HCPCS Code Section: HCPCS A Codes

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 …

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

Adhesive skin support attachment for use with external breast prosthesis, each Short Description: Brst prsths adhsv attchmnt Coverage Code: Carrier judgment Action Code: No maintenance for this code Date …

Disposable endoscope sheath, each Short Description: Disposable endoscope sheath Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January 1, 1994 Effective Date: January 1, …

Contraceptive supply, spermicide (e.g., foam, gel), each Short Description: Spermicide Coverage Code: Not payable by Medicare Action Code: No maintenance for this code Date Added: January 1, 2003 Effective …

Contraceptive supply, condom, female, each Short Description: Female condom Coverage Code: Not payable by Medicare Action Code: No maintenance for this code Date Added: January 1, 2003 Effective Date: …

Insertion tray without drainage bag and without catheter (accessories only) Short Description: Insert tray w/o bag/cath Coverage Code: Special coverage instructions apply Action Code: No maintenance for this code …

Lubricant, individual sterile packet, each Short Description: Lube sterile packet Coverage Code: Special coverage instructions apply Action Code: No maintenance for this code Date Added: January 1, 2001 Effective …