HCPCS Index 2017

C-1 Esterase Inhibitor,   J0596 - J0598
Injection, c1 esterase inhibitor (recombinant), ruconest, 10 units   J0596
Injection, c-1 esterase inhibitor (human), berinert, 10 units   J0597
Injection, c-1 esterase inhibitor (human), cinryze, 10 units   J0598
Cabazitaxel,   J9043
Cabergoline, oral,   J8515
Caffeine citrate,   J0706
Calcitriol,   J0636
Calcitonin-salmon,   J0630
Calcium disodium edetate,   J0600
Calcium gluconate,   J0610
Calcium glycerophosphate and calcium lactate,   J0620
Calcium lactate and calcium glycerophosphate,   J0620
Calcium leucovorin,   J0640
Calibrator solution,   A4256
Canakinumab,   J0638
Cane,   E0100, E0105
accessory,   A4636, A4637
Canister, disposable, used with suction pump,   A7000
Canister, non-disposable, used with suction pump,   A7001
Cannula, nasal,   A4615
Capecitabine, oral,   J8520, J8521
Capsaicin patch,   J7336
Carbidopa 5 mglevodopa 20 mg enteral suspension,   J7340
Carbon filter,   A4680
Carboplatin,   J9045
Cardia Event, recorder, implantable,   E0616
Cardiokymography,   Q0035
Cardiovascular services,   M0300 - M0301
Iv chelation therapy (chemical endarterectomy)   M0300
Fabric wrapping of abdominal aneurysm   M0301
Carfilzomib,   J9047
Carmustine,   J9050
Case management,   T1016, T1017
Caspofungin acetate,   J0637
hand restoration,   L6900 - L6915
Hand restoration (casts, shading and measurements included), partial hand, with glove, thumb or one finger remaining   L6900
Hand restoration (casts, shading and measurements included), partial hand, with glove, multiple fingers remaining   L6905
Hand restoration (casts, shading and measurements included), partial hand, with glove, no fingers remaining   L6910
Hand restoration (shading, and measurements included), replacement glove for above   L6915
materials, special,   A4590
supplies,   A4580, A4590, Q4001 - Q4051
Casting supplies, body cast adult, with or without head, plaster   Q4001
Cast supplies, body cast adult, with or without head, fiberglass   Q4002
Cast supplies, shoulder cast, adult (11 years ), plaster   Q4003
Cast supplies, shoulder cast, adult (11 years ), fiberglass   Q4004
Cast supplies, long arm cast, adult (11 years ), plaster   Q4005
Cast supplies, long arm cast, adult (11 years ), fiberglass   Q4006
Cast supplies, long arm cast, pediatric (0-10 years), plaster   Q4007
Cast supplies, long arm cast, pediatric (0-10 years), fiberglass   Q4008
Cast supplies, short arm cast, adult (11 years ), plaster   Q4009
Cast supplies, short arm cast, adult (11 years ), fiberglass   Q4010
Cast supplies, short arm cast, pediatric (0-10 years), plaster   Q4011
Cast supplies, short arm cast, pediatric (0-10 years), fiberglass   Q4012
Cast supplies, gauntlet cast (includes lower forearm and hand), adult (11 years ), plaster   Q4013
Cast supplies, gauntlet cast (includes lower forearm and hand), adult (11 years ), fiberglass   Q4014
Cast supplies, gauntlet cast (includes lower forearm and hand), pediatric (0-10 years), plaster   Q4015
Cast supplies, gauntlet cast (includes lower forearm and hand), pediatric (0-10 years), fiberglass   Q4016
Cast supplies, long arm splint, adult (11 years ), plaster   Q4017
Cast supplies, long arm splint, adult (11 years ), fiberglass   Q4018
Cast supplies, long arm splint, pediatric (0-10 years), plaster   Q4019
Cast supplies, long arm splint, pediatric (0-10 years), fiberglass   Q4020
Cast supplies, short arm splint, adult (11 years ), plaster   Q4021
Cast supplies, short arm splint, adult (11 years ), fiberglass   Q4022
Cast supplies, short arm splint, pediatric (0-10 years), plaster   Q4023
Cast supplies, short arm splint, pediatric (0-10 years), fiberglass   Q4024
Cast supplies, hip spica (one or both legs), adult (11 years ), plaster   Q4025
Cast supplies, hip spica (one or both legs), adult (11 years ), fiberglass   Q4026
Cast supplies, hip spica (one or both legs), pediatric (0-10 years), plaster   Q4027
Cast supplies, hip spica (one or both legs), pediatric (0-10 years), fiberglass   Q4028
Cast supplies, long leg cast, adult (11 years ), plaster   Q4029
Cast supplies, long leg cast, adult (11 years ), fiberglass   Q4030
Cast supplies, long leg cast, pediatric (0-10 years), plaster   Q4031
Cast supplies, long leg cast, pediatric (0-10 years), fiberglass   Q4032
Cast supplies, long leg cylinder cast, adult (11 years ), plaster   Q4033
Cast supplies, long leg cylinder cast, adult (11 years ), fiberglass   Q4034
Cast supplies, long leg cylinder cast, pediatric (0-10 years), plaster   Q4035
Cast supplies, long leg cylinder cast, pediatric (0-10 years), fiberglass   Q4036
Cast supplies, short leg cast, adult (11 years ), plaster   Q4037
Cast supplies, short leg cast, adult (11 years ), fiberglass   Q4038
Cast supplies, short leg cast, pediatric (0-10 years), plaster   Q4039
Cast supplies, short leg cast, pediatric (0-10 years), fiberglass   Q4040
Cast supplies, long leg splint, adult (11 years ), plaster   Q4041
Cast supplies, long leg splint, adult (11 years ), fiberglass   Q4042
Cast supplies, long leg splint, pediatric (0-10 years), plaster   Q4043
Cast supplies, long leg splint, pediatric (0-10 years), fiberglass   Q4044
Cast supplies, short leg splint, adult (11 years ), plaster   Q4045
Cast supplies, short leg splint, adult (11 years ), fiberglass   Q4046
Cast supplies, short leg splint, pediatric (0-10 years), plaster   Q4047
Cast supplies, short leg splint, pediatric (0-10 years), fiberglass   Q4048
Finger splint, static   Q4049
Cast supplies, for unlisted types and materials of casts   Q4050
Splint supplies, miscellaneous (includes thermoplastics, strapping, fasteners, padding and other supplies)   Q4051
thermoplastic,   L2106, L2126
Centruroides Immune F(ab),   J0716
   K0099
Caster, wheelchair,   E0997, E0998
Catheter,   A4300 - A4355
Insertion tray without drainage bag and without catheter (accessories only)   A4310
Implantable access catheter, (eg, venous, arterial, epidural subarachnoid, or peritoneal, etc) external access   A4300
Insertion tray without drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc)   A4311
Implantable access total catheter, portreservoir (eg, venous, arterial, epidural, subarachnoid, peritoneal, etc)   A4301
Insertion tray without drainage bag with indwelling catheter, foley type, two-way, all silicone   A4312
Disposable drug delivery system, flow rate of 50 ml or greater per hour   A4305
Disposable drug delivery system, flow rate of less than 50 ml per hour   A4306
Insertion tray without drainage bag with indwelling catheter, foley type, three-way, for continuous irrigation   A4313
Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc)   A4314
Insertion tray with drainage bag with indwelling catheter, foley type, two-way, all silicone   A4315
Insertion tray with drainage bag with indwelling catheter, foley type, three-way, for continuous irrigation   A4316
Irrigation tray with bulb or piston syringe, any purpose   A4320
Therapeutic agent for urinary catheter irrigation   A4321
Irrigation syringe, bulb or piston, each   A4322
Male external catheter with integral collection chamber, any type, each   A4326
Female external urinary collection device meatal cup, each   A4327
Female external urinary collection device pouch, each   A4328
Perianal fecal collection pouch with adhesive, each   A4330
Extension drainage tubing, any type, any length, with connectoradaptor, for use with urinary leg bag or urostomy pouch, each   A4331
Lubricant, individual sterile packet, each   A4332
Urinary catheter anchoring device, adhesive skin attachment, each   A4333
Urinary catheter anchoring device, leg strap, each   A4334
Incontinence supply miscellaneous   A4335
Incontinence supply, urethral insert, any type, each   A4336
Incontinence supply, rectal insert, any type, each   A4337
Indwelling catheter foley type, two-way latex with coating (teflon, silicone, silicone elastomer, or hydrophilic, etc), each   A4338
Indwelling catheter specialty type, (eg, coude, mushroom, wing, etc), each   A4340
Indwelling catheter, foley type, two-way, all silicone, each   A4344
Indwelling catheter foley type, three way for continuous irrigation, each   A4346
Male external catheter, with or without adhesive, disposable, each   A4349
Intermittent urinary catheter straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc), each   A4351
Intermittent urinary catheter coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc), each   A4352
Intermittent urinary catheter, with insertion supplies   A4353
Insertion tray with drainage bag but without catheter   A4354
Irrigation tubing set for continuous bladder irrigation through a three-way indwelling foley catheter, each   A4355
anchoring device,   A5200, A4333, A4334
cap, disposable (dialysis),   A4860
external collection device,   A4327 - A4330 , A4347, A7048
Female external urinary collection device meatal cup, each   A4327
Female external urinary collection device pouch, each   A4328
Perianal fecal collection pouch with adhesive, each   A4330
indwelling,   A4338 - A4346
Indwelling catheter foley type, two-way latex with coating (teflon, silicone, silicone elastomer, or hydrophilic, etc), each   A4338
Indwelling catheter specialty type, (eg, coude, mushroom, wing, etc), each   A4340
Indwelling catheter, foley type, two-way, all silicone, each   A4344
Indwelling catheter foley type, three way for continuous irrigation, each   A4346
insertion tray,   A4354
insulin infusion catheter,   A4224
intermittent with insertion supplies,   A4353
irrigation supplies,   A4355
male external,   A4324, A4325, A4348
oropharyngeal suction,   A4628
starter set,   A432
trachea (suction),   A4609, A4610, A4624
transtracheal oxygen,   A4608
Catheterization, specimen collection,   P9612, P9615
Cefazolin sodium,   J0690
Cefepime HCl,   J0692
Cefotaxime sodium,   J0698
Ceftaroline fosamil,   J0712
Ceftazidime,   J0713, J0714
Ceftolozane 50 mg and tazobactam 25 mg,   J0695
Ceftizoxime sodium,   J0715
Ceftriaxone sodium,   J0696
Cefuroxime sodium,   J0697
CellCept,   K041
Cellular therapy,   M0075
Cement, ostomy,   A4364
Centrifuge,   A4650
Cephalin Floculation, blood,   P2028
Cephalothin sodium,   J1890
Cephapirin sodium,   J0710
Certolizumab pegol,   J0717
halo,   L0810 - L0830
Halo procedure, cervical halo incorporated into jacket vest   L0810
Halo procedure, cervical halo incorporated into plaster body jacket   L0820
Halo procedure, cervical halo incorporated into milwaukee type orthosis   L0830
head harnesshalter,   E0942
orthosis,   L0100 - L0200
Cervical, multiple post collar, occipitalmandibular supports, adjustable   L0180
Cranial cervical orthosis, congenital torticollis type, with or without soft interface material, adjustable range of motion joint, custom fabricated   L0112
Cervical, multiple post collar, occipitalmandibular supports, adjustable cervical bars (somi, guilford, taylor types)   L0190
Cranial cervical orthosis, torticollis type, with or without joint, with or without soft interface material, prefabricated, includes fitting and adjustment   L0113
Cervical, multiple post collar, occipitalmandibular supports, adjustable cervical bars, and thoracic extension   L0200
Cervical, flexible, non-adjustable, prefabricated, off-the-shelf (foam collar)   L0120
Cervical, flexible, thermoplastic collar, molded to patient   L0130
Cervical, semi-rigid, adjustable (plastic collar)   L0140
Cervical, semi-rigid, adjustable molded chin cup (plastic collar with mandibularoccipital piece)   L0150
Cervical, semi-rigid, wire frame occipitalmandibular support, prefabricated, off-the-shelf   L0160
Cervical, collar, molded to patient model   L0170
Cervical, collar, semi-rigid thermoplastic foam, two-piece, prefabricated, off-the-shelf   L0172
Cervical, collar, semi-rigid, thermoplastic foam, two piece with thoracic extension, prefabricated, off-the-shelf   L0174
traction,   E0855, E0856
Cervical cap contraceptive,   A4261
Cervical-thoracic-lumbar-sacral orthosis (CTLSO),   L0700, L0710
Cetuximab,   J9055
adjustable, dialysis,   E1570
lift,   E0627
rollabout,   E1031
sitz bath,   E0160 - E0162
Sitz type bath or equipment, portable, used with or without commode   E0160
Sitz type bath or equipment, portable, used with or without commode, with faucet attachments   E0161
Sitz bath chair   E0162
Chelation therapy,   M0300
Chemical endarterectomy,   M0300
Chemistry and toxicology tests,   P2028 - P3001
Cephalin floculation, blood   P2028
Screening papanicolaou smear, cervical or vaginal, up to three smears, by technician under physician supervision   P3000
Congo red, blood   P2029
Screening papanicolaou smear, cervical or vaginal, up to three smears, requiring interpretation by physician   P3001
Hair analysis (excluding arsenic)   P2031
Thymol turbidity, blood   P2033
Mucoprotein, blood (seromucoid) (medical necessity procedure)   P2038
administration,   Q0083
Chemotherapy administration by other than infusion technique only (eg, subcutaneous, intramuscular, push), per visit   Q0083
Chemotherapy administration by infusion technique only, per visit   Q0084
Chemotherapy administration by both infusion technique and other technique(s) (eg, subcutaneous, intramuscular, push), per visit   Q0085
drug, oral, not otherwise classified,   J8999
drugs (see also drug by name),   J9000 - J9999
Injection, talimogene laherparepvec, per 1 million plaque forming units   J9325
Injection, elotuzumab, 1 mg   J9176
Injection, irinotecan liposome, 1 mg   J9205
Injection, necitumumab, 1 mg   J9295
Injection, trabectedin, 01 mg   J9352
Injection, daratumumab, 10 mg   J9145
Injection, bendamustine hcl (bendeka), 1 mg   J9034
Injection, doxorubicin hydrochloride, 10 mg   J9000
Injection, aldesleukin, per single use vial   J9015
Injection, arsenic trioxide, 1 mg   J9017
Injection, asparaginase (erwinaze), 1,000 iu   J9019
Injection, asparaginase, not otherwise specified, 10,000 units   J9020
Injection, azacitidine, 1 mg   J9025
Injection, clofarabine, 1 mg   J9027
Bcg (intravesical) per instillation   J9031
Injection, belinostat, 10 mg   J9032
Injection, bendamustine hcl (treanda), 1 mg   J9033
Injection, bevacizumab, 10 mg   J9035
Injection, blinatumomab, 1 microgram   J9039
Injection, bleomycin sulfate, 15 units   J9040
Injection, bortezomib, 01 mg   J9041
Injection, brentuximab vedotin, 1 mg   J9042
Injection, cabazitaxel, 1 mg   J9043
Injection, carboplatin, 50 mg   J9045
Injection, carfilzomib, 1 mg   J9047
Injection, carmustine, 100 mg   J9050
Injection, cetuximab, 10 mg   J9055
Injection, cisplatin, powder or solution, 10 mg   J9060
Injection, cladribine, per 1 mg   J9065
Cyclophosphamide, 100 mg   J9070
Injection, cytarabine liposome, 10 mg   J9098
Injection, cytarabine, 100 mg   J9100
Injection, dactinomycin, 05 mg   J9120
Dacarbazine, 100 mg   J9130
Injection, daunorubicin, 10 mg   J9150
Injection, daunorubicin citrate, liposomal formulation, 10 mg   J9151
Injection, degarelix, 1 mg   J9155
Injection, denileukin diftitox, 300 micrograms   J9160
Injection, diethylstilbestrol diphosphate, 250 mg   J9165
Injection, docetaxel, 1 mg   J9171
Injection, elliotts' b solution, 1 ml   J9175
Injection, epirubicin hcl, 2 mg   J9178
Injection, eribulin mesylate, 01 mg   J9179
Injection, etoposide, 10 mg   J9181
Injection, fludarabine phosphate, 50 mg   J9185
Injection, fluorouracil, 500 mg   J9190
Injection, floxuridine, 500 mg   J9200
Injection, gemcitabine hydrochloride, 200 mg   J9201
Goserelin acetate implant, per 36 mg   J9202
Injection, irinotecan, 20 mg   J9206
Injection, ixabepilone, 1 mg   J9207
Injection, ifosfamide, 1 gram   J9208
Injection, mesna, 200 mg   J9209
Injection, idarubicin hydrochloride, 5 mg   J9211
Injection, interferon alfacon-1, recombinant, 1 microgram   J9212
Injection, interferon, alfa-2a, recombinant, 3 million units   J9213
Injection, interferon, alfa-2b, recombinant, 1 million units   J9214
Injection, interferon, alfa-n3, (human leukocyte derived), 250,000 iu   J9215
Injection, interferon, gamma 1-b, 3 million units   J9216
Leuprolide acetate (for depot suspension), 75 mg   J9217
Leuprolide acetate, per 1 mg   J9218
Leuprolide acetate implant, 65 mg   J9219
Histrelin implant (vantas), 50 mg   J9225
Histrelin implant (supprelin la), 50 mg   J9226
Injection, ipilimumab, 1 mg   J9228
Injection, mechlorethamine hydrochloride, (nitrogen mustard), 10 mg   J9230
Injection, melphalan hydrochloride, 50 mg   J9245
Methotrexate sodium, 5 mg   J9250
Methotrexate sodium, 50 mg   J9260
Injection, nelarabine, 50 mg   J9261
Injection, omacetaxine mepesuccinate, 001 mg   J9262
Injection, oxaliplatin, 05 mg   J9263
Injection, paclitaxel protein-bound particles, 1 mg   J9264
Injection, pegaspargase, per single dose vial   J9266
Injection, paclitaxel, 1 mg   J9267
Injection, pentostatin, 10 mg   J9268
Injection, plicamycin, 25 mg   J9270
Injection, pembrolizumab, 1 mg   J9271
Injection, mitomycin, 5 mg   J9280
Injection, mitoxantrone hydrochloride, per 5 mg   J9293
Injection, nivolumab, 1 mg   J9299
Injection, gemtuzumab ozogamicin, 5 mg   J9300
Injection, obinutuzumab, 10 mg   J9301
Injection, ofatumumab, 10 mg   J9302
Injection, panitumumab, 10 mg   J9303
Injection, pemetrexed, 10 mg   J9305
Injection, pertuzumab, 1 mg   J9306
Injection, pralatrexate, 1 mg   J9307
Injection, ramucirumab, 5 mg   J9308
Injection, rituximab, 100 mg   J9310
Injection, romidepsin, 1 mg   J9315
Injection, streptozocin, 1 gram   J9320
Injection, temozolomide, 1 mg   J9328
Injection, temsirolimus, 1 mg   J9330
Injection, thiotepa, 15 mg   J9340
Injection, topotecan, 01 mg   J9351
Injection, ado-trastuzumab emtansine, 1 mg   J9354
Injection, trastuzumab, 10 mg   J9355
Injection, valrubicin, intravesical, 200 mg   J9357
Injection, vinblastine sulfate, 1 mg   J9360
Vincristine sulfate, 1 mg   J9370
Injection, vincristine sulfate liposome, 1 mg   J9371
Injection, vinorelbine tartrate, 10 mg   J9390
Injection, fulvestrant, 25 mg   J9395
Injection, ziv-aflibercept, 1 mg   J9400
Injection, porfimer sodium, 75 mg   J9600
Not otherwise classified, antineoplastic drugs   J9999
Chest shell (cuirass),   E0457
Chest Wall Oscillation System,   E0483
hose, replacement,   A7026
vest, replacement,   A7025
Chest wrap,   E0459
Chin cup, cervical,   L0150
Chloramphenicol sodium succinate,   J0720
Chlordiazepoxide HCl,   J1990
Chloromycetin Sodium Succinate,   J0720
Chloroprocaine HCl,   J2400
Chloroquine HCl,   J0390
Chlorothiazide sodium,   J1205
Chlorpromazine HCl,   J3230
Chorionic gonadotropin,   J0725
Chromic phosphate P32 suspension,   A9564
Chromium CR-51 sodium chromate,   A9553
Cidofovir,   J0740
Cilastatin sodium, imipenem,   J0743
for intravenous infusion,   J0744
octic suspension,   J7342
Cisplatin,   J9060
Cladribine,   J9065
dialysis,   A4918
external urethral,   A4356
Cleanser, wound,   A6260
Cleansing agent, dialysis equipment,   A479
Clofarabine,   J9027
Clonidine,   J0735
Clotting time tube,   A4771
Clubfoot wedge,   L3380
Cochlear prosthetic implant,   L8614
accessories,   L8615 - L8617
Headsetheadpiece for use with cochlear implant device, replacement   L8615
Microphone for use with cochlear implant device, replacement   L8616
Transmitting coil for use with cochlear implant device, replacement   L8617
batteries,   L8621 - L8624
Zinc air battery for use with cochlear implant device and auditory osseointegrated sound processors, replacement, each   L8621
Alkaline battery for use with cochlear implant device, any size, replacement, each   L8622
Lithium ion battery for use with cochlear implant device speech processor, other than ear level, replacement, each   L8623
Lithium ion battery for use with cochlear implant device speech processor, ear level, replacement, each   L8624
replacement,   L8619, L8627 - L8629
Cochlear implant, external speech processor, component, replacement   L8627
Cochlear implant, external controller component, replacement   L8628
Transmitting coil and cable, integrated, for use with cochlear implant device, replacement   L8629
Codeine phosphate,   J0745
Colistimethate sodium,   J0770
skin test,   G002
urinary tract implant,   L8603
wound dressing,   A6020 - A6024
Collagen dressing, sterile, size 16 sq in or less, each   A6021
Collagen dressing, sterile, size more than 16 sq in but less than or equal to 48 sq in, each   A6022
Collagen dressing, sterile, size more than 48 sq in, each   A6023
Collagen dressing wound filler, sterile, per 6 inches   A6024
Collagenase, Clostridium Histolyticum,   J0775
multiple post,   L0180 - L0200
Cervical, multiple post collar, occipitalmandibular supports, adjustable   L0180
Cervical, multiple post collar, occipitalmandibular supports, adjustable cervical bars (somi, guilford, taylor types)   L0190
Cervical, multiple post collar, occipitalmandibular supports, adjustable cervical bars, and thoracic extension   L0200
nonadjust (foam),   L0120
Coly-Mycin M,   J0770
Comfort items,   A919
Commode,   E0160 - E0175
Sitz type bath or equipment, portable, used with or without commode   E0160
Sitz type bath or equipment, portable, used with or without commode, with faucet attachments   E0161
Sitz bath chair   E0162
Commode chair, mobile or stationary, with fixed arms   E0163
Commode chair, mobile or stationary, with detachable arms   E0165
Pail or pan for use with commode chair, replacement only   E0167
Commode chair, extra wide andor heavy duty, stationary or mobile, with or without arms, any type, each   E0168
Commode chair with integrated seat lift mechanism, electric, any type   E0170
Commode chair with integrated seat lift mechanism, non-electric, any type   E0171
Seat lift mechanism placed over or on top of toilet, any type   E0172
Foot rest, for use with commode chair, each   E0175
chair,   E0170 - E0171
Commode chair with integrated seat lift mechanism, electric, any type   E0170
Commode chair with integrated seat lift mechanism, non-electric, any type   E0171
lift,   E0625, E0172
pail,   E0167
seat, wheelchair,   E0968
Composite dressing,   A6200 - A6205
Composite dressing, sterile, pad size 16 sq in or less, with any size adhesive border, each dressing   A6203
Composite dressing, sterile, pad size more than 16 sq in but less than or equal to 48 sq in, with any size adhesive border, each dressing   A6204
Composite dressing, sterile, pad size more than 48 sq in, with any size adhesive border, each dressing   A6205
Compressed gas system,   E0424 - E0480
Stationary compressed gaseous oxygen system, rental includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, and tubing   E0424
Stationary compressed gas system, purchase includes regulator, flowmeter, humidifier, nebulizer, cannula or mask, and tubing   E0425
Portable gaseous oxygen system, purchase includes regulator, flowmeter, humidifier, cannula or mask, and tubing   E0430
Portable gaseous oxygen system, rental includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing   E0431
Portable liquid oxygen system, rental home liquefier used to fill portable liquid oxygen containers, includes portable containers, regulator, flowmeter, humidifier, cannula or mask and tubing, with or without supply reservoir and contents gauge   E0433
Portable liquid oxygen system, rental includes portable container, supply reservoir, humidifier, flowmeter, refill adaptor, contents gauge, cannula or mask, and tubing   E0434
Portable liquid oxygen system, purchase includes portable container, supply reservoir, flowmeter, humidifier, contents gauge, cannula or mask, tubing and refill adaptor   E0435
Stationary liquid oxygen system, rental includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, tubing   E0439
Stationary liquid oxygen system, purchase includes use of reservoir, contents indicator, regulator, flowmeter, humidifier, nebulizer, cannula or mask, and tubing   E0440
Stationary oxygen contents, gaseous, 1 month's supply 1 unit   E0441
Stationary oxygen contents, liquid, 1 month's supply 1 unit   E0442
Portable oxygen contents, gaseous, 1 month's supply 1 unit   E0443
Portable oxygen contents, liquid, 1 month's supply 1 unit   E0444
Oximeter device for measuring blood oxygen levels non-invasively   E0445
Topical oxygen delivery system, not otherwise specified, includes all supplies and accessories   E0446
Oxygen tent, excluding croup or pediatric tents   E0455
Chest shell (cuirass)   E0457
Chest wrap   E0459
Rocking bed with or without side rails   E0462
Home ventilator, any type, used with invasive interface, (eg, tracheostomy tube)   E0465
Home ventilator, any type, used with non-invasive interface, (eg, mask, chest shell)   E0466
Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, eg, nasal or facial mask (intermittent assist device with continuous positive airway pressure device)   E0470
Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, eg, nasal or facial mask (intermittent assist device with continuous positive airway pressure device)   E0471
Respiratory assist device, bi-level pressure capability, with backup rate feature, used with invasive interface, eg, tracheostomy tube (intermittent assist device with continuous positive airway pressure device)   E0472
Percussor, electric or pneumatic, home model   E0480
Continuous passive motion exercise device,   E0936
Compression bandage,   A446
Compression burn garment,   A6501 - A6512
Compression burn garment, bodysuit (head to foot), custom fabricated   A6501
Compression burn garment, chin strap, custom fabricated   A6502
Compression burn garment, facial hood, custom fabricated   A6503
Compression burn garment, glove to wrist, custom fabricated   A6504
Compression burn garment, glove to elbow, custom fabricated   A6505
Compression burn garment, glove to axilla, custom fabricated   A6506
Compression burn garment, foot to knee length, custom fabricated   A6507
Compression burn garment, foot to thigh length, custom fabricated   A6508
Compression burn garment, upper trunk to waist including arm openings (vest), custom fabricated   A6509
Compression burn garment, trunk, including arms down to leg openings (leotard), custom fabricated   A6510
Compression burn garment, lower trunk including leg openings (panty), custom fabricated   A6511
Compression burn garment, not otherwise classified   A6512
Compression stockings,   A6530 - A6549
Gradient compression stocking, below knee, 18-30 mmhg, each   A6530
Gradient compression stocking, below knee, 30-40 mmhg, each   A6531
Gradient compression stocking, below knee, 40-50 mmhg, each   A6532
Gradient compression stocking, thigh length, 18-30 mmhg, each   A6533
Gradient compression stocking, thigh length, 30-40 mmhg, each   A6534
Gradient compression stocking, thigh length, 40-50 mmhg, each   A6535
Gradient compression stocking, full lengthchap style, 18-30 mmhg, each   A6536
Gradient compression stocking, full lengthchap style, 30-40 mmhg, each   A6537
Gradient compression stocking, full lengthchap style, 40-50 mmhg, each   A6538
Gradient compression stocking, waist length, 18-30 mmhg, each   A6539
Gradient compression stocking, waist length, 30-40 mmhg, each   A6540
Gradient compression stocking, waist length, 40-50 mmhg, each   A6541
Gradient compression stocking, garter belt   A6544
Gradient compression wrap, non-elastic, below knee, 30-50 mm hg, each   A6545
Gradient compression stockingsleeve, not otherwise specified   A6549
Compressor,   E0565, E0570, E0571, E0572, E0650 - E0652
Pneumatic compressor, non-segmental home model   E0650
Pneumatic compressor, segmental home model without calibrated gradient pressure   E0651
Pneumatic compressor, segmental home model with calibrated gradient pressure   E0652
Conductivity meter, bath, dialysis,   E1550
Congo red, blood,   P2029
Contact layer,   A6206 - A6208
Contact layer, sterile, 16 sq in or less, each dressing   A6206
Contact layer, sterile, more than 16 sq in but less than or equal to 48 sq in, each dressing   A6207
Contact layer, sterile, more than 48 sq in, each dressing   A6208
Contact lens,   V2500 - V2599
Contact lens, pmma, spherical, per lens   V2500
Contact lens, pmma, toric or prism ballast, per lens   V2501
Contact lens, pmma, bifocal, per lens   V2502
Contact lens, pmma, color vision deficiency, per lens   V2503
Contact lens, gas permeable, spherical, per lens   V2510
Contact lens, gas permeable, toric, prism ballast, per lens   V2511
Contact lens, gas permeable, bifocal, per lens   V2512
Contact lens, gas permeable, extended wear, per lens   V2513
Contact lens, hydrophilic, spherical, per lens   V2520
Contact lens, hydrophilic, toric, or prism ballast, per lens   V2521
Contact lens, hydrophilic, bifocal, per lens   V2522
Contact lens, hydrophilic, extended wear, per lens   V2523
Contact lens, scleral, gas impermeable, per lens (for contact lens modification, see 92325)   V2530
Contact lens, scleral, gas permeable, per lens (for contact lens modification, see 92325)   V2531
Contact lens, other type   V2599
Continent device,   A5081, A5082, A5083
transmitter,   A9277
receiver,   A9278
sensor,   A9276
Continuous positive airway pressure (CPAP) device,   E0601
compressor,   K026
cervical cap,   A4261
condoms, A4267,   A4268
diaphragm,   A4266
intratubal occlusion device,   A4264
intrauterine, copper,   J7300
intrauterine, levonorgestrel releasing,   J7297, J7298, J7301
patch,   J7304
spermicide,   A4269
vaginal ring,   J7303
Contracts, maintenance, ESRD,   A4890
injection during MRI,   A464
low osmolar,   A4644 - A4646
Consultation,   S0285, S0311, T1040, T1041
Corneal tissue processing,   V2785
Corset, spinal orthosis,   L0970 - L0976
Tlso, corset front   L0970
Lso, corset front   L0972
Tlso, full corset   L0974
Lso, full corset   L0976
Corticorelin ovine triflutate,   J0795
Corticotropin,   J0800
Cosyntropin,   J0833, J0834
Cough stimulating device,   A7020, E0482
alginate dressing,   A6196 - A6198
Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq in or less, each dressing   A6196
Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 16 sq in but less than or equal to 48 sq in, each dressing   A6197
Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 48 sq in, each dressing   A6198
foam dressing,   A6209 - A6214
Foam dressing, wound cover, sterile, pad size 16 sq in or less, without adhesive border, each dressing   A6209
Foam dressing, wound cover, sterile, pad size more than 16 sq in but less than or equal to 48 sq in, without adhesive border, each dressing   A6210
Foam dressing, wound cover, sterile, pad size more than 48 sq in, without adhesive border, each dressing   A6211
Foam dressing, wound cover, sterile, pad size 16 sq in or less, with any size adhesive border, each dressing   A6212
Foam dressing, wound cover, sterile, pad size more than 16 sq in but less than or equal to 48 sq in, with any size adhesive border, each dressing   A6213
Foam dressing, wound cover, sterile, pad size more than 48 sq in, with any size adhesive border, each dressing   A6214
hydrogel dressing,   A6242 - A6248
Hydrogel dressing, wound cover, sterile, pad size 16 sq in or less, without adhesive border, each dressing   A6242
Hydrogel dressing, wound cover, sterile, pad size more than 16 sq in but less than or equal to 48 sq in, without adhesive border, each dressing   A6243
Hydrogel dressing, wound cover, sterile, pad size more than 48 sq in, without adhesive border, each dressing   A6244
Hydrogel dressing, wound cover, sterile, pad size 16 sq in or less, with any size adhesive border, each dressing   A6245
Hydrogel dressing, wound cover, sterile, pad size more than 16 sq in but less than or equal to 48 sq in, with any size adhesive border, each dressing   A6246
Hydrogel dressing, wound cover, sterile, pad size more than 48 sq in, with any size adhesive border, each dressing   A6247
Hydrogel dressing, wound filler, gel, per fluid ounce   A6248
non-contact wound warming cover, and accessory,   A6000, E0231, E0232
   A6251 - A6256
Specialty absorptive dressing, wound cover, sterile, pad size 16 sq in or less, without adhesive border, each dressing   A6251
Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq in but less than or equal to 48 sq in, without adhesive border, each dressing   A6252
Specialty absorptive dressing, wound cover, sterile, pad size more than 48 sq in, without adhesive border, each dressing   A6253
Specialty absorptive dressing, wound cover, sterile, pad size 16 sq in or less, with any size adhesive border, each dressing   A6254
Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq in but less than or equal to 48 sq in, with any size adhesive border, each dressing   A6255
Specialty absorptive dressing, wound cover, sterile, pad size more than 48 sq in, with any size adhesive border, each dressing   A6256
CPAP (continuous positive airway pressure) device,   E0601
headgear,   K018
humidifier,   A7046
intermittent assist,   E045
Cradle, bed,   E0280
Crib,   E0300
Cromolyn sodium, inhalation solution, unit dose,   J7631, J7632
Crotalidae polyvalent immune fab,   J0840
Crutches,   E0110 - E0118
Crutches, forearm, includes crutches of various materials, adjustable or fixed, pair, complete with tips and handgrips   E0110
Crutch forearm, includes crutches of various materials, adjustable or fixed, each, with tip and handgrips   E0111
Crutches underarm, wood, adjustable or fixed, pair, with pads, tips and handgrips   E0112
Crutch underarm, wood, adjustable or fixed, each, with pad, tip and handgrip   E0113
Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips   E0114
Crutch, underarm, other than wood, adjustable or fixed, with pad, tip, handgrip, with or without shock absorber, each   E0116
Crutch, underarm, articulating, spring assisted, each   E0117
Crutch substitute, lower leg platform, with or without wheels, each   E0118
accessories,   A4635 - A4637 , K0102
Underarm pad, crutch, replacement, each   A4635
Replacement, handgrip, cane, crutch, or walker, each   A4636
Replacement, tip, cane, crutch, walker, each   A4637
Cryoprecipitate, each unit,   P9012
CTLSO,   L1000 - L1120 , L0700, L0710
Addition to ctlso or scoliosis orthosis, trapezius sling   L1070
Cervical-thoracic-lumbar-sacral orthosis (ctlso) (milwaukee), inclusive of furnishing initial orthosis, including model   L1000
Cervical thoracic lumbar sacral orthosis, immobilizer, infant size, prefabricated, includes fitting and adjustment   L1001
Tension based scoliosis orthosis and accessory pads, includes fitting and adjustment   L1005
Addition to cervical-thoracic-lumbar-sacral orthosis (ctlso) or scoliosis orthosis, axilla sling   L1010
Addition to ctlso or scoliosis orthosis, kyphosis pad   L1020
Addition to ctlso or scoliosis orthosis, kyphosis pad, floating   L1025
Addition to ctlso or scoliosis orthosis, lumbar bolster pad   L1030
Addition to ctlso or scoliosis orthosis, lumbar or lumbar rib pad   L1040
Addition to ctlso or scoliosis orthosis, sternal pad   L1050
Addition to ctlso or scoliosis orthosis, thoracic pad   L1060
Addition to ctlso or scoliosis orthosis, outrigger   L1080
Addition to ctlso or scoliosis orthosis, outrigger, bilateral with vertical extensions   L1085
Addition to ctlso or scoliosis orthosis, lumbar sling   L1090
Addition to ctlso or scoliosis orthosis, ring flange, plastic or leather   L1100
Addition to ctlso or scoliosis orthosis, ring flange, plastic or leather, molded to patient model   L1110
Addition to ctlso, scoliosis orthosis, cover for upright, each   L1120
Cuirass,   E0457
Culture sensitivity study,   P7001
Cushion, wheelchair,   E097
Cyanocobalamin Cobalt C057,   A9559
Cycler dialysis machine,   E1594
Cyclophosphamide,   J9070
Cyclophosphamide, oral,   J8530
Cyclosporine,   J7502, J7515, J7516
Cytarabine,   J9100
Cytarabine liposome,   J9098
Cytomegalovirus immune globulin (human),   J0850