HCPCS Service Codes - Lump sum purchase of DME, prosthetics, orthotics

HCPCS Codes for Lump sum purchase of DME, prosthetics, orthotics

• A4545

  Supplies and accessories for external tibial nerve stimulator (e.g., socks, gel pads, electrodes, etc.), needed for one month

• 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

• 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

• A4570

  Splint

• 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

• 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

• A4615

  Cannula, nasal

• A4616

  Tubing (oxygen), per foot

• A4617

  Mouth piece

• 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

• A4629

  Tracheostomy care kit for established tracheostomy

• A4638

  Replacement battery for patient-owned ear pulse generator, each

• A5051

  Ostomy pouch, closed; with barrier attached (1 piece), each

• A5052

  Ostomy pouch, closed; without barrier attached (1 piece), each

• A5053

  Ostomy pouch, closed; for use on faceplate, each

• A5054

  Ostomy pouch, closed; for use on barrier with flange (2 piece), each

• A5055

  Stoma cap

• A5056

  Ostomy pouch, drainable, with extended wear barrier attached, with filter, (1 piece), each

• A5057

  Ostomy pouch, drainable, with extended wear barrier attached, with built in convexity, with filter, (1 piece), each

• A5061

  Ostomy pouch, drainable; with barrier attached, (1 piece), each

• A5062

  Ostomy pouch, drainable; without barrier attached (1 piece), each

• A5063

  Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each

• A5071

  Ostomy pouch, urinary; with barrier attached (1 piece), each

• A5072

  Ostomy pouch, urinary; without barrier attached (1 piece), each

• A5073

  Ostomy pouch, urinary; for use on barrier with flange (2 piece), each

• A5081

  Stoma plug or seal, any type

• A5082

  Continent device; catheter for continent stoma