HCPCS Range

• 251 Shoulder Disarticulation, Arm and Hand Prosthetics (L6300-L6320)

• 252 Interscapular Thoracic, Arm, and Hand Prosthetics (L6350-L6370)

• 253 Prosthetic Fitting, Immediate Postsurgical or Early, Upper Limbs (L6380-L6388)

• 254 Molded Socket Endoskeletal Prosthetic System, Upper Limbs (L6400-L6570)

• 255 Preparatory Prosthetic, Upper Limbs (L6580-L6590)

• 256 Upper Extremity Prosthetic Additions (L6600-L6700)

• 257 Terminal Devices and Additions (L6703-L6882)

• 258 Replacement Sockets, Upper Limbs (L6883-L6885)

• 259 Hand Restoration Prosthetics and Additions (L6890-L6915)

• 260 External Power Upper Limb Prosthetics (L6920-L6975)

• 261 Electric Hand or Hook and Additions (L7007-L7045)

• 262 Electronic Elbow and Additions (L7170-L7259)

• 263 Batteries and Accessories (L7360-L7368)

• 264 Additions for Upper Extremity Prosthetics (L7400-L7406)

• 265 Upper Extremity Prosthetics, Not Otherwise Specified (NOS) (L7499-L7499)

• 266 Prosthetic Repair (L7510-L7520)

• 267 Prosthetic Donning Sleeve (L7600-L7600)

• 268 Penile Prosthetics (L7900-L7902)

• 269 Breast Prosthetics and Accessories (L8000-L8039)

• 270 Facial and External Ear Prosthetics (L8040-L8049)

• 271 Hernia Trusses (L8300-L8330)

• 272 Prosthetic Sheaths, Socks, and Shrinkers (L8400-L8485)

• 273 Unlisted Prosthetic Procedures (L8499-L8499)

• 274 Voice Prosthetics and Accessories (L8500-L8515)

• 275 Prosthetic Breast Implant (L8600-L8600)

• 276 Bulking Agents (L8603-L8607)

• 277 Implantable Eye and Ear Prosthetics and Accessories (L8608-L8629)

• 278 Implantable Hand and Feet Prosthetics (L8630-L8659)

• 279 Vascular Implants (L8670-L8670)

• 280 Implantable Neurostimulators and Components (L8678-L8689)

• 281 Miscellaneous Orthotic and Prosthetic Services and Supplies (L8690-L9900)

• 282 Laboratory Tests of Blood and Hair (P2028-P2038)

• 283 Pap Smears (P3000-P3001)

• 284 Urine Bacterial Culture and Sensitivity Studies (P7001-P7001)

• 285 Blood and Blood Products, with Associated Procedures (P9010-P9100)

• 286 Specimen Collection, Travel Allowance (P9603-P9604)

• 287 Specimen Collection, Catheterization (P9612-P9615)

• 288 Miscellaneous Drugs and Tests (Q0035-Q0144)

• 289 Chemotherapy Anti-emetic Medications (Q0155-Q0181)

• 290 Ventricular Assist Devices (Q0477-Q0509)

• 291 Pharmacy Supply and Dispensing Fees (Q0510-Q0521)

• 292 Miscellaneous Drug and New Technology Codes (Q0515-Q2028)

• 293 Influenza Virus Vaccines (Q2034-Q2039)

• 294 Other Drugs and Service Fees (Q2041-Q3031)

• 295 Cast and Splint Supplies (Q4001-Q4051)

• 296 Miscellaneous Drugs (Q4074-Q4082)

• 297 Skin Substitutes and Biologicals (Q4101-Q4433)

• 298 Hospice and Home Health Care (Q5001-Q5010)

• 299 Additional Miscellaneous Drugs (Q5098-Q5101)

• 300 Contrast Agents/Diagnostic Imaging (Q9950-Q9983)

• 301 Non-Medicare Drug Codes (S0012-S0197)

• 302 Miscellaneous Provider Services (S0199-S0400)

• 303 Vision Supplies (S0500-S0596)

• 304 Screenings and Examinations (S0601-S0622)

• 305 Miscellaneous Provider Services and Supplies (S0630-S3722)

• 306 Genetic Testing (S3800-S3870)

• 307 Miscellaneous Tests (S3900-S3904)

• 308 Assorted Obstetrical and Fertility Services (S4005-S4989)

• 309 Miscellaneous Medications and Therapeutic Substances (S4990-S5014)

• 310 Various Home Care Services (S5035-S5199)

• 311 Home Infusion Therapy (S5497-S5523)

• 312 Insulin and Delivery Devices (S5550-S5571)

• 313 Imaging Studies (S8030-S8092)

• 314 Assisted Breathing Supplies (S8096-S8210)

• 315 Miscellaneous Supplies and Services (S8265-S9152)

• 316 Home Management of Pregnancy (S9208-S9214)

• 317 Home Infusion Therapy (S9325-S9379)

• 318 Miscellaneous Supplies and Services (S9381-S9485)

• 319 Home Therapy Services (S9490-S9810)

• 320 Various Services, Fees, and Costs (S9900-S9999)

• 321 Nursing Services (T1000-T1005)

• 322 Alcohol and Substance Abuse Services (T1006-T1012)

• 323 Other Services (T1013-T1018)

• 324 Home Health Services (T1019-T1022)

• 325 Screenings, Assessments, and Treatments, Individual and Family (T1023-T1029)

• 326 Additional Nursing Services (T1030-T1031)

• 327 Miscellaneous Services and Supplies (T1502-T1999)

• 328 Transportation Services (T2001-T2007)

• 329 Preadmission Screening (T2010-T2011)

• 330 Waiver Services (T2012-T2041)

• 331 Hospice Care (T2042-T2046)

• 332 Long-term Residential Care (T2048-T2048)

• 333 Non-emergency Transportation Fees (T2049-T2049)

• 334 Services Related to Breast Milk (T2101-T2101)

• 335 Incontinence Supplies (T4521-T4545)

• 336 Other and Unspecified Supplies (T5001-T5999)

• 337 Spectacle Frames (V2020-V2025)

• 338 Lenses, Single Vision (V2100-V2199)

• 339 Lenses, Bifocals (V2200-V2299)

• 340 Lenses, Trifocal (V2300-V2399)

• 341 Lenses, Aspherical and Variable Sphericity (V2410-V2499)

• 342 Assorted Contact Lenses (V2500-V2599)

• 343 Low and Near Vision Aids (V2600-V2615)

• 344 Eye Prosthetics and Services (V2623-V2629)

• 345 Lenses, Intraocular (V2630-V2632)

• 346 Vision Services (V2700-V2799)

• 347 Hearing Assessments and Evaluations (V5008-V5020)

• 348 Hearing Aid, Monaural (V5030-V5060)

• 349 Miscellaneous Hearing Services and Supplies (V5070-V5110)

• 350 Hearing Aids (V5120-V5267)

• 351 Assistive Hearing Devices (V5268-V5290)

• 352 Other and Miscellaneous Hearing Services and Supplies (V5298-V5299)

• 353 Speech-related Screenings and Communication Device Repair (V5336-V5364)

• 354 Low-profile Additions, Thoracic-lumbar-sacral Orthotics (L1200-L1290)

• 355 Behavioral Health Services (T1040-T1041)

• 356 Other Drugs and Test (Q9991-Q9999)

• 357 Gasket or Seal with Prosthetic (L7700-L7700)

• 358 Radiology services Prostate (G9894-G9897)

• 359 Geriatric care Management (G9898-G9898)

• 360 Breast screening/diagnostics/Therapeutics (G9899-G9900)

• 361 Tobacco Screening (G9902-G9908)

• 362 Anti TNF Diagnostics for HBV status (G9912-G9915)

• 363 Functional Status codes (G9916-G9918)

• 364 Screening (G9919-G9931)

• 365 Geriatric Care Management and Other Services (G9938-G9940)

• 366 Pain assessment (G9942-G9949)

• 367 Medications (Antiemetics and Antimicrobials) (G9954-G9961)

• 368 Embolization (G9962-G9963)

• 369 Screening, Wellness and Physician visits (G9964-G9970)

• 370 Additional Geriatric care Management (G9901-G9901)

• 371 Other Geriatric care Management (G9910-G9910)

• 372 Breast screening (Therapeutics) (G9911-G9911)

• 373 Anti-Inflammatory Medication and Chemotherapy Medication (Q5103-Q5111)

• 374 Remote In-House Evaluation And Management Assessment (G9978-G9987)

• 375 Adolescent Depression, Remission AND Management (M1019-M1021)

• 376 Anticoagulation Management (M1055-M1057)

• 377 Breast MRI - Computer Aided Detection (C8937-C8937)

• 378 Evaluation AND Assessment (M1006-M1014)

• 379 Fall Risk Assessment (M1069-M1070)

• 380 Functional STATUS Measurement (M1043-M1049)

• 381 Head Imaging (M1027-M1029)

• 382 Home Care Management Services (G0076-G0087)

• 383 Hospice Services (M1067-M1067)

• 384 Limb Pain Assessment (M1052-M1052)

• 385 Lumbar Spine Associated Conditions (M1037-M1041)

• 386 Lumbar Spine Conditions (M1051-M1051)

• 387 Mobility Status (M1068-M1068)

• 388 Other Evaluation and Management Services (G2001-G2020)

• 389 Patient Status (M1016-M1018)

• 390 Performance Assessment (M1058-M1060)

• 391 Pharmacotherapy for OUD (M1032-M1036)

• 392 Professional Services for Drug Infusion (G0068-G0070)

• 393 Spinal Procedures (M1071-M1071)

• 394 TB Screening (M1003-M1005)

• 395 Telemed Services (G0071-G0071)

• 396 Urgent Care Visit (M1054-M1054)

• 397 Convulsive Therapy Procedure (G2000-G2000)

• 398 Screening Procedures (M1003-M1070)

• 399 Cancer, Vision and Other Associated Drugs (Q5112-Q5160)

• 400 Care Management Services (G2021-G2025)

• 401 Medication Assisted Treatment Programme (G2067-G2075)

• 402 Opioid Use Disorder - Evaluation and Treatment (G2076-G2081)

• 403 Evaluation and Management Services (G2082-G2083)

• 404 Opioid Use Disorder - Treatment (Office Based) (G2086-G2088)

• 405 Functional Status (G2090-G2152)

• 406 Performance Measures (G2167-G2167)

• 407 Components, Accessories and Supplies (K1004-K1037)

• 408 Episode of Care (M1106-M1143)

• 409 Therapy Maintenance Program in Home Health Setting (G2168-G2169)

• 410 Coronavirus Diagnostic Panel (U0001-U0002)

• 411 Arteriovenous Fistula Procedure (G2170-G2171)

• 412 Other Professional Services (G1025-G1028)

• 413 Assessment and Couseling-Department of Veterans Affairs Chaplain Services (Q9001-Q9004)

• 414 Prevocational Habilitation Waiver Services (T2047-T2047)

• 415 Other Therapeutic Procedures (C1052-C1062)

• 416 Initial Visit for Professional Services (G0088-G0090)

• 417 Clinician Documentation and Management Services (G2173-G2210)

• 418 Other Services (M1146-M1503)

• 419 Evaluation and Care Management Services (G2211-G2214)

• 420 Take Home Supplies (G2215-G2216)

• 421 Documentation assessment (Remote) (G2250-G2250)

• 422 Brief Communication Technology-Based Services (G2251-G2252)

• 423 COVID-19 Infusion Therapy (Q0220-Q0249)

• 424 Opioid Use Disorder (OUD) Treatment Services (G2172-G2172)

• 425 Matrix for Wound Management (Placental, Equine, Synthetic) (A2001-A2039)

• 426 MIPS Specialty Set (G4000-G4038)

• 427 Palliative Care Services (G9988-G9999)

• 428 MIPS Measures (G0028-G0067)

• 429 Fresh Frozen Plasma-Covid-19 (C9507-C9507)

• 430 Skin Substitute Device (A4100-A4100)

• 431 Financial Management and Supports Brokerage Services, Per Diem (T2050-T2051)

• 432 Doula Birth Worker Services (T1032-T1033)

• 433 Miscellaneous Surgical Procedures (C7500-C7571)

• 434 Mental Health Evaluation and Management Services (C7900-C7903)

• 435 Chronic Pain Management And Treatment Services (G3002-G3003)

• 436 MIPS Value Pathways (M0001-M0005)

• 437 Virtual Reality Cognitive Behavioral Therapy Device (CBT) (E1905-E1905)

• 438 EOM (Enhancing Oncology Model) Enhanced Services (M0010-M0010)

• 439 Surgical, Imaging Devices and Grafts (C1600-C1608)

• 440 Electronic Positional Obstructive Sleep Apnea Treatment (E0530-E0530)

• 441 Non Pneumatic Compressors and Appliances (E0678-E0683)

• 442 Speech Volume Modulation System (E3000-E3000)

• 443 Psychotherapy, Pre-Exposure Prophylaxis Counseling and Community Health Integration Services (G0011-G0024)

• 444 Implantable Support Device for AV Fistula (C8000-C8000)

• 445 Intravaginal Device and Supplies for Pelvic Floor Muscles Strengthening (E0715-E0716)

• 446 Gait Modulation System (E3200-E3200)

• 447 3D Imaging for Preoperative Planning (C8001-C8001)

• 448 Preparation of Skin Cell Autograft (C8002-C8002)

• 449 Extraarticular Knee Implants (C8003-C8003)

• 450 Mental Health programs for Indigenous People (H0052-H0053)

• 451 Joint Fixation Device (C1737-C1737)

• 452 Imaging Supplies (C1738-C1749)

• 453 Catheters for Multiple Applications (C1750-C1759)

• 454 Simulation Angiogram for Radioembolization of Tumors (C8004-C8004)

• 455 Bronchoscopy with Transtracheal and/or Transbronchial Sampling (C8005-C8005)

• 456 Pleural-Peritoneal Shunt with Intercostal Pump Chamber Insertion Procedures (C8006-C8006)