HCPCS Code Section: HCPCS A Codes

Adhesive remover or solvent (for tape, cement or other adhesive), per ounce Short Description: Adhesive remover per ounce Coverage Code: Special coverage instructions apply Action Code: No maintenance for …

Tape, waterproof, per 18 square inches Short Description: Waterproof tape Coverage Code: Special coverage instructions apply Action Code: No maintenance for this code Date Added: January 1, 2003 Effective …

Tape, non-waterproof, per 18 square inches Short Description: Non-waterproof tape Coverage Code: Special coverage instructions apply Action Code: No maintenance for this code Date Added: January 1, 2003 Effective …

Ostomy pouch, drainable, high output, with extended wear barrier (one-piece system), with or without filter, each Short Description: 1pc ost pch drain hgh output Coverage Code: Carrier judgment Action …

Ostomy pouch, urinary; for use on barrier with locking flange, with faucet-type tap with valve (2 piece), each Short Description: Ost pch urine w lock flng/ft Coverage Code: Carrier …

Ostomy pouch, urinary; for use on barrier with locking flange (2 piece), each Short Description: Urine ost pch bar w lock fln Coverage Code: Carrier judgment Action Code: No …

Ostomy pouch, urinary; for use on barrier with non-locking flange, with faucet-type tap with valve (2 piece), each Short Description: Os pch urine w bar/fange/tap Coverage Code: Carrier judgment …

Gravlee jet washer Short Description: Gravlee jet washer Coverage Code: Special coverage instructions apply Action Code: No maintenance for this code Date Added: January 1, 1986 Effective Date: January …

Ostomy pouch, urinary; with barrier attached, with faucet-type tap with valve (1 piece), each Short Description: Ost pch urine w barrier/tapv Coverage Code: Carrier judgment Action Code: No maintenance …

Belt, strap, sleeve, garment, or covering, any type Short Description: Belt strap sleev grmnt cover Coverage Code: Non-covered by Medicare Action Code: No maintenance for this code Date Added: …