HCPCS Code Section: HCPCS A Codes

Insertion tray without drainage bag with indwelling catheter, foley type, two-way, all silicone Short Description: Cath w/o bag 2-way silicone Coverage Code: Special coverage instructions apply Action Code: No …

Insertion tray without drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.) Short Description: Catheter w/o bag 2-way latex Coverage …

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 …

Disposable drug delivery system, flow rate of less than 50 ml per hour Short Description: Drug delivery system

Extension drainage tubing, any type, any length, with connector/adaptor, for use with urinary leg bag or urostomy pouch, each Short Description: Extension drainage tubing Coverage Code: Special coverage instructions …

Disposable drug delivery system, flow rate of 50 ml or greater per hour Short Description: Drug delivery system >=50 ml Coverage Code: Carrier judgment Action Code: No maintenance for …

Perianal fecal collection pouch with adhesive, each Short Description: Stool collection pouch Coverage Code: Special coverage instructions apply Action Code: No maintenance for this code Date Added: January 1, …

Implantable access total catheter, port/reservoir (e.g., venous, arterial, epidural, subarachnoid, peritoneal, etc.) Short Description: Implantable access syst perc Coverage Code: Carrier judgment Action Code: No maintenance for this code …

Female external urinary collection device; pouch, each Short Description: Fem urinary collect pouch Coverage Code: Special coverage instructions apply Action Code: No maintenance for this code Date Added: January …