Most searched codes in this range
Monthly US Google searches for the bare code (Google Ads, measured October 9, 2026) show which codes coders and billers look up most; search demand is one input to which pages are indexed and which the hub lists first.
| Code | Short descriptor | Medicare amount | Searches / month |
|---|---|---|---|
| A4239 | Non-adju CGM supply allow | $273.28 | 1,300 |
| A0425 | Ground mileage | — | 590 |
| A0427 | Als1-emergency | — | 480 |
| A0428 | BLS | — | 480 |
| A4604 | Tubing with heating element | $52.55 | 480 |
| A5500 | Diab shoe for density insert | $108.76 | 480 |
| A7030 | CPAP full face mask | $118.14 | 480 |
| A7034 | Nasal application device | $71.97 | 480 |
| A7038 | Pos airway pressure filter | $2.84 | 480 |
| A9276 | Disposable sensor, CGM sys | — | 480 |
Codes in this range
The table lists the 129 codes in this range whose reference pages are indexed; the other 630 active codes follow as a list and keep their own pages for lookups. The Medicare amount is the national figure the page leads with.
| Code | Descriptor | Medicare amount | Basis | MUE (setting) | OPPS SI |
|---|---|---|---|---|---|
| A0425 | Ground mileage, per statute mile | — | none in these files | 250 (practitioner) | A |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | — | none in these files | 2 (practitioner) | A |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | — | none in these files | 2 (practitioner) | A |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | — | none in these files | 2 (practitioner) | A |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | — | none in these files | 2 (practitioner) | A |
| A0430 | Ambulance service, conventional air services, transport, one way (fixed wing) | — | none in these files | 1 (practitioner) | A |
| A0431 | Ambulance service, conventional air services, transport, one way (rotary wing) | — | none in these files | 1 (practitioner) | A |
| A0434 | Specialty care transport (sct) | — | none in these files | 2 (practitioner) | A |
| A0436 | Rotary wing air mileage, per statute mile | — | none in these files | 300 (practitioner) | A |
| A0999 | Unlisted ambulance service | — | none in these files | 1 (practitioner) | A |
| A4216 | Sterile water, saline and/or dextrose, diluent/flush, 10 ml | $0.63 | DMEPOS ceiling | 0 (practitioner) | N |
| A4217 | Sterile water/saline, 500 ml | $4.47 | DMEPOS ceiling | 0 (practitioner) | N |
| A4220 | Refill kit for implantable infusion pump | — | none in these files | 1 (practitioner) | N |
| A4221 | Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) | $25.87 | DMEPOS highest state fee | 4 (DME supplier) | N |
| A4222 | Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) | $49.07 | DMEPOS highest state fee | 0 (practitioner) | N |
| A4224 | Supplies for maintenance of insulin infusion catheter, per week | $25.87 | DMEPOS highest state fee | 13 (DME supplier) | N |
| A4225 | Supplies for external insulin infusion pump, syringe type cartridge, sterile, each | $3.47 | DMEPOS highest state fee | 0 (practitioner) | N |
| A4238 | Supply allowance for adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service | $280.71 | DMEPOS highest state fee (KF) | 3 (DME supplier) | Y |
| A4239 | Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service | $273.28 | DMEPOS ceiling | 3 (DME supplier) | Y |
| A4253 | Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips | $8.32 | DMEPOS highest state fee (NU) | 1 (DME supplier) | N |
| A4258 | Spring-powered device for lancet, each | $2.12 | DMEPOS highest state fee | 1 (DME supplier) | N |
| A4259 | Lancets, per box of 100 | $1.42 | DMEPOS highest state fee | 1 (DME supplier) | N |
| A4338 | Indwelling catheter; foley type, two-way latex with coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each | $17.48 | DMEPOS ceiling | 3 (DME supplier) | N |
| A4344 | Indwelling catheter, foley type, two-way, all silicone or polyurethane, each | $22.81 | DMEPOS ceiling | 3 (DME supplier) | N |
| A4351 | Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, or silicone elastomer, etc.), each | $2.58 | DMEPOS ceiling | 600 (DME supplier) | N |
| A4353 | Intermittent urinary catheter, with insertion supplies | $9.99 | DMEPOS ceiling | 600 (DME supplier) | N |
| A4357 | Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each | $13.84 | DMEPOS ceiling | 6 (DME supplier) | N |
| A4358 | Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each | $9.46 | DMEPOS ceiling | 6 (DME supplier) | N |
| A4390 | Ostomy pouch, drainable, with extended wear barrier attached, with built-in convexity (1 piece), each | $13.68 | DMEPOS ceiling | 1 (practitioner) | N |
| A4414 | Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each | $7.01 | DMEPOS ceiling | 1 (practitioner) | N |
| A4450 | Tape, non-waterproof, per 18 square inches | $0.10 | DMEPOS ceiling (AU) | 0 (practitioner) | N |
| A4452 | Tape, waterproof, per 18 square inches | $0.50 | DMEPOS ceiling (AU) | 0 (practitioner) | N |
| A4483 | Moisture exchanger, disposable, for use with invasive mechanical ventilation | — | none in these files | 30 (DME supplier) | N |
| A4556 | Electrodes, (e.g., apnea monitor), per pair | $17.31 | DMEPOS ceiling | 0 (DME supplier) | N |
| A4557 | Lead wires, (e.g., apnea monitor), per pair | $13.48 | DMEPOS highest state fee | 2 (DME supplier) | N |
| A4558 | Conductive gel or paste, for use with electrical device (e.g., tens, nmes), per oz | $7.77 | DMEPOS ceiling | 0 (DME supplier) | N |
| A4562 | Pessary, reusable, non rubber, any type | $86.42 | DMEPOS ceiling | 0 (DME supplier) | N |
| A4565 | Slings | $10.98 | DMEPOS ceiling | 2 (practitioner) | N |
| A4575 | Topical hyperbaric oxygen chamber, disposable | — | none in these files | 0 (practitioner) | A |
| A4595 | Electrical stimulator supplies, 2 lead, per month, (e.g., tens, nmes) | $13.24 | DMEPOS highest state fee | 6 (DME supplier) | N |
| A4604 | Tubing with integrated heating element for use with positive airway pressure device | $52.55 | DMEPOS highest state fee (NU) | 1 (DME supplier) | N |
| A4615 | Cannula, nasal | $1.04 | DMEPOS ceiling | 0 (DME supplier) | N |
| A4630 | Replacement batteries, medically necessary, transcutaneous electrical stimulator, owned by patient | $8.88 | DMEPOS ceiling (NU) | 0 (DME supplier) | E1 |
| A4641 | Radiopharmaceutical, diagnostic, not otherwise classified | — | none in these files | — | N |
| A4649 | Surgical supply; miscellaneous | — | none in these files | 1 (practitioner) | N |
| A5063 | Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each | $3.86 | DMEPOS ceiling | 0 (practitioner) | N |
| A5120 | Skin barrier, wipes or swabs, each | $0.35 | DMEPOS ceiling (AU) | 450 (DME supplier) | N |
| A5500 | For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe | $108.76 | DMEPOS ceiling | 2 (DME supplier) | Y |
| A5512 | For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or 3/16 inch material of shore a 40 durometer (or higher), prefabricated, each | $44.35 | DMEPOS ceiling | 6 (DME supplier) | Y |
| A5513 | For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer (or higher), includes arch filler and other shaping material, custom fabricated, each | $66.19 | DMEPOS ceiling | 6 (DME supplier) | Y |
| A5514 | For diabetics only, multiple density insert, made by direct carving with cam technology from a rectified cad model created from a digitized scan of the patient, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer (or higher), includes arch filler and other shaping material, custom fabricated, each | $66.19 | DMEPOS ceiling | 6 (DME supplier) | Y |
| A6010 | Collagen based wound filler, dry form, sterile, per gram of collagen | $44.14 | DMEPOS ceiling | 0 (practitioner) | N |
| A6021 | Collagen dressing, sterile, size 16 sq. in. or less, each | $29.97 | DMEPOS ceiling | 0 (practitioner) | N |
| A6023 | Collagen dressing, sterile, size more than 48 sq. in., each | $271.22 | DMEPOS ceiling | 0 (practitioner) | N |
| A6196 | Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing | $10.49 | DMEPOS ceiling | 0 (practitioner) | N |
| A6197 | Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., each dressing | $23.44 | DMEPOS ceiling | 0 (practitioner) | N |
| A6209 | Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing | $10.65 | DMEPOS ceiling | 0 (practitioner) | N |
| A6212 | Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing | $13.84 | DMEPOS ceiling | 0 (practitioner) | N |
| A6216 | Gauze, non-impregnated, non-sterile, pad size 16 sq. in. or less, without adhesive border, each dressing | $0.05 | DMEPOS ceiling | 0 (practitioner) | N |
| A6219 | Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing | $1.36 | DMEPOS ceiling | 0 (practitioner) | N |
| A6402 | Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing | $0.15 | DMEPOS ceiling | 0 (practitioner) | N |
| A6449 | Light compression bandage, elastic, knitted/woven, width greater than or equal to three inches and less than five inches, per yard | $2.50 | DMEPOS ceiling | 0 (practitioner) | N |
| A6520 | Gradient compression garment, glove, padded, for nighttime use, each | $126.45 | DMEPOS highest state fee | 4 (DME supplier) | A |
| A6522 | Gradient compression garment, arm, padded, for nighttime use, each | $307.26 | DMEPOS highest state fee | 4 (DME supplier) | A |
| A6523 | Gradient compression garment, arm, padded, for nighttime use, custom, each | $729.02 | DMEPOS highest state fee | 4 (DME supplier) | A |
| A6524 | Gradient compression garment, lower leg and foot, padded, for nighttime use, each | $383.34 | DMEPOS highest state fee | 4 (DME supplier) | A |
| A6525 | Gradient compression garment, lower leg and foot, padded, for nighttime use, custom, each | $773.90 | DMEPOS highest state fee | 4 (DME supplier) | A |
| A6527 | Gradient compression garment, full leg and foot, padded, for nighttime use, custom, each | $1,274.45 | DMEPOS highest state fee | 4 (DME supplier) | A |
| A6530 | Gradient compression stocking, below knee, 18-30 mmhg, each | $39.07 | DMEPOS highest state fee | 6 (DME supplier) | A |
| A6531 | Gradient compression stocking, below knee, 30-40 mmhg, used as a surgical dressing, each | $61.66 | DMEPOS ceiling (AW) | 4 (DME supplier) | A |
| A6532 | Gradient compression stocking, below knee, 40-50 mmhg, used as a surgical dressing, each | $86.88 | DMEPOS ceiling (AW) | 4 (DME supplier) | A |
| A6533 | Gradient compression stocking, thigh length, 18-30 mmhg, each | $54.86 | DMEPOS highest state fee | 6 (DME supplier) | A |
| A6534 | Gradient compression stocking, thigh length, 30-40 mmhg, each | $62.65 | DMEPOS highest state fee | 6 (DME supplier) | A |
| A6539 | Gradient compression stocking, waist length, 18-30 mmhg, each | $97.86 | DMEPOS highest state fee | 6 (DME supplier) | A |
| A6540 | Gradient compression stocking, waist length, 30-40 mmhg, each | $116.68 | DMEPOS highest state fee | 6 (DME supplier) | A |
| A6545 | Gradient compression wrap, non-elastic, below knee, 30-50 mmhg, used as a surgical dressing, each | $121.41 | DMEPOS ceiling (AW) | 2 (DME supplier) | A |
| A6550 | Wound care set, for negative pressure wound therapy electrical pump, includes all supplies and accessories | $31.92 | DMEPOS highest state fee | 0 (practitioner) | N |
| A6552 | Gradient compression stocking, below knee, 30-40 mmhg, each | $57.97 | DMEPOS highest state fee | 6 (DME supplier) | A |
| A6553 | Gradient compression stocking, below knee, 30-40 mmhg, custom, each | $226.38 | DMEPOS highest state fee | 6 (DME supplier) | A |
| A6556 | Gradient compression stocking, thigh length, 18-30 mmhg, custom, each | $310.25 | DMEPOS highest state fee | 6 (DME supplier) | A |
| A6566 | Gradient compression garment, neck/head, each | $254.75 | DMEPOS highest state fee | 6 (DME supplier) | A |
| A6568 | Gradient compression garment, torso and shoulder, each | $166.26 | DMEPOS highest state fee | 6 (DME supplier) | A |
| A6570 | Gradient compression garment, genital region, each | $113.28 | DMEPOS highest state fee | 6 (DME supplier) | A |
| A6572 | Gradient compression garment, toe caps, each | $105.11 | DMEPOS highest state fee | 6 (DME supplier) | A |
| A6576 | Gradient compression arm sleeve, custom, medium weight, each | $195.16 | DMEPOS highest state fee | 6 (DME supplier) | A |
| A6578 | Gradient compression arm sleeve, each | $79.55 | DMEPOS highest state fee | 6 (DME supplier) | A |
| A6579 | Gradient compression glove, custom, medium weight, each | $313.26 | DMEPOS highest state fee | 6 (DME supplier) | A |
| A6581 | Gradient compression glove, each | $72.99 | DMEPOS highest state fee | 6 (DME supplier) | A |
| A6582 | Gradient compression gauntlet, each | $48.68 | DMEPOS highest state fee | 6 (DME supplier) | A |
| A6583 | Gradient compression wrap with adjustable straps, below knee, each | $160.13 | DMEPOS highest state fee | 6 (DME supplier) | A |
| A6585 | Gradient compression wrap with adjustable straps, above knee, each | $189.60 | DMEPOS highest state fee | 6 (DME supplier) | A |
| A6586 | Gradient compression wrap with adjustable straps, full leg, each | $558.59 | DMEPOS highest state fee | 6 (DME supplier) | A |
| A6587 | Gradient compression wrap with adjustable straps, foot, each | $73.17 | DMEPOS highest state fee | 6 (DME supplier) | A |
| A6588 | Gradient compression wrap with adjustable straps, arm, each | $243.87 | DMEPOS highest state fee | 6 (DME supplier) | A |
| A6589 | Gradient pressure wrap with adjustable straps, bra, each | $96.27 | DMEPOS highest state fee | 6 (DME supplier) | A |
| A6610 | Gradient compression stocking, below knee, 18-30 mmhg, custom, each | $226.38 | DMEPOS highest state fee | 6 (DME supplier) | A |
| A7003 | Administration set, with small volume nonfiltered pneumatic nebulizer, disposable | $1.94 | DMEPOS highest state fee (NU) | 6 (DME supplier) | Y |
| A7005 | Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable | $16.32 | DMEPOS highest state fee (NU) | 1 (DME supplier) | Y |
| A7015 | Aerosol mask, used with dme nebulizer | $1.65 | DMEPOS highest state fee (NU) | 3 (DME supplier) | Y |
| A7030 | Full face mask used with positive airway pressure device, each | $118.14 | DMEPOS highest state fee (NU) | 1 (DME supplier) | Y |
| A7031 | Face mask interface, replacement for full face mask, each | $43.57 | DMEPOS highest state fee (NU) | 3 (DME supplier) | Y |
| A7032 | Cushion for use on nasal mask interface, replacement only, each | $24.76 | DMEPOS highest state fee (NU) | 6 (DME supplier) | Y |
| A7033 | Pillow for use on nasal cannula type interface, replacement only, pair | $20.06 | DMEPOS highest state fee (NU) | 6 (DME supplier) | Y |
| A7034 | Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap | $71.97 | DMEPOS highest state fee (NU) | 1 (DME supplier) | Y |
| A7035 | Headgear used with positive airway pressure device | $24.43 | DMEPOS highest state fee (NU) | 1 (DME supplier) | Y |
| A7036 | Chinstrap used with positive airway pressure device | $13.80 | DMEPOS highest state fee (NU) | 1 (DME supplier) | Y |
| A7037 | Tubing used with positive airway pressure device | $15.64 | DMEPOS highest state fee (NU) | 1 (DME supplier) | Y |
| A7038 | Filter, disposable, used with positive airway pressure device | $2.84 | DMEPOS highest state fee (NU) | 6 (DME supplier) | Y |
| A7039 | Filter, non disposable, used with positive airway pressure device | $7.87 | DMEPOS highest state fee (NU) | 1 (DME supplier) | Y |
| A7046 | Water chamber for humidifier, used with positive airway pressure device, replacement, each | $17.20 | DMEPOS highest state fee (NU) | 1 (DME supplier) | Y |
| A7048 | Vacuum drainage collection unit and tubing kit, including all supplies needed for collection unit change, for use with implanted catheter, each | $71.85 | DMEPOS ceiling | 0 (DME supplier) | N |
| A9500 | Technetium tc-99m sestamibi, diagnostic, per study dose | — | none in these files | 3 (practitioner) | N |
| A9502 | Technetium tc-99m tetrofosmin, diagnostic, per study dose | — | none in these files | 3 (practitioner) | N |
| A9503 | Technetium tc-99m medronate, diagnostic, per study dose, up to 30 millicuries | — | none in these files | 1 (practitioner) | N |
| A9512 | Technetium tc-99m pertechnetate, diagnostic, per millicurie | — | none in these files | 30 (practitioner) | N |
| A9516 | Iodine i-123 sodium iodide, diagnostic, per 100 microcuries, up to 999 microcuries | — | none in these files | 4 (practitioner) | N |
| A9520 | Technetium tc-99m tilmanocept, diagnostic, up to 0.5 millicuries | — | none in these files | 1 (practitioner) | N |
| A9528 | Iodine i-131 sodium iodide capsule(s), diagnostic, per millicurie | — | none in these files | 10 (practitioner) | N |
| A9537 | Technetium tc-99m mebrofenin, diagnostic, per study dose, up to 15 millicuries | — | none in these files | 1 (practitioner) | N |
| A9538 | Technetium tc-99m pyrophosphate, diagnostic, per study dose, up to 25 millicuries | — | none in these files | 1 (practitioner) | N |
| A9540 | Technetium tc-99m macroaggregated albumin, diagnostic, per study dose, up to 10 millicuries | — | none in these files | 2 (practitioner) | N |
| A9541 | Technetium tc-99m sulfur colloid, diagnostic, per study dose, up to 20 millicuries | — | none in these files | 1 (practitioner) | N |
| A9552 | Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries | — | none in these files | 1 (practitioner) | N |
| A9555 | Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries | — | none in these files | 2 (practitioner) | N |
| A9560 | Technetium tc-99m labeled red blood cells, diagnostic, per study dose, up to 30 millicuries | — | none in these files | 2 (practitioner) | N |
| A9561 | Technetium tc-99m oxidronate, diagnostic, per study dose, up to 30 millicuries | — | none in these files | 1 (practitioner) | N |
| A9562 | Technetium tc-99m mertiatide, diagnostic, per study dose, up to 15 millicuries | — | none in these files | 2 (practitioner) | N |
| A9597 | Positron emission tomography radiopharmaceutical, diagnostic, for tumor identification, not otherwise classified | — | none in these files | — | N |
| A9901 | Dme delivery, set up, and/or dispensing service component of another hcpcs code | — | none in these files | 0 (practitioner) | A |
Show the other 630 codes (pages not in search results)
- A0021 Outside state ambulance serv
- A0080 Noninterest escort in non er
- A0090 Interest escort in non er
- A0100 Nonemergency transport taxi
- A0110 Nonemergency transport bus
- A0120 Noner transport mini-bus
- A0130 Noner transport wheelch van
- A0140 Nonemergency transport air
- A0160 Noner transport case worker
- A0170 Transport parking fees/tolls
- A0180 Noner transport lodgng recip
- A0190 Noner transport meals recip
- A0200 Noner transport lodgng escrt
- A0210 Noner transport meals escort
- A0225 Neonatal emergency transport
- A0380 Basic life support mileage
- A0382 Basic support routine suppls
- A0384 BLS defibrillation supplies
- A0390 Advanced life support mileag
- A0392 ALS defibrillation supplies
- A0394 ALS iv drug therapy supplies
- A0396 ALS esophageal intub suppls
- A0398 ALS routine disposble suppls
- A0420 Ambulance waiting 1/2 hr
- A0422 Ambulance 02 life sustaining
- A0424 Extra ambulance attendant
- A0432 Pi volunteer ambulance co
- A0433 ALS 2
- A0435 Fixed wing air mileage
- A0888 Noncovered ambulance mileage
- A0998 Ambulance response/treatment
- A4100 Nosht skin sub FDA clrd NOS
- A4206 1 cc sterile syringe&needle
- A4207 2 cc sterile syringe&needle
- A4208 3 cc sterile syringe&needle
- A4209 5+ cc sterile syringe&needle
- A4210 Nonneedle injection device
- A4211 Supp for self-adm injections
- A4212 Non coring needle or stylet
- A4213 20+ cc syringe only
- A4215 Sterile needle
- A4218 Sterile saline or water
- A4223 Infusion supplies w/o pump
- A4226 Weekly supply maint cgs pump
- A4228 Dev-drug combo cath supplies
- A4230 Infus insulin pump non needl
- A4231 Infusion insulin pump needle
- A4232 Syringe w/needle insulin 3cc
- A4233 Alkalin batt for glucose mon
- A4234 J-cell batt for glucose mon
- A4235 Lithium batt for glucose mon
- A4236 Silvr oxide batt glucose mon
- A4244 Alcohol or peroxide per pint
- A4245 Alcohol wipes per box
- A4246 Betadine/phisohex solution
- A4247 Betadine/iodine swabs/wipes
- A4248 Chlorhexidine antisept
- A4250 Urine reagent strips/tablets
- A4252 Blood ketone test or strip
- A4255 Glucose monitor platforms
- A4256 Calibrator solution/chips
- A4257 Replace lensshield cartridge
- A4261 Cervical cap contraceptive
- A4262 Temporary tear duct plug
- A4263 Permanent tear duct plug
- A4264 Intratubal occlusion device
- A4265 Paraffin
- A4266 Diaphragm
- A4267 Male condom
- A4268 Female condom
- A4269 Spermicide
- A4270 Disposable endoscope sheath
- A4271 Home lancing/test cartridges
- A4280 Brst prsths adhsv attchmnt
- A4281 Replacement breastpump tube
- A4282 Replacement breastpump adpt
- A4283 Replacement breastpump cap
- A4284 Replcmnt breast pump shield
- A4285 Replcmnt breast pump bottle
- A4286 Replcmnt breastpump lok ring
- A4287 Disp col sto bag breast milk
- A4288 Replacement breastpump valve
- A4290 Sacral nerve stim test lead
- A4295 Straigh tip hydrophilic cath
- A4296 Coude tip hydrophilic cath
- A4297 Hydrophilic coat insert sup
- A4300 Cath impl vasc access portal
- A4301 Implantable access syst perc
- A4305 Drug delivery system >=50 ml
- A4306 Drug delivery system <=50 ml
- A4310 Insert tray w/o bag/cath
- A4311 Catheter w/o bag 2-way latex
- A4312 Cath w/o bag 2-way silicone
- A4313 Catheter w/bag 3-way
- A4314 Cath w/drainage 2-way latex
- A4315 Cath w/drainage 2-way silcne
- A4316 Cath w/drainage 3-way
- A4318 Fem urinary cup w/wo attch
- A4320 Irrigation tray
- A4321 Cath therapeutic irrig agent
- A4322 Irrigation syringe
- A4326 Male external catheter
- A4327 Fem urinary collect dev cup
- A4328 Fem urinary collect pouch
- A4330 Stool collection pouch
- A4331 Extension drainage tubing
- A4332 Lube sterile packet
- A4333 Urinary cath anchor device
- A4334 Urinary cath leg strap
- A4335 Incontinence supply
- A4336 Urethral insert
- A4337 Incontinent rectal insert
- A4340 Indwelling catheter special
- A4341 Iduc valve pat inst repl
- A4342 Iduc valve sply repl
- A4346 Cath indw foley 3 way
- A4349 Disposable male external cat
- A4352 Coude tip urinary catheter
- A4354 Cath insertion tray w/bag
- A4355 Bladder irrigation tubing
- A4356 Ext ureth clmp or compr dvc
- A4360 Disposable ext urethral dev
- A4361 Ostomy face plate
- A4362 Solid skin barrier
- A4363 Ostomy clamp, replacement
- A4364 Adhesive, liquid or equal
- A4366 Ostomy vent
- A4367 Ostomy belt
- A4368 Ostomy filter
- A4369 Skin barrier liquid per oz
- A4371 Skin barrier powder per oz
- A4372 Skin barrier solid 4x4 equiv
- A4373 Skin barrier with flange
- A4375 Drainable plastic pch w fcpl
- A4376 Drainable rubber pch w fcplt
- A4377 Drainable plstic pch w/o fp
- A4378 Drainable rubber pch w/o fp
- A4379 Urinary plastic pouch w fcpl
- A4380 Urinary rubber pouch w fcplt
- A4381 Urinary plastic pouch w/o fp
- A4382 Urinary hvy plstc pch w/o fp
- A4383 Urinary rubber pouch w/o fp
- A4384 Ostomy faceplt/silicone ring
- A4385 Ost skn barrier sld ext wear
- A4387 Ost clsd pouch w att st barr
- A4388 Drainable pch w ex wear barr
- A4389 Drainable pch w st wear barr
- A4391 Urinary pouch w ex wear barr
- A4392 Urinary pouch w st wear barr
- A4393 Urine pch w ex wear bar conv
- A4394 Ostomy pouch liq deodorant
- A4395 Ostomy pouch solid deodorant
- A4396 Peristomal hernia supprt blt
- A4398 Ostomy irrigation bag
- A4399 Ostomy irrig cone/cath w brs
- A4400 Ostomy irrigation set
- A4402 Lubricant per ounce
- A4404 Ostomy ring each
- A4405 Nonpectin based ostomy paste
- A4406 Pectin based ostomy paste
- A4407 Ext wear ost skn barr <=4sq"
- A4408 Ext wear ost skn barr >4sq"
- A4409 Ost skn barr convex <=4 sq i
- A4410 Ost skn barr extnd >4 sq
- A4411 Ost skn barr extnd =4sq
- A4412 Ost pouch drain high output
- A4413 2 pc drainable ost pouch
- A4415 Ost skn barr w/o conv >4 sqi
- A4416 Ost pch clsd w barrier/filtr
- A4417 Ost pch w bar/bltinconv/fltr
- A4418 Ost pch clsd w/o bar w filtr
- A4419 Ost pch for bar w flange/flt
- A4420 Ost pch clsd for bar w lk fl
- A4421 Ostomy supply misc
- A4422 Ost pouch absorbent material
- A4423 Ost pch for bar w lk fl/fltr
- A4424 Ost pch drain w bar & filter
- A4425 Ost pch drain for barrier fl
- A4426 Ost pch drain 2 piece system
- A4427 Ost pch drain/barr lk flng/f
- A4428 Urine ost pouch w faucet/tap
- A4429 Urine ost pouch w bltinconv
- A4430 Ost urine pch w b/bltin conv
- A4431 Ost pch urine w barrier/tapv
- A4432 Os pch urine w bar/fange/tap
- A4433 Urine ost pch bar w lock fln
- A4434 Ost pch urine w lock flng/ft
- A4435 1pc ost pch drain hgh output
- A4436 Irr supply sleev reus per mo
- A4437 Irr supply sleev disp per mo
- A4438 Adhesive clip ext ens contr
- A4453 Rec cath any transanal, each
- A4455 Adhesive remover per ounce
- A4456 Adhesive remover, wipes
- A4457 Enema tube any type repl
- A4458 Reusable enema bag
- A4459 Transanal irrigation, manual
- A4461 Surgicl dress hold non-reuse
- A4463 Surgical dress holder reuse
- A4465 Non-elastic extremity binder
- A4467 Belt strap sleev grmnt cover
- A4468 Exsuff belt incl all sup acc
- A4470 Gravlee jet washer
- A4479 Transanal irrigation, electr
- A4480 Vabra aspirator
- A4481 Tracheostoma filter
- A4490 Above knee surgical stocking
- A4495 Thigh length surg stocking
- A4500 Below knee surgical stocking
- A4510 Full length surg stocking
- A4520 Incontinence garment anytype
- A4540 Trans elec nerv periph nerv
- A4541 Monthly supp use with e0733
- A4542 Supp ext up limb tremor stim
- A4543 Supply trans elec nerve stim
- A4544 Electro nerve stimulator rls
- A4545 Suppl accessor tibial stim
- A4550 Surgical trays
- A4553 Nondisp underpads, all sizes
- A4554 Disposable underpads
- A4555 Ca tx e-stim electr/transduc
- A4559 Coupling gel or paste
- A4560 Nmes disposable
- A4561 Pessary reusable rub anytype
- A4563 Vag inser rectal control sys
- A4564 Pessary, disposable any type
- A4566 Should sling/vest/abrestrain
- A4570 Splint
- A4580 Cast supplies (plaster)
- A4590 Special casting material
- A4593 Neuromod sti sys adj rehab
- A4594 Neuromod adj rehab mouthpie
- A4596 Ces system monthly supp
- A4600 Sleeve, inter limb comp dev
- A4601 Lith ion non prosth recharge
- A4602 Replace lithium battery 1.5v
- A4605 Trach suction cath close sys
- A4606 Oxygen probe used w oximeter
- A4608 Transtracheal oxygen cath
- A4611 Heavy duty battery
- A4612 Battery cables
- A4613 Battery charger
- A4614 Hand-held pefr meter
- 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 tube
- A4625 Trach care kit for new trach
- A4626 Tracheostomy cleaning brush
- A4627 Spacer bag/reservoir
- A4628 Oropharyngeal suction cath
- A4629 Tracheostomy care kit
- A4633 Uvl replacement bulb
- A4634 Replacement bulb th lightbox
- A4635 Underarm crutch pad
- A4636 Handgrip for cane etc
- A4637 Repl tip cane/crutch/walker
- A4638 Repl batt pulse gen sys
- A4639 Infrared ht sys replcmnt pad
- A4640 Alternating pressure pad
- A4642 In111 satumomab
- A4648 Implantable tissue marker
- A4650 Implant radiation dosimeter
- A4651 Calibrated microcap tube
- A4652 Microcapillary tube sealant
- A4653 Pd catheter anchor belt
- A4657 Syringe w/wo needle
- A4660 Sphyg/bp app w cuff and stet
- A4663 Dialysis blood pressure cuff
- A4670 Automatic bp monitor, dial
- A4671 Disposable cycler set
- A4672 Drainage ext line, dialysis
- A4673 Ext line w easy lock connect
- A4674 Chem/antisept solution, 8oz
- A4680 Activated carbon filter, ea
- A4690 Dialyzer, each
- A4706 Bicarbonate conc sol per gal
- A4707 Bicarbonate conc pow per pac
- A4708 Acetate conc sol per gallon
- A4709 Acid conc sol per gallon
- A4714 Treated water per gallon
- A4719 "y set" tubing
- A4720 Dialysat sol fld vol > 249cc
- A4721 Dialysat sol fld vol > 999cc
- A4722 Dialys sol fld vol > 1999cc
- A4723 Dialys sol fld vol > 2999cc
- A4724 Dialys sol fld vol > 3999cc
- A4725 Dialys sol fld vol > 4999cc
- A4726 Dialys sol fld vol > 5999cc
- A4728 Dialysate solution, non-dex
- A4730 Fistula cannulation set, ea
- A4736 Topical anesthetic, per gram
- A4737 Inj anesthetic per 10 ml
- A4740 Shunt accessory
- A4750 Art or venous blood tubing
- A4755 Comb art/venous blood tubing
- A4760 Dialysate sol test kit, each
- A4765 Dialysate conc pow per pack
- A4766 Dialysate conc sol add 10 ml
- A4770 Blood collection tube/vacuum
- A4771 Serum clotting time tube
- A4772 Blood glucose test strips
- A4773 Occult blood test strips
- A4774 Ammonia test strips
- A4802 Protamine sulfate per 50 mg
- A4860 Disposable catheter tips
- A4870 Plumb/elec wk hm hemo equip
- A4890 Repair/maint cont hemo equip
- A4911 Drain bag/bottle
- A4913 Misc dialysis supplies NOC
- A4918 Venous pressure clamp
- A4927 Non-sterile gloves
- A4928 Surgical mask
- A4929 Tourniquet for dialysis, ea
- A4930 Sterile, gloves per pair
- A4931 Reusable oral thermometer
- A4932 Reusable rectal thermometer
- A5051 Pouch clsd w barr attached
- A5052 Clsd ostomy pouch w/o barr
- A5053 Clsd ostomy pouch faceplate
- A5054 Clsd ostomy pouch w/flange
- A5055 Stoma cap
- A5056 1 pc ost pouch w filter
- A5057 1 pc ost pou w built-in conv
- A5061 Pouch drainable w barrier at
- A5062 Drnble ostomy pouch w/o barr
- A5071 Urinary pouch w/barrier
- A5072 Urinary pouch w/o barrier
- A5073 Urinary pouch on barr w/flng
- A5081 Stoma plug or seal, any type
- A5082 Continent stoma catheter
- A5083 Stoma absorptive cover
- A5093 Ostomy accessory convex inse
- A5102 Bedside drain btl w/wo tube
- A5105 Urinary suspensory
- A5112 Urinary leg bag
- A5113 Latex leg strap
- A5114 Foam/fabric leg strap
- A5121 Solid skin barrier 6x6
- A5122 Solid skin barrier 8x8
- A5126 Disk/foam pad +or- adhesive
- A5131 Appliance cleaner
- A5200 Percutaneous catheter anchor
- A5501 Diabetic custom molded shoe
- A5503 Diabetic shoe w/roller/rockr
- A5504 Diabetic shoe with wedge
- A5505 Diab shoe w/metatarsal bar
- A5506 Diabetic shoe w/off set heel
- A5507 Modification diabetic shoe
- A5508 Diabetic deluxe shoe
- A5510 Compression form shoe insert
- A6000 Wound warming wound cover
- A6011 Collagen gel/paste wound fil
- A6022 Collagen drsg>16<=48 sq in
- A6024 Collagen dsg wound filler
- A6025 Silicone gel sheet, each
- A6154 Wound pouch each
- A6198 Alginate dressing > 48 sq in
- A6199 Alginate drsg wound filler
- A6203 Composite drsg <= 16 sq in
- A6204 Composite drsg >16<=48 sq in
- A6205 Composite drsg > 48 sq in
- A6206 Contact layer <= 16 sq in
- A6207 Contact layer >16<= 48 sq in
- A6208 Contact layer > 48 sq in
- A6210 Foam drg >16<=48 sq in w/o b
- A6211 Foam drg > 48 sq in w/o brdr
- A6213 Foam drg >16<=48 sq in w/bdr
- A6214 Foam drg > 48 sq in w/border
- A6215 Foam dressing wound filler
- A6217 Non-sterile gauze>16<=48 sq
- A6218 Non-sterile gauze > 48 sq in
- A6220 Gauze >16 <=48 sq in w/bordr
- A6221 Gauze > 48 sq in w/border
- A6222 Gauze <=16 in no w/sal w/o b
- A6223 Gauze >16<=48 no w/sal w/o b
- A6224 Gauze > 48 in no w/sal w/o b
- A6228 Gauze <= 16 sq in water/sal
- A6229 Gauze >16<=48 sq in watr/sal
- A6230 Gauze > 48 sq in water/salne
- A6231 Hydrogel dsg<=16 sq in
- A6232 Hydrogel dsg>16<=48 sq in
- A6233 Hydrogel dressing >48 sq in
- A6234 Hydrocolld drg <=16 w/o bdr
- A6235 Hydrocolld drg >16<=48 w/o b
- A6236 Hydrocolld drg > 48 in w/o b
- A6237 Hydrocolld drg <=16 in w/bdr
- A6238 Hydrocolld drg >16<=48 w/bdr
- A6239 Hydrocolld drg > 48 in w/bdr
- A6240 Hydrocolld drg filler paste
- A6241 Hydrocolloid drg filler dry
- A6242 Hydrogel drg <=16 in w/o bdr
- A6243 Hydrogel drg >16<=48 w/o bdr
- A6244 Hydrogel drg >48 in w/o bdr
- A6245 Hydrogel drg <= 16 in w/bdr
- A6246 Hydrogel drg >16<=48 in w/b
- A6247 Hydrogel drg > 48 sq in w/b
- A6248 Hydrogel drsg gel filler
- A6250 Skin seal protect moisturizr
- A6251 Absorpt drg <=16 sq in w/o b
- A6252 Absorpt drg >16 <=48 w/o bdr
- A6253 Absorpt drg > 48 sq in w/o b
- A6254 Absorpt drg <=16 sq in w/bdr
- A6255 Absorpt drg >16<=48 in w/bdr
- A6256 Absorpt drg > 48 sq in w/bdr
- A6257 Transparent film <= 16 sq in
- A6258 Transparent film >16<=48 in
- A6259 Transparent film > 48 sq in
- A6260 Wound cleanser any type/size
- A6261 Wound filler gel/paste /oz
- A6262 Wound filler dry form / gram
- A6266 Impreg gauze no h20/sal/yard
- A6403 Sterile gauze>16 <= 48 sq in
- A6404 Sterile gauze > 48 sq in
- A6407 Packing strips, non-impreg
- A6410 Sterile eye pad
- A6411 Non-sterile eye pad
- A6412 Occlusive eye patch
- A6413 Adhesive bandage, first-aid
- A6441 Pad band w>=3" <5"/yd
- A6442 Conform band n/s w<3"/yd
- A6443 Conform band n/s w>=3"<5"/yd
- A6444 Conform band n/s w>=5"/yd
- A6445 Conform band s w <3"/yd
- A6446 Conform band s w>=3" <5"/yd
- A6447 Conform band s w >=5"/yd
- A6448 Lt compres band <3"/yd
- A6450 Lt compres band >=5"/yd
- A6451 Mod compres band w>=3"<5"/yd
- A6452 High compres band w>=3"<5"yd
- A6453 Self-adher band w <3"/yd
- A6454 Self-adher band w>=3" <5"/yd
- A6455 Self-adher band >=5"/yd
- A6456 Zinc paste band w >=3"<5"/yd
- A6457 Tubular dressing
- A6460 Synthetic drsg <= 16 sq in
- A6461 Synthetic drsg >16<=48 sq in
- A6501 Compres burngarment bodysuit
- A6502 Compres burngarment chinstrp
- A6503 Compres burngarment facehood
- A6504 Cmprsburngarment glove-wrist
- A6505 Cmprsburngarment glove-elbow
- A6506 Cmprsburngrmnt glove-axilla
- A6507 Cmprs burngarment foot-knee
- A6508 Cmprs burngarment foot-thigh
- A6509 Compres burn garment jacket
- A6510 Compres burn garment leotard
- A6511 Compres burn garment panty
- A6512 Compres burn garment, NOC
- A6513 Compress burn mask face/neck
- A6515 Grad com wrap w str fu le cu
- A6516 Grad com wrap w strap foo cu
- A6517 Grad com wrap w strap bn cus
- A6518 Grad com wrap w strap arm cu
- A6519 Grad com garm NOC night use
- A6521 G com garmnt glove nght cust
- A6526 G com garmt full leg/ft nght
- A6528 G com garment bra nighttime
- A6529 G com garmt bra night custm
- A6535 Gc stocking thighlngth 40+
- A6536 Gc stocking full lngth 18-30
- A6537 Gc stocking full lngth 30-40
- A6538 Gc stocking full lngth 40+
- A6541 Gc stocking waistlngth 40+
- A6544 Gc stocking garter belt
- A6548 Acces cust grad silic band
- A6549 Grad com garm NOC day use
- A6554 Grad com stocking bk 40+
- A6555 G com stcking bk 40+ custm
- A6557 G com stcking thgh30-40 cust
- A6558 G com stcking thgh 40+ cust
- A6559 G stckng full/chap18-30 cust
- A6560 G stckng full/chap30-40 cust
- A6561 G stockng full/chap 40+ cust
- A6562 G com stckng waist18-30 cust
- A6563 G com stckng waist30-40 cust
- A6564 G com stckng waist 40+ cust
- A6565 Grad comp gauntlet custom
- A6567 G com garment neck/head cust
- A6569 G com garmnt torso/shdr cust
- A6571 G com garment genital custm
- A6573 Grad com garmnt toe cap cust
- A6574 Custom gradient sleev/glov
- A6575 Gradient comp sleev/glov
- A6577 Custom grad cm sleeve heavy
- A6580 Custom grad com glove heavy
- A6584 Grad com wrap w straps
- A6590 Urinary cath disp suc pump
- A6591 Urinary cath suc pump
- A6593 Grad com accessory gmt_wrap
- A6594 G comp bandge liner lwr extr
- A6595 G comp bandge liner upr extr
- A6596 G comp bandge conform gauze
- A6597 G comp bandage long stretch
- A6598 G comp bandage med stretch
- A6599 G comp bandage short stretch
- A6600 G com bandge hgh dn foam sht
- A6601 G com bandge hgh dn foam pad
- A6602 G com bandge hgh dn foamroll
- A6603 G com bandge low dn foamchnl
- A6604 G com bandge low dn foam flt
- A6605 G com bandage padded foam
- A6606 G com bandage padded textile
- A6607 G com bandage tub protct lyr
- A6608 G com bandage tub protct pad
- A6609 G compression bandaging
- A6611 Grad com wrap w strap ak cus
- A6614 Sup ext oculr neg pres pump
- A7000 Disposable canister for pump
- A7001 Nondisposable pump canister
- A7002 Tubing used w suction pump
- A7004 Disposable nebulizer sml vol
- A7006 Filtered nebulizer admin set
- A7007 Lg vol nebulizer disposable
- A7008 Disposable nebulizer prefill
- A7009 Nebulizer reservoir bottle
- A7010 Disposable corrugated tubing
- A7012 Nebulizer water collec devic
- A7013 Disposable compressor filter
- A7014 Compressor nondispos filter
- A7016 Nebulizer dome & mouthpiece
- A7017 Nebulizer not used w oxygen
- A7018 Water distilled w/nebulizer
- A7020 Interface, cough stim device
- A7021 Suppl and access lung expan
- A7023 Mech allergen parti barrier
- A7025 Replace chest compress vest
- A7026 Replace chst cmprss sys hose
- A7027 Combination oral/nasal mask
- A7028 Repl oral cushion combo mask
- A7029 Repl nasal pillow comb mask
- A7040 One way chest drain valve
- A7041 Water seal drain container
- A7044 Pap oral interface
- A7045 Repl exhalation port for Pap
- A7047 Resp suction oral interface
- A7049 Epap nasal valve
- A7501 Tracheostoma valve w diaphra
- A7502 Replacement diaphragm/fplate
- A7503 Hmes filter holder or cap
- A7504 Tracheostoma hmes filter
- A7505 Hmes or trach valve housing
- A7506 Hmes/trachvalve adhesivedisk
- A7507 Integrated filter & holder
- A7508 Housing & integrated adhesiv
- A7509 Heat & moisture exchange sys
- A7520 Trach/laryn tube non-cuffed
- A7521 Trach/laryn tube cuffed
- A7522 Trach/laryn tube stainless
- A7523 Tracheostomy shower protect
- A7524 Tracheostoma stent/stud/bttn
- A7525 Tracheostomy mask
- A7526 Tracheostomy tube collar
- A7527 Trach/laryn tube plug/stop
- A8000 Soft protect helmet prefab
- A8001 Hard protect helmet prefab
- A8002 Soft protect helmet custom
- A8003 Hard protect helmet custom
- A8004 Repl soft interface, helmet
- A8005 Grip glove w microprocessor
- A8006 Grip glove replacement only
- A9150 Misc/exper non-prescript dru
- A9152 Single vitamin NOS
- A9153 Multi-vitamin NOS
- A9154 Artificial saliva, 1 ml
- A9156 Oral mucoadhesive per 1 ml
- A9180 Lice treatment, topical
- A9268 Programmer orally ingest cap
- A9269 Programable ingest capsule
- A9270 Non-covered item or service
- A9272 Disp wound suct, drsg/access
- A9273 Hot/cold botle/cap/col/wrap
- A9274 Ext amb insulin delivery sys
- A9275 Disp home glucose monitor
- A9276 Disposable sensor, CGM sys
- A9277 External transmitter, CGM
- A9278 External receiver, CGM sys
- A9279 Monitoring feature/devicenoc
- A9280 Alert device, NOC
- A9281 Reaching/grabbing device
- A9282 Wig any type
- A9283 Foot press off load supp dev
- A9284 Non-electronic spirometer
- A9285 Inversion eversion cor devic
- A9286 Any hygienic item, device
- A9291 Pres dig cog behav thera FDA
- A9292 Pres dig visual therapy FDA
- A9293 Fertility cycl tracking soft
- A9294 Biofeed dig cog behav tx FDA
- A9300 Exercise equipment
- A9501 Technetium tc-99m teboroxime
- A9504 Tc99m apcitide
- A9505 Tl201 thallium
- A9509 Iodine i-123 sod iodide mil
- A9510 Tc99m disofenin
- A9524 I131 serum albumin, dx
- A9526 Nitrogen n-13 ammonia
- A9527 Iodine i-125 sodium iodide
- A9529 I131 iodide sol, dx
- A9531 I131 max 100uci
- A9536 Tc99m depreotide
- A9539 Tc99m pentetate
- A9542 In111 ibritumomab, dx
- A9546 Co57/58
- A9550 Tc99m gluceptate
- A9556 Ga67 gallium
- A9558 Xe133 xenon 10mci
- A9559 Co57 cyano
- A9564 P32 chromic phosphate
- A9566 Tc99m fanolesomab
- A9567 Technetium tc-99m aerosol
- A9568 Technetium tc99m arcitumomab
- A9571 Indium in-111 auto platelet
- A9580 Sodium fluoride f-18
- A9583 Gadofosveset trisodium inj
- A9590 Iodine i-131 iobenguane 1mci
- A9598 PET dx for non-tumor id, NOC
- A9600 Sr89 strontium
- A9603 Inj, pafolacianine, 0.1 mg
- A9609 F18 fdg, 15 millicuries
- A9610 Xe129 xenon, diagnostic
- A9612 Inj, fluorescein, 1 mg
- A9698 Non-rad contrast materialnoc
- A9699 Radiopharm rx agent NOC
- A9700 Echocardiography contrast
- A9900 Supply/accessory/service
- A9999 DME supply or accessory, NOS
How to read this table
The Medicare amount is a national figure from the October 2026 CMS files: for codes on the physician fee schedule it is the non-facility payment at the 2026 conversion factor, for DMEPOS items the national ceiling or, where competitive bidding sets the fees, the highest non-rural state fee, and for laboratory, hospital outpatient and ASC codes the published rate. Each code page shows the full breakdown, every modifier row and the state range. MUE is the Medically Unlikely Edit for the setting that bills the code, named in brackets: the DME supplier MUE for items on the DMEPOS fee schedule, the hospital outpatient MUE for codes with an OPPS payment rate but no national physician fee schedule amount, and the practitioner MUE otherwise; when that setting has no MUE, the next published one is shown. OPPS SI is the status indicator from Addendum B, which tells a hospital whether the code is paid separately, packaged, not payable under the outpatient system or, for status A, paid under another fee schedule or payment system. “None in these files” means none of the physician fee schedule, DMEPOS, lab, OPPS or ASC files lists a national amount; the code page says which payment rules apply. A dash means CMS publishes no value for that code in that file.
Where QuickIntell fits for A codes
QuickCode supports qualified coder review of units, modifiers and NCCI pairs before the claim leaves, and QuickAuth coordinates requirement checks and documentation for items and services that a coverage policy governs, each with human review.
Frequently asked questions
How many A codes are there?
The October 2026 HCPCS Level II file has 759 active codes in this hub. 429 of them carry a national Medicare amount in a 2026 fee schedule or OPPS/ASC addendum; the highest is A4594 at $3,095.12 (DMEPOS ceiling (NU)).
Are A codes CPT codes?
No. They are HCPCS Level II codes, a letter followed by four digits, maintained by CMS; CPT codes are five-character codes maintained by the AMA. Both are reported in the same procedure-code field on Medicare claims.
How often do A codes change?
CMS updates the HCPCS Level II file every quarter (January, April, July and October) and publishes the fee schedules, MUE and NCCI tables on the same quarterly cycle; this hub is rebuilt from each release.
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.
- HCPCS Level II alpha-numeric file, October 2026Version October 2026 · effective 2026-10-01 · file HCPC2026_OCT_ANWEB_09232026.txtSHA-256 c25240c63108756d…
- Medicare PFS national relative value file RVU26D (non-QPP), October 2026Version RVU26D, released 2026-08-26 · effective 2026-10-01 · file PPRRVU2026_Oct_nonQPP.csvSHA-256 4d0d3f19bd954ffc…
- DMEPOS fee schedule DME26-D, October 2026Version DME26-D (October 2026) · effective 2026-10-01 · file DMEPOS_OCT.csvSHA-256 a2824d58aadf4004…
- NCCI MUE table, practitioner services, effective 2026-10-01Version 2026 Q4 · effective 2026-10-01 · file MCR_MUE_PractitionerServices_Eff_10-01-2026.csvSHA-256 ef038efaf902b7bd…
- NCCI PTP edits, practitioner, v323r0 (four files)Version v323r0 (2026 Q4) · effective 2026-10-01 · file ccipra-v323r0-f1.TXTSHA-256 7793c0b6686c1e22…
- OPPS Addendum B, October 2026Version October 2026 · effective 2026-10-01 · file 508-compliant-version-2026_October_Web_Addendum_B.09.28.26.csvSHA-256 6ad7393a318bf1b9…
- Medicare Coverage Database, current LCD exportVersion MCD release 2026-10-08 · effective 2026-10-04 · file lcd.csvSHA-256 9aee1bd7f14056b0…
Disclaimer
Operational reference compiled from CMS publications. Amounts are Medicare national figures before locality and state adjustment; other payers differ. CPT codes appear as numbers only. Not 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.