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


  • A5083

    Continent device, stoma absorptive cover for continent stoma
  • A5093

    Ostomy accessory; convex insert
  • A5102

    Bedside drainage bottle with or without tubing, rigid or expandable, each
  • A5105

    Urinary suspensory with leg bag, with or without tube, each
  • A5112

    Urinary drainage bag, leg or abdomen, latex, with or without tube, with straps, each
  • A5113

    Leg strap; latex, replacement only, per set
  • A5114

    Leg strap; foam or fabric, replacement only, per set
  • A5120

    Skin barrier, wipes or swabs, each
  • A5121

    Skin barrier; solid, 6 x 6 or equivalent, each
  • A5122

    Skin barrier; solid, 8 x 8 or equivalent, each
  • A5126

    Adhesive or non-adhesive; disk or foam pad
  • A5131

    Appliance cleaner, incontinence and ostomy appliances, per 16 oz.
  • A5200

    Percutaneous catheter/tube anchoring device, adhesive skin attachment
  • A6000

    Non-contact wound warming wound cover for use with the non-contact wound warming device and warming card
  • A6413

    Adhesive bandage, first-aid type, any size, each
  • A6513

    Compression burn mask, face and/or neck, plastic or equal, custom fabricated
  • A6531

    Gradient compression stocking, below knee, 30-40 mmhg, used as a surgical dressing, each
  • A6532

    Gradient compression stocking, below knee, 40-50 mmhg, used as a surgical dressing, each
  • A6545

    Gradient compression wrap, non-elastic, below knee, 30-50 mmhg, used as a surgical dressing, each
  • A6550

    Wound care set, for negative pressure wound therapy electrical pump, includes all supplies and accessories
  • A6590

    External urinary catheters; disposable, with wicking material, for use with suction pump, per month
  • A6591

    External urinary catheter; non-disposable, for use with suction pump, per month
  • A7003

    Administration set, with small volume nonfiltered pneumatic nebulizer, disposable
  • A7004

    Small volume nonfiltered pneumatic nebulizer, disposable
  • A7007

    Large volume nebulizer, disposable, unfilled, used with aerosol compressor
  • A7008

    Large volume nebulizer, disposable, prefilled, used with aerosol compressor
  • A7010

    Corrugated tubing, disposable, used with large volume nebulizer, 100 feet
  • A7011

    Corrugated tubing, non-disposable, used with large volume nebulizer, 10 feet
  • A7013

    Filter, disposable, used with aerosol compressor or ultrasonic generator
  • A7018

    Water, distilled, used with large volume nebulizer, 1000 ml
  • A7040

    One way chest drain valve
  • A7041

    Water seal drainage container and tubing for use with implanted chest tube
  • A7042

    Implanted pleural catheter, each
  • A7043

    Vacuum drainage bottle and tubing for use with implanted catheter
  • A7046

    Water chamber for humidifier, used with positive airway pressure device, replacement, each
  • A7048

    Vacuum drainage collection unit and tubing kit, including all supplies needed for collection unit change, for use with implanted catheter, each
  • A7501

    Tracheostoma valve, including diaphragm, each
  • A7502

    Replacement diaphragm/faceplate for tracheostoma valve, each
  • A7503

    Filter holder or filter cap, reusable, for use in a tracheostoma heat and moisture exchange system, each
  • A7504

    Filter for use in a tracheostoma heat and moisture exchange system, each
  • A7505

    Housing, reusable without adhesive, for use in a heat and moisture exchange system and/or with a tracheostoma valve, each
  • A7506

    Adhesive disc for use in a heat and moisture exchange system and/or with tracheostoma valve, any type each
  • A7507

    Filter holder and integrated filter without adhesive, for use in a tracheostoma heat and moisture exchange system, each
  • A7508

    Housing and integrated adhesive, for use in a tracheostoma heat and moisture exchange system and/or with a tracheostoma valve, each
  • A7509

    Filter holder and integrated filter housing, and adhesive, for use as a tracheostoma heat and moisture exchange system, each
  • A7520

    Tracheostomy/laryngectomy tube, non-cuffed, polyvinylchloride (pvc), silicone or equal, each
  • A7521

    Tracheostomy/laryngectomy tube, cuffed, polyvinylchloride (pvc), silicone or equal, each
  • A7522

    Tracheostomy/laryngectomy tube, stainless steel or equal (sterilizable and reusable), each
  • A7523

    Tracheostomy shower protector, each
  • A7524

    Tracheostoma stent/stud/button, each