HCPCS Service Codes - ESRD supplies

HCPCS Service Code L for ESRD supplies.

HCPCS Type of Service (TOS) code is an indicator that the contractor places on Form CMS-1500. The indicator is mainly used for data purposes, however in some instances, it affects payment. All HCPCS codes have a corresponding TOS indicator.

Below are all available HCPCS TOS codes. Find an HCPCS code based on the type of service.

HCPCS Codes for ESRD supplies

  • 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

  • A6215

    Foam dressing, wound filler, sterile, per gram

  • A6250

    Skin sealants, protectants, moisturizers, ointments, any type, any size

  • A6260

    Wound cleansers, any type, any size

  • A6402

    Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing

  • E1500

    Centrifuge, for dialysis

  • E1510

    Kidney, dialysate delivery syst kidney machine, pump recirculating, air removal syst, flowrate meter, power off, heater and temperature control with alarm, i.v. poles, pressure gauge, concentrate container

  • E1520

    Heparin infusion pump for hemodialysis

  • E1530

    Air bubble detector for hemodialysis, each, replacement

  • E1540

    Pressure alarm for hemodialysis, each, replacement

  • E1550

    Bath conductivity meter for hemodialysis, each

  • E1560

    Blood leak detector for hemodialysis, each, replacement

  • E1570

    Adjustable chair, for esrd patients

  • E1575

    Transducer protectors/fluid barriers, for hemodialysis, any size, per 10

  • E1580

    Unipuncture control system for hemodialysis

  • E1590

    Hemodialysis machine

  • E1592

    Automatic intermittent peritoneal dialysis system

  • E1594

    Cycler dialysis machine for peritoneal dialysis

  • E1600

    Delivery and/or installation charges for hemodialysis equipment

  • E1610

    Reverse osmosis water purification system, for hemodialysis

  • E1615

    Deionizer water purification system, for hemodialysis

  • E1620

    Blood pump for hemodialysis, replacement

  • E1625

    Water softening system, for hemodialysis

  • E1629

    Tablo hemodialysis system for the billable dialysis service

  • E1630

    Reciprocating peritoneal dialysis system

  • E1632

    Wearable artificial kidney, each

  • E1634

    Peritoneal dialysis clamps, each

  • E1635

    Compact (portable) travel hemodialyzer system

  • E1636

    Sorbent cartridges, for hemodialysis, per 10

  • E1637

    Hemostats, each

  • E1639

    Scale, each

  • E1699

    Dialysis equipment, not otherwise specified

  • J0901

    Vadadustat, oral, 1 mg (for esrd on dialysis)

  • J0911

    Instillation, taurolidine 1.35 mg and heparin sodium 100 units (central venous catheter lock for adult patients receiving chronic hemodialysis)