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HCPCS A6614 · Level II · A code

A6614: Supplies and accessories for use with an external ocular negative pressure pump, any type, HCPCS Level II A code

Compiled from CMS files by the QuickIntell RCM Editorial Team · Data effective · Method: reference methodology · Report a data correction

Data currency: HCPCS Level II file: October 2026 (effective October 1, 2026); PFS relative value file: RVU26D, released August 26, 2026 (effective October 1, 2026); DMEPOS fee schedule: DME26-D (October 2026) (effective October 1, 2026); NCCI MUE tables: 2026 Q4 (effective October 1, 2026); NCCI PTP edits: v323r0 (2026 Q4) (effective October 1, 2026); OPPS Addendum B: October 2026 (effective October 1, 2026). Next CMS release: January 1, 2027 (quarterly update) for the HCPCS Level II file and DMEPOS fee schedule and NCCI MUE tables and NCCI PTP edits and OPPS Addendum B; RVU27A with the CY2027 PFS final rule, effective January 1, 2027 for the PFS relative value file.

Key facts for A6614

Medicare payment
$167.99
DMEPOS non-rural state fees (NU)
Coverage code
C
carrier judgment, so the Medicare contractor decides coverage
MUE
none published
no MUE in the 2026 Q4 tables
OPPS status
SI N
Items and Services packaged into APC rates
NCCI PTP pairs
0
practitioner file
LCDs and articles
0 / 0

TL;DR

CMS describes HCPCS A6614, added in 2026, as "Supplies and accessories for use with an external ocular negative pressure pump, any type, per month". DMEPOS fees for A6614, a IN (inexpensive and other routinely purchased items) item, run NU (purchased, new) $167.99 in every contiguous state (floor $142.79, ceiling $167.99) in the October 2026 file. No current LCD or billing article lists A6614; its HCPCS coverage code is C (carrier judgment, so the Medicare contractor decides coverage). OPPS status indicator N: Items and Services packaged into APC rates. HCPCS record: BETOS D1E (other DME); pricing indicator 32; type of service P (lump-sum purchase of DME, prosthetics or orthotics). Nearby codes: A6610, A6589, A6588, A6587.

A6614 descriptor and code status

The October 2026 HCPCS Level II file describes A6614 as “Supplies and accessories for use with an external ocular negative pressure pump, any type, per month”. It sits in the A section (transportation, medical and surgical supplies, administrative, miscellaneous and investigational), listed with the other A codes.

HCPCS file attributes of A6614
FieldValue
Short descriptorSup ext oculr neg pres pump
Added to HCPCS2026-10-01
Last actionA (code added), effective 2026-10-01
Coverage codeC: carrier judgment, so the Medicare contractor decides coverage
Pricing indicator32: DMEPOS inexpensive and routinely purchased DME (floors and ceilings)
BETOS categoryD1E: other DME
Type of serviceP: lump-sum purchase of DME, prosthetics or orthotics

Medicare payment for A6614

DMEPOS fees for A6614, a IN (inexpensive and other routinely purchased items) item, run NU (purchased, new) $167.99 in every contiguous state (floor $142.79, ceiling $167.99) in the October 2026 file. The amounts below are national figures from the October 2026 CMS files; the contractor applies the locality, rural or state adjustment and the beneficiary's cost sharing.

Physician fee schedule (RVU26D)

Status X: statutory exclusion: not a physician service under the fee schedule. Global period XXX (global surgery concept does not apply); PC/TC indicator 9 (professional/technical concept does not apply).

DMEPOS fee schedule (DME26-D)

Jurisdiction D (DME MAC), payment category IN (inexpensive and other routinely purchased items). Fees are set per state; AK, HI, PR and VI are not subject to the national ceiling and floor and are listed separately. A rural fee applies only in ZIP codes on the CMS rural ZIP list.

DMEPOS fees for A6614 by modifier
ModifierFloor / ceilingNon-rural state rangeRural rangeAK / HI / PR / VI
NU (purchased, new)$142.79 / $167.99$167.99 (49 states)—AK $167.99, HI $167.99, PR $167.99, VI $167.99

Hospital outpatient (OPPS Addendum B)

Status indicator N (Items and Services packaged into APC rates), with no separate OPPS payment rate.

Medically Unlikely Edits for A6614

CMS publishes no MUE for A6614 in the 2026 Q4 practitioner, facility or DME supplier tables. Some MUE values are confidential and applied without publication, so unit limits can still deny; document the quantity furnished on every claim.

The MUE lookup for A6614 shows every setting next to any other code on the same claim.

NCCI edits and add-on rules

No active practitioner PTP pair lists A6614 in v323r0.

A6614 is neither an add-on code nor a designated primary code in the 2026 Q4 NCCI add-on edit file.

Pair counts show exposure, not the answer for one claim. Check A6614 against a second code to see whether the pair bundles and whether a modifier can separate the services.

Medicare coverage policies for A6614

No current LCD or billing and coding article lists A6614. The HCPCS coverage code C means carrier judgment, so the Medicare contractor decides coverage, and any National Coverage Determination for the service still applies.

Denials to expect on A6614

CARC 50 · N115

the service is not reasonable and necessary for the diagnosis on the claim

CARC 151 · N362

units exceed what the payer considers medically likely for one date of service

CARC 4

the NU payment modifier is missing or does not match the item

CARC 16

the claim lacks information needed to adjudicate the line, such as an order, NPI or required modifier

For teams evaluating QuickIntell software

Where QuickIntell fits for A6614 claims

QuickAuth coordinates the requirement checks and documentation that DME claims for A6614 depend on, with human review of each case, and QuickRCM carries claim readiness and the CARC 50, 151 and modifier denials these items draw.

See QuickAuth for requirement checksSee QuickRCM for denial follow-up
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Optional software evaluation, not payer support or help with an individual claim. For coverage or payment decisions, use the official sources on this page. Do not include patient information in a demo booking or inquiry.

Frequently asked questions: HCPCS A6614

What does HCPCS code A6614 describe?

"Supplies and accessories for use with an external ocular negative pressure pump, any type, per month" (short descriptor "Sup ext oculr neg pres pump"), in the A section (transportation, medical and surgical supplies, administrative, miscellaneous and investigational). Added 2026-10-01.

Is A6614 a CPT code?

No. A6614 is a CMS HCPCS Level II code; CPT codes are the AMA's five-character set.

What does Medicare pay for A6614?

DMEPOS fees for A6614, a IN (inexpensive and other routinely purchased items) item, run NU (purchased, new) $167.99 in every contiguous state (floor $142.79, ceiling $167.99) in the October 2026 file.

Does Medicare cover A6614?

No current LCD or billing article lists A6614; its HCPCS coverage code is C (carrier judgment, so the Medicare contractor decides coverage).

Sources

Every figure on this page is taken from the CMS publications below, as released by the Centers for Medicare & Medicaid Services. Projection built 2026-10-10. Verify against the primary file before billing or contracting decisions. The reference methodology explains how each figure is computed from these files.

Disclaimer

This page is an operational reference compiled from CMS publications: the HCPCS Level II file, the physician, DMEPOS and clinical laboratory fee schedules, OPPS and ASC addenda, NCCI MUE, PTP and add-on edit tables and the Medicare Coverage Database. Amounts are Medicare national figures before locality and state adjustment; Medicaid and commercial payers set their own. CPT codes are shown as numbers only; CPT descriptors are copyright AMA. Nothing here is legal, clinical or billing advice.

Found a figure that does not match the CMS file? Report a data correction with the CMS file and the value you expected; the request reaches the editorial team through the contact form.