HCPCS Code Section: HCPCS A Codes

Replacement battery, alkaline (other than j cell), for use with medically necessary home blood glucose monitor owned by patient, each Short Description: Alkalin batt for glucose mon Coverage Code: …

Syringe with needle for external insulin pump, sterile, 3 cc Short Description: Syringe w/needle insulin 3cc Coverage Code: Not payable by Medicare Action Code: No maintenance for this code …

Replacement lens shield cartridge for use with laser skin piercing device, each Short Description: Replace lensshield cartridge Coverage Code: Carrier judgment Action Code: No maintenance for this code Date …

Infusion set for external insulin pump, needle type Short Description: Infusion insulin pump needle Coverage Code: Special coverage instructions apply Action Code: No maintenance for this code Date Added: …

Normal, low and high calibrator solution / chips Short Description: Calibrator solution/chips Coverage Code: Special coverage instructions apply Action Code: No maintenance for this code Date Added: January 1, …

Infusion set for external insulin pump, non needle cannula type Short Description: Infus insulin pump non needl Coverage Code: Special coverage instructions apply Action Code: No maintenance for this …

Platforms for home blood glucose monitor, 50 per box Short Description: Glucose monitor platforms Coverage Code: Special coverage instructions apply Action Code: No maintenance for this code Date Added: …

Supplies for maintenance of insulin infusion pump with dosage rate adjustment using therapeutic continuous glucose sensing, per week Short Description: Weekly supply maint cgs pump Coverage Code: Carrier judgment …

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, …