   Home lancing/test cartridges
A4280‑A4287   Breast pump accessories
A4290   Sacral nerve stim test lead
A4438   Adhesive clip ext ens contr
A4450   Non-waterproof tape
A4452   Waterproof tape
A4455   Adhesive remover per ounce
A4456   Adhesive remover, wipes
A4457   Enema tube any type repl
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
A4468   Exsuff belt incl all sup acc
A4470   Gravlee jet washer
A4480   Vabra aspirator
A4481   Tracheostoma filter
A4483   Moisture exchanger
A4490‑A4510   Surgical stockings, each
A4520   Incontinence garment anytype
A4540   Trans elec nerv periph nerv
A4541   Monthly supp use with e0733
A4542   Supp ext up limb tremor stim
A4550   Surgical trays
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‑A4564   Pessary, 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‑A4594   Neuromodulation stimulator system
A4595   Tens suppl 2 lead per month
A4596   Ces system monthly supp
A4600   Sleeve, inter limb comp dev
A8000‑A8003   Helmet, protective, includes all components and accessories
A8004   Repl soft interface, helmet
A9273   Hot/cold botle/cap/col/wrap
A9285   Inversion eversion cor devic
A9286   Any hygienic item, device
A9293   Fertility cycl tracking soft
A9574   Air poly intrauterine foam
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