HCPCS Code Section: HCPCS A Codes

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: …

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

Diaphragm for contraceptive use Short Description: Diaphragm Coverage Code: Not payable by Medicare Action Code: No maintenance for this code Date Added: January 1, 2003 Effective Date: January 1, …

Paraffin, per pound Short Description: Paraffin Coverage Code: Special coverage instructions apply Action Code: No maintenance for this code Date Added: January 1, 1986 Effective Date: January 1, 2002 …