HCPCS Range Miscellaneous Supplies and Equipment

• 1 Non-prescription drugs ( A9150 )

• 2 Single vitamin/mineral/trace element, oral, per dose, not otherwise specified ( A9152 )

• 3 Multiple vitamins, with or without minerals and trace elements, oral, per dose, not otherwise specified ( A9153 )

• 4 Artificial saliva, 30 ml ( A9155 )

• 5 Pediculosis (lice infestation) treatment, topical, for administration by patient/caretaker ( A9180 )

• 6 Non-covered item or service ( A9270 )

• 7 Wound suction, disposable, includes dressing, all accessories and components, any type, each ( A9272 )

• 8 Cold or hot fluid bottle, ice cap or collar, heat and/or cold wrap, any type ( A9273 )

• 9 External ambulatory insulin delivery system, disposable, each, includes all supplies and accessories ( A9274 )

• 10 Home glucose disposable monitor, includes test strips ( A9275 )

• 11 Sensor; invasive (e.g., subcutaneous), disposable, for use with non-durable medical equipment interstitial continuous glucose monitoring system, one unit = 1 day supply ( A9276 )

• 12 Transmitter; external, for use with non-durable medical equipment interstitial continuous glucose monitoring system ( A9277 )

• 13 Receiver (monitor); external, for use with non-durable medical equipment interstitial continuous glucose monitoring system ( A9278 )

• 14 Monitoring feature/device, stand-alone or integrated, any type, includes all accessories, components and electronics, not otherwise classified ( A9279 )

• 15 Alert or alarm device, not otherwise classified ( A9280 )

• 16 Reaching/grabbing device, any type, any length, each ( A9281 )

• 17 Wig, any type, each ( A9282 )

• 18 Foot pressure off loading/supportive device, any type, each ( A9283 )

• 19 Spirometer, non-electronic, includes all accessories ( A9284 )

• 20 Exercise equipment ( A9300 )

• 21 Inversion/eversion correction device ( A9285 )

• 22 Hygienic item or device, disposable or non-disposable, any type, each ( A9286 )

• 23 Prescription digital cognitive and/or behavioral therapy, fda cleared, per course of treatment ( A9291 )

• 24 Oral mucoadhesive, any type (liquid, gel, paste, etc.), per 1 ml ( A9156 )

• 25 Programmer for transient, orally ingested capsule ( A9268 )

• 26 Programable, transient, orally ingested capsule, for use with external programmer, per month ( A9269 )

• 27 Prescription digital visual therapy, software-only, fda cleared, per course of treatment ( A9292 )

• 28 Fertility cycle (contraception & conception) tracking software application, fda cleared, per month, includes accessories (e.g., thermometer) ( A9293 )