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A4333
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Procedure Codes
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HCPCS Level II
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Transportation Services Including Ambulance, Medical and Surgical Supplies, Administrative, Miscellaneous and Investigational
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A4100–A4932
A4333
Urinary catheter anchoring device, adhesive skin attachment, each
Back
A4100
Non-sheet form skin substitute, fda cleared as a device, not otherwise specified (list in addition to primary procedure)
→
A4206
Syringe with needle, sterile, 1 cc or less, each
→
A4207
Syringe with needle, sterile 2 cc, each
→
A4208
Syringe with needle, sterile 3 cc, each
→
A4209
Syringe with needle, sterile 5 cc or greater, each
→
A4210
Needle-free injection device, each
→
A4211
Supplies for self-administered injections
→
A4212
Non-coring needle or stylet with or without catheter
→
A4213
Syringe, sterile, 20 cc or greater, each
→
A4215
Needle, sterile, any size, each
→
A4216
Sterile water, saline and/or dextrose, diluent/flush, 10 ml
→
A4217
Sterile water/saline, 500 ml
→
A4218
Sterile saline or water, metered dose dispenser, 10 ml
→
A4220
Refill kit for implantable infusion pump
→
A4221
Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately)
→
A4222
Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)
→
A4223
Infusion supplies not used with external infusion pump, per cassette or bag (list drugs separately)
→
A4224
Supplies for maintenance of insulin infusion catheter, per week
→
A4225
Supplies for external insulin infusion pump, syringe type cartridge, sterile, each
→
A4226
Supplies for maintenance of insulin infusion pump with dosage rate adjustment using therapeutic continuous glucose sensing, per week
→
A4228
Supplies for maintenance of non-insulin, device-drug combination infusion catheter, per week
→
A4230
Infusion set for external insulin pump, non needle cannula type
→
A4231
Infusion set for external insulin pump, needle type
→
A4232
Syringe with needle for external insulin pump, sterile, 3 cc
→
A4233
Replacement battery, alkaline (other than j cell), for use with medically necessary home blood glucose monitor owned by patient, each
→
A4234
Replacement battery, alkaline, j cell, for use with medically necessary home blood glucose monitor owned by patient, each
→
A4235
Replacement battery, lithium, for use with medically necessary home blood glucose monitor owned by patient, each
→
A4236
Replacement battery, silver oxide, for use with medically necessary home blood glucose monitor owned by patient, each
→
A4238
Supply allowance for adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service
→
A4239
Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service
→
A4244
Alcohol or peroxide, per pint
→
A4245
Alcohol wipes, per box
→
A4246
Betadine or phisohex solution, per pint
→
A4247
Betadine or iodine swabs/wipes, per box
→
A4248
Chlorhexidine containing antiseptic, 1 ml
→
A4250
Urine test or reagent strips or tablets (100 tablets or strips)
→
A4252
Blood ketone test or reagent strip, each
→
A4253
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips
→
A4255
Platforms for home blood glucose monitor, 50 per box
→
A4256
Normal, low and high calibrator solution / chips
→
A4257
Replacement lens shield cartridge for use with laser skin piercing device, each
→
A4258
Spring-powered device for lancet, each
→
A4259
Lancets, per box of 100
→
A4261
Cervical cap for contraceptive use
→
A4262
Temporary, absorbable lacrimal duct implant, each
→
A4263
Permanent, long term, non-dissolvable lacrimal duct implant, each
→
A4264
Permanent implantable contraceptive intratubal occlusion device(s) and delivery system
→
A4265
Paraffin, per pound
→
A4266
Diaphragm for contraceptive use
→
A4267
Contraceptive supply, condom, male, each
→
A4268
Contraceptive supply, condom, female, each
→
A4269
Contraceptive supply, spermicide (e.g., foam, gel), each
→
A4270
Disposable endoscope sheath, each
→
A4271
Integrated lancing and blood sample testing cartridges for home blood glucose monitor, per 50 tests
→
A4280
Adhesive skin support attachment for use with external breast prosthesis, each
→
A4281
Tubing for breast pump, replacement
→
A4282
Adapter for breast pump, replacement
→
A4283
Cap for breast pump bottle, replacement
→
A4284
Breast shield and splash protector for use with breast pump, replacement
→
A4285
Polycarbonate bottle for use with breast pump, replacement
→
A4286
Locking ring for breast pump, replacement
→
A4287
Disposable collection and storage bag for breast milk, any size, any type, each
→
A4288
Valve for breast pump, replacement
→
A4290
Sacral nerve stimulation test lead, each
→
A4295
Intermittent urinary catheter; straight tip, hydrophilic coating, each
→
A4296
Intermittent urinary catheter; coude (curved) tip, hydrophilic coating, each
→
A4297
Intermittent urinary catheter; hydrophilic coating, with insertion supplies
→
A4300
Implantable access catheter, (e.g., venous, arterial, epidural subarachnoid, or peritoneal, etc.) external access
→
A4301
Implantable access total catheter, port/reservoir (e.g., venous, arterial, epidural, subarachnoid, peritoneal, etc.)
→
A4305
Disposable drug delivery system, flow rate of 50 ml or greater per hour
→
A4306
Disposable drug delivery system, flow rate of less than 50 ml per hour
→
A4310
Insertion tray without drainage bag and without catheter (accessories only)
→
A4311
Insertion tray without drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)
→
A4312
Insertion tray without drainage bag with indwelling catheter, foley type, two-way, all silicone
→
A4313
Insertion tray without drainage bag with indwelling catheter, foley type, three-way, for continuous irrigation
→
A4314
Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)
→
A4315
Insertion tray with drainage bag with indwelling catheter, foley type, two-way, all silicone
→
A4316
Insertion tray with drainage bag with indwelling catheter, foley type, three-way, for continuous irrigation
→
A4318
Female external urinary collection cup, with or without ring attachment, per day
→
A4320
Irrigation tray with bulb or piston syringe, any purpose
→
A4321
Therapeutic agent for urinary catheter irrigation
→
A4322
Irrigation syringe, bulb or piston, each
→
A4326
Male external catheter with integral collection chamber, any type, each
→
A4327
Female external urinary collection device; meatal cup, each
→
A4328
Female external urinary collection device; pouch, each
→
A4330
Perianal fecal collection pouch with adhesive, each
→
A4331
Extension drainage tubing, any type, any length, with connector/adaptor, for use with urinary leg bag or urostomy pouch, each
→
A4332
Lubricant, individual sterile packet, each
→
A4333
Urinary catheter anchoring device, adhesive skin attachment, each
→
A4334
Urinary catheter anchoring device, leg strap, each
→
A4335
Incontinence supply; miscellaneous
→
A4336
Incontinence supply, urethral insert, any type, each
→
A4337
Incontinence supply, rectal insert, any type, each
→
A4338
Indwelling catheter; foley type, two-way latex with coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each
→
A4340
Indwelling catheter; specialty type, (e.g., coude, mushroom, wing, etc.), each
→
A4341
Indwelling intraurethral drainage device with valve, patient inserted, replacement only, each
→
A4342
Accessories for patient inserted indwelling intraurethral drainage device with valve, replacement only, each
→
A4344
Indwelling catheter, foley type, two-way, all silicone or polyurethane, each
→
A4346
Indwelling catheter; foley type, three way for continuous irrigation, each
→
A4349
Male external catheter, with or without adhesive, disposable, each
→
A4351
Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, or silicone elastomer, etc.), each
→
A4352
Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, or silicone elastomeric, etc.), each
→
A4353
Intermittent urinary catheter, with insertion supplies
→
A4354
Insertion tray with drainage bag but without catheter
→
A4355
Irrigation tubing set for continuous bladder irrigation through a three-way indwelling foley catheter, each
→
A4356
External urethral clamp or compression device (not to be used for catheter clamp), each
→
A4357
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each
→
A4358
Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each
→
A4360
Disposable external urethral clamp or compression device, with pad and/or pouch, each
→
A4361
Ostomy faceplate, each
→
A4362
Skin barrier; solid, 4 x 4 or equivalent; each
→
A4363
Ostomy clamp, any type, replacement only, each
→
A4364
Adhesive, liquid or equal, any type, per oz
→
A4366
Ostomy vent, any type, each
→
A4367
Ostomy belt, each
→
A4368
Ostomy filter, any type, each
→
A4369
Ostomy skin barrier, liquid (spray, brush, etc.), per oz
→
A4371
Ostomy skin barrier, powder, per oz
→
A4372
Ostomy skin barrier, solid 4 x 4 or equivalent, standard wear, with built-in convexity, each
→
A4373
Ostomy skin barrier, with flange (solid, flexible or accordion), with built-in convexity, any size, each
→
A4375
Ostomy pouch, drainable, with faceplate attached, plastic, each
→
A4376
Ostomy pouch, drainable, with faceplate attached, rubber, each
→
A4377
Ostomy pouch, drainable, for use on faceplate, plastic, each
→
A4378
Ostomy pouch, drainable, for use on faceplate, rubber, each
→
A4379
Ostomy pouch, urinary, with faceplate attached, plastic, each
→
A4380
Ostomy pouch, urinary, with faceplate attached, rubber, each
→
A4381
Ostomy pouch, urinary, for use on faceplate, plastic, each
→
A4382
Ostomy pouch, urinary, for use on faceplate, heavy plastic, each
→
A4383
Ostomy pouch, urinary, for use on faceplate, rubber, each
→
A4384
Ostomy faceplate equivalent, silicone ring, each
→
A4385
Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each
→
A4387
Ostomy pouch, closed, with barrier attached, with built-in convexity (1 piece), each
→
A4388
Ostomy pouch, drainable, with extended wear barrier attached, (1 piece), each
→
A4389
Ostomy pouch, drainable, with barrier attached, with built-in convexity (1 piece), each
→
A4390
Ostomy pouch, drainable, with extended wear barrier attached, with built-in convexity (1 piece), each
→
A4391
Ostomy pouch, urinary, with extended wear barrier attached (1 piece), each
→
A4392
Ostomy pouch, urinary, with standard wear barrier attached, with built-in convexity (1 piece), each
→
A4393
Ostomy pouch, urinary, with extended wear barrier attached, with built-in convexity (1 piece), each
→
A4394
Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce
→
A4395
Ostomy deodorant for use in ostomy pouch, solid, per tablet
→
A4396
Ostomy belt with peristomal hernia support
→
A4398
Ostomy irrigation supply; bag, each
→
A4399
Ostomy irrigation supply; cone/catheter, with or without brush
→
A4400
Ostomy irrigation set
→
A4402
Lubricant, per ounce
→
A4404
Ostomy ring, each
→
A4405
Ostomy skin barrier, non-pectin based, paste, per ounce
→
A4406
Ostomy skin barrier, pectin-based, paste, per ounce
→
A4407
Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each
→
A4408
Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, with built-in convexity, larger than 4 x 4 inches, each
→
A4409
Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each
→
A4410
Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, larger than 4 x 4 inches, each
→
A4411
Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, with built-in convexity, each
→
A4412
Ostomy pouch, drainable, high output, for use on a barrier with flange (2 piece system), without filter, each
→
A4413
Ostomy pouch, drainable, high output, for use on a barrier with flange (2 piece system), with filter, each
→
A4414
Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each
→
A4415
Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, larger than 4 x 4 inches, each
→
A4416
Ostomy pouch, closed, with barrier attached, with filter (1 piece), each
→
A4417
Ostomy pouch, closed, with barrier attached, with built-in convexity, with filter (1 piece), each
→
A4418
Ostomy pouch, closed; without barrier attached, with filter (1 piece), each
→
A4419
Ostomy pouch, closed; for use on barrier with non-locking flange, with filter (2 piece), each
→
A4420
Ostomy pouch, closed; for use on barrier with locking flange (2 piece), each
→
A4421
Ostomy supply; miscellaneous
→
A4422
Ostomy absorbent material (sheet/pad/crystal packet) for use in ostomy pouch to thicken liquid stomal output, each
→
A4423
Ostomy pouch, closed; for use on barrier with locking flange, with filter (2 piece), each
→
A4424
Ostomy pouch, drainable, with barrier attached, with filter (1 piece), each
→
A4425
Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each
→
A4426
Ostomy pouch, drainable; for use on barrier with locking flange (2 piece system), each
→
A4427
Ostomy pouch, drainable; for use on barrier with locking flange, with filter (2 piece system), each
→
A4428
Ostomy pouch, urinary, with extended wear barrier attached, with faucet-type tap with valve (1 piece), each
→
A4429
Ostomy pouch, urinary, with barrier attached, with built-in convexity, with faucet-type tap with valve (1 piece), each
→
A4430
Ostomy pouch, urinary, with extended wear barrier attached, with built-in convexity, with faucet-type tap with valve (1 piece), each
→
A4431
Ostomy pouch, urinary; with barrier attached, with faucet-type tap with valve (1 piece), each
→
A4432
Ostomy pouch, urinary; for use on barrier with non-locking flange, with faucet-type tap with valve (2 piece), each
→
A4433
Ostomy pouch, urinary; for use on barrier with locking flange (2 piece), each
→
A4434
Ostomy pouch, urinary; for use on barrier with locking flange, with faucet-type tap with valve (2 piece), each
→
A4435
Ostomy pouch, drainable, high output, with extended wear barrier (one-piece system), with or without filter, each
→
A4436
Irrigation supply; sleeve, reusable, per month
→
A4437
Irrigation supply; sleeve, disposable, per month
→
A4438
Adhesive clip applied to the skin to secure external electrical nerve stimulator controller, each
→
A4450
Tape, non-waterproof, per 18 square inches
→
A4452
Tape, waterproof, per 18 square inches
→
A4453
Rectal catheter with or without balloon, for use with any type transanal irrigation system, each
→
A4455
Adhesive remover or solvent (for tape, cement or other adhesive), per ounce
→
A4456
Adhesive remover, wipes, any type, each
→
A4457
Enema tube, with or without adapter, any type, replacement only, each
→
A4458
Enema bag with tubing, reusable
→
A4459
Manual transanal irrigation system, includes water reservoir, pump, tubing, and accessories, without catheter, any type
→
A4461
Surgical dressing holder, non-reusable, each
→
A4463
Surgical dressing holder, reusable, each
→
A4465
Non-elastic binder for extremity
→
A4467
Belt, strap, sleeve, garment, or covering, any type
→
A4468
Exsufflation belt, includes all supplies and accessories
→
A4470
Gravlee jet washer
→
A4479
Electronic transanal irrigation system, includes electronic pump, water reservoir, tubing, and accessories, without catheter, any type
→
A4480
Vabra aspirator
→
A4481
Tracheostoma filter, any type, any size, each
→
A4483
Moisture exchanger, disposable, for use with invasive mechanical ventilation
→
A4490
Surgical stockings above knee length, each
→
A4495
Surgical stockings thigh length, each
→
A4500
Surgical stockings below knee length, each
→
A4510
Surgical stockings full length, each
→
A4520
Incontinence garment, any type, (e.g., brief, diaper), each
→
A4540
Distal transcutaneous electrical nerve stimulator, stimulates peripheral nerves of the upper arm
→
A4541
Monthly supplies for use of device coded at e0733
→
A4542
Supplies and accessories for external upper limb tremor stimulator of the peripheral nerves of the wrist
→
A4543
Supplies for transcutaneous electrical nerve stimulator, for nerves in the auricular region, per month
→
A4544
Electrode for external lower extremity nerve stimulator for restless legs syndrome
→
A4545
Supplies and accessories for external tibial nerve stimulator (e.g., socks, gel pads, electrodes, etc.), needed for one month
→
A4550
Surgical trays
→
A4553
Non-disposable underpads, all sizes
→
A4554
Disposable underpads, all sizes
→
A4555
Electrode/transducer for use with electrical stimulation device used for cancer treatment, replacement only
→
A4556
Electrodes, (e.g., apnea monitor), per pair
→
A4557
Lead wires, (e.g., apnea monitor), per pair
→
A4558
Conductive gel or paste, for use with electrical device (e.g., tens, nmes), per oz
→
A4559
Coupling gel or paste, for use with ultrasound device, per oz
→
A4560
Neuromuscular electrical stimulator (nmes), disposable, replacement only
→
A4561
Pessary, reusable, rubber, any type
→
A4562
Pessary, reusable, non rubber, any type
→
A4563
Rectal control system for vaginal insertion, for long term use, includes pump and all supplies and accessories, any type each
→
A4564
Pessary, disposable, any type
→
A4565
Slings
→
A4566
Shoulder sling or vest design, abduction restrainer, with or without swathe control, prefabricated, includes fitting and adjustment
→
A4570
Splint
→
A4575
Topical hyperbaric oxygen chamber, disposable
→
A4580
Cast supplies (e.g., plaster)
→
A4590
Special casting material (e.g., fiberglass)
→
A4593
Neuromodulation stimulator system, adjunct to rehabilitation therapy regime, controller
→
A4594
Neuromodulation stimulator system, adjunct to rehabilitation therapy regime, mouthpiece each
→
A4595
Electrical stimulator supplies, 2 lead, per month, (e.g., tens, nmes)
→
A4596
Cranial electrotherapy stimulation (ces) system supplies and accessories, per month
→
A4600
Sleeve for intermittent limb compression device, replacement only, each
→
A4601
Lithium ion battery, rechargeable, for non-prosthetic use, replacement
→
A4602
Replacement battery for external infusion pump owned by patient, lithium, 1.5 volt, each
→
A4604
Tubing with integrated heating element for use with positive airway pressure device
→
A4605
Tracheal suction catheter, closed system, each
→
A4606
Oxygen probe for use with oximeter device, replacement
→
A4608
Transtracheal oxygen catheter, each
→
A4611
Battery, heavy duty; replacement for patient owned ventilator
→
A4612
Battery cables; replacement for patient-owned ventilator
→
A4613
Battery charger; replacement for patient-owned ventilator
→
A4614
Peak expiratory flow rate meter, hand held
→
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 catheter, any type other than closed system, each
→
A4625
Tracheostomy care kit for new tracheostomy
→
A4626
Tracheostomy cleaning brush, each
→
A4627
Spacer, bag or reservoir, with or without mask, for use with metered dose inhaler
→
A4628
Oral and/or oropharyngeal suction catheter, each
→
A4629
Tracheostomy care kit for established tracheostomy
→
A4630
Replacement batteries, medically necessary, transcutaneous electrical stimulator, owned by patient
→
A4633
Replacement bulb/lamp for ultraviolet light therapy system, each
→
A4634
Replacement bulb for therapeutic light box, tabletop model
→
A4635
Underarm pad, crutch, replacement, each
→
A4636
Replacement, handgrip, cane, crutch, or walker, each
→
A4637
Replacement, tip, cane, crutch, walker, each.
→
A4638
Replacement battery for patient-owned ear pulse generator, each
→
A4639
Replacement pad for infrared heating pad system, each
→
A4640
Replacement pad for use with medically necessary alternating pressure pad owned by patient
→
A4641
Radiopharmaceutical, diagnostic, not otherwise classified
→
A4642
Indium in-111 satumomab pendetide, diagnostic, per study dose, up to 6 millicuries
→
A4648
Tissue marker, implantable, any type, each
→
A4649
Surgical supply; miscellaneous
→
A4650
Implantable radiation dosimeter, each
→
A4651
Calibrated microcapillary tube, each
→
A4652
Microcapillary tube sealant
→
A4653
Peritoneal dialysis catheter anchoring device, belt, each
→
A4657
Syringe, with or without needle, each
→
A4660
Sphygmomanometer/blood pressure apparatus with cuff and stethoscope
→
A4663
Blood pressure cuff only
→
A4670
Automatic blood pressure monitor
→
A4671
Disposable cycler set used with cycler dialysis machine, each
→
A4672
Drainage extension line, sterile, for dialysis, each
→
A4673
Extension line with easy lock connectors, used with dialysis
→
A4674
Chemicals/antiseptics solution used to clean/sterilize dialysis equipment, per 8 oz
→
A4680
Activated carbon filter for hemodialysis, each
→
A4690
Dialyzer (artificial kidneys), all types, all sizes, for hemodialysis, each
→
A4706
Bicarbonate concentrate, solution, for hemodialysis, per gallon
→
A4707
Bicarbonate concentrate, powder, for hemodialysis, per packet
→
A4708
Acetate concentrate solution, for hemodialysis, per gallon
→
A4709
Acid concentrate, solution, for hemodialysis, per gallon
→
A4714
Treated water (deionized, distilled, or reverse osmosis) for peritoneal dialysis, per gallon
→
A4719
"y set" tubing for peritoneal dialysis
→
A4720
Dialysate solution, any concentration of dextrose, fluid volume greater than 249 cc, but less than or equal to 999 cc, for peritoneal dialysis
→
A4721
Dialysate solution, any concentration of dextrose, fluid volume greater than 999 cc but less than or equal to 1999 cc, for peritoneal dialysis
→
A4722
Dialysate solution, any concentration of dextrose, fluid volume greater than 1999 cc but less than or equal to 2999 cc, for peritoneal dialysis
→
A4723
Dialysate solution, any concentration of dextrose, fluid volume greater than 2999 cc but less than or equal to 3999 cc, for peritoneal dialysis
→
A4724
Dialysate solution, any concentration of dextrose, fluid volume greater than 3999 cc but less than or equal to 4999 cc, for peritoneal dialysis
→
A4725
Dialysate solution, any concentration of dextrose, fluid volume greater than 4999 cc but less than or equal to 5999 cc, for peritoneal dialysis
→
A4726
Dialysate solution, any concentration of dextrose, fluid volume greater than 5999 cc, for peritoneal dialysis
→
A4728
Dialysate solution, non-dextrose containing, 500 ml
→
A4730
Fistula cannulation set for hemodialysis, each
→
A4736
Topical anesthetic, for dialysis, per gram
→
A4737
Injectable anesthetic, for dialysis, per 10 ml
→
A4740
Shunt accessory, for hemodialysis, any type, each
→
A4750
Blood tubing, arterial or venous, for hemodialysis, each
→
A4755
Blood tubing, arterial and venous combined, for hemodialysis, each
→
A4760
Dialysate solution test kit, for peritoneal dialysis, any type, each
→
A4765
Dialysate concentrate, powder, additive for peritoneal dialysis, per packet
→
A4766
Dialysate concentrate, solution, additive for peritoneal dialysis, per 10 ml
→
A4770
Blood collection tube, vacuum, for dialysis, per 50
→
A4771
Serum clotting time tube, for dialysis, per 50
→
A4772
Blood glucose test strips, for dialysis, per 50
→
A4773
Occult blood test strips, for dialysis, per 50
→
A4774
Ammonia test strips, for dialysis, per 50
→
A4802
Protamine sulfate, for hemodialysis, per 50 mg
→
A4860
Disposable catheter tips for peritoneal dialysis, per 10
→
A4870
Plumbing and/or electrical work for home hemodialysis equipment
→
A4890
Contracts, repair and maintenance, for hemodialysis equipment
→
A4911
Drain bag/bottle, for dialysis, each
→
A4913
Miscellaneous dialysis supplies, not otherwise specified
→
A4918
Venous pressure clamp, for hemodialysis, each
→
A4927
Gloves, non-sterile, per 100
→
A4928
Surgical mask, per 20
→
A4929
Tourniquet for dialysis, each
→
A4930
Gloves, sterile, per pair
→
A4931
Oral thermometer, reusable, any type, each
→
A4932
Rectal thermometer, reusable, any type, each
→
Procedure code
CODABLE
A4333
Urinary catheter anchoring device, adhesive skin attachment, each
Part
HCPCS Level II
A
Transportation Services Including Ambulance, Medical and Surgical Supplies, Administrative, Miscellaneous and Investigational
A4
A4100–A4932
Source
CMS — ICD-10-PCS FY2026, HCPCS Level II october 2026, Procedure Codes 2026.
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