HCPCS Code Section: HCPCS A Codes

Locking ring for breast pump, replacement Short Description: Replcmnt breastpump lok ring Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January 1, 2003 Effective …

Cervical cap for contraceptive use Short Description: Cervical cap contraceptive Coverage Code: Non-covered by Medicare statute Action Code: No maintenance for this code Date Added: January 1, 1999 Effective …

Polycarbonate bottle for use with breast pump, replacement Short Description: Replcmnt breast pump bottle Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January 1, …

Lancets, per box of 100 Short Description: Lancets per box Coverage Code: Special coverage instructions apply Action Code: No maintenance for this code Date Added: January 1, 1985 Effective …

Breast shield and splash protector for use with breast pump, replacement Short Description: Replcmnt breast pump shield Coverage Code: Carrier judgment Action Code: No maintenance for this code Date …

Spring-powered device for lancet, each Short Description: Lancet device each Coverage Code: Special coverage instructions apply Action Code: No maintenance for this code Date Added: January 1, 1996 Effective …

Cap for breast pump bottle, replacement Short Description: Replacement breastpump cap Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January 1, 2003 Effective Date: …

Adapter for breast pump, replacement Short Description: Replacement breastpump adpt Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January 1, 2003 Effective Date: January …

Insertion tray with drainage bag with indwelling catheter, foley type, two-way, all silicone Short Description: Cath w/drainage 2-way silcne Coverage Code: Special coverage instructions apply Action Code: No maintenance …

Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.) Short Description: Cath w/drainage 2-way latex Coverage Code: …