HCPCS Index 2017

Formoterol fumarate,   J7606
Fosaprepitant,   J1453
Foscarnet sodium,   J1455
Fosphenytoin,   Q2009
bedpan,   E0276
frame,   E0920, E0930, E0946 - E0948
Fracture, frame, dual with cross bars, attached to bed, (eg, balken, 4 poster)   E0946
Fracture frame, attachments for complex pelvic traction   E0947
Fracture frame, attachments for complex cervical traction   E0948
orthosis,   L2106 - L2136 , L3980 - L3986
Ankle foot orthosis, fracture orthosis, tibial fracture cast orthosis, thermoplastic type casting material, custom fabricated   L2106
Ankle foot orthosis, fracture orthosis, tibial fracture cast orthosis, custom fabricated   L2108
Ankle foot orthosis, fracture orthosis, tibial fracture orthosis, soft, prefabricated, includes fitting and adjustment   L2112
Ankle foot orthosis, fracture orthosis, tibial fracture orthosis, semi-rigid, prefabricated, includes fitting and adjustment   L2114
Ankle foot orthosis, fracture orthosis, tibial fracture orthosis, rigid, prefabricated, includes fitting and adjustment   L2116
Knee ankle foot orthosis, fracture orthosis, femoral fracture cast orthosis, thermoplastic type casting material, custom fabricated   L2126
Knee ankle foot orthosis, fracture orthosis, femoral fracture cast orthosis, custom fabricated   L2128
Kafo, fracture orthosis, femoral fracture cast orthosis, soft, prefabricated, includes fitting and adjustment   L2132
Kafo, fracture orthosis, femoral fracture cast orthosis, semi-rigid, prefabricated, includes fitting and adjustment   L2134
Kafo, fracture orthosis, femoral fracture cast orthosis, rigid, prefabricated, includes fitting and adjustment   L2136
Upper extremity fracture orthosis, humeral, prefabricated, includes fitting and adjustment   L3980
Upper extremity fracture orthosis, humeral, prefabricated, includes shoulder cap design, with or without joints, forearm section, may include soft interface, straps, includes fitting and adjustments   L3981
Upper extremity fracture orthosis, radiusulnar, prefabricated, includes fitting and adjustment   L3982
Upper extremity fracture orthosis, wrist, prefabricated, includes fitting and adjustment   L3984
orthotic additions,   L2180 - L2192 , L3995
Addition to lower extremity fracture orthosis, plastic shoe insert with ankle joints   L2180
Addition to lower extremity fracture orthosis, drop lock knee joint   L2182
Addition to lower extremity fracture orthosis, limited motion knee joint   L2184
Addition to lower extremity fracture orthosis, adjustable motion knee joint, lerman type   L2186
Addition to lower extremity fracture orthosis, quadrilateral brim   L2188
Addition to lower extremity fracture orthosis, waist belt   L2190
Addition to lower extremity fracture orthosis, hip joint, pelvic band, thigh flange, and pelvic belt   L2192
Faceplate, ostomy,   A4361
Face tent, oxygen,   A4619
Factor VIIA coagulation factor, recombinant,   J7189, J7205
Factor VIII, anti-hemophilic factor,   J7182, J7185, J7190 - J7192 , J7207, J7209
Factor viii (antihemophilic factor, human) per iu   J7190
Factor viii (antihemophilic factor (porcine)), per iu   J7191
Factor viii (antihemophilic factor, recombinant) per iu, not otherwise specified   J7192
Factor IX,   J7193, J7194, J7195, J7200 - J7202
Injection, factor ix, albumin fusion protein, (recombinant), idelvion, 1 iu   J7202
Injection, factor ix, (antihemophilic factor, recombinant), rixubis, per iu   J7200
Injection, factor ix, fc fusion protein, (recombinant), alprolix, 1 iu   J7201
Formoterol,   J7640
Factor X,   J7179
Factor XIII, anti-hemophilic factor,   J7180, J7188
Factor XIII, A-subunit,   J7181
Family Planning Education,   H1010
Fentanyl citrate,   J3010
Fentanyl citrate and droperidol,   J1810
Fern test,   Q0114
Ferumoxytol,   Q0138, Q0139
Filgrastim (G-CSF TBO),   J1442, J1447, Q5101
alginate dressing,   A6199
foam dressing,   A6215
hydrocolloid dressing,   A6240, A6241
hydrogel dressing,   A6248
not elsewhere classified,   A6261, A6262
Film, transparent (for dressing),   A6257 - A6259
Transparent film, sterile, 16 sq in or less, each dressing   A6257
Transparent film, sterile, more than 16 sq in but less than or equal to 48 sq in, each dressing   A6258
Transparent film, sterile, more than 48 sq in, each dressing   A6259
aerosol compressor,   A7014
dialysis carbon,   A4680
ostomy,   A4368
tracheostoma,   A4481
ultrasonic generator,   A7014
Fistula cannulation set,   A4730
Flebogamma,   J1572
Florbetapir F18,   A9586
Flowmeter,   E0440, E0555, E0580
Floxuridine,   J9200
Fluconazole, injection,   J1450
Fludarabine phosphate,   J8562, J9185
Fluid barrier, dialysis,   E1575
Flunisolide inhalation solution,   J7641
Fluocinolone,   J7311, J7313
Fluorodeoxyglucose F-18 FDG,   A9552
Fluorouracil,   J9190
Foam dressing,   A6209 - A6215
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
Foam dressing, wound filler, sterile, per gram   A6215
Foam pad adhesive,   A5126
Folding walker,   E0135, E0143
Foley catheter,   A4312 - A4316 , A4338 - A4346
Insertion tray without drainage bag with indwelling catheter, foley type, two-way, all silicone   A4312
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
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
Fomepizole,   J1451
Fomivirsen sodium intraocular,   J1452
Fondaparinux sodium,   J1652
Footdrop splint,   L4398
Footplate,   E0175, E0970, L3031
Footwear, orthopedic,   L3201 - L3265
Orthopedic shoe, oxford with supinator or pronator, infant   L3201
Orthopedic shoe, oxford with supinator or pronator, child   L3202
Orthopedic shoe, oxford with supinator or pronator, junior   L3203
Orthopedic shoe, hightop with supinator or pronator, infant   L3204
Orthopedic shoe, hightop with supinator or pronator, child   L3206
Orthopedic shoe, hightop with supinator or pronator, junior   L3207
Surgical boot, each, infant   L3208
Surgical boot, each, child   L3209
Surgical boot, each, junior   L3211
Benesch boot, pair, infant   L3212
Benesch boot, pair, child   L3213
Benesch boot, pair, junior   L3214
Orthopedic footwear, ladies shoe, oxford, each   L3215
Orthopedic footwear, ladies shoe, depth inlay, each   L3216
Orthopedic footwear, ladies shoe, hightop, depth inlay, each   L3217
Orthopedic footwear, mens shoe, oxford, each   L3219
Orthopedic footwear, mens shoe, depth inlay, each   L3221
Orthopedic footwear, mens shoe, hightop, depth inlay, each   L3222
Orthopedic footwear, woman's shoe, oxford, used as an integral part of a brace (orthosis)   L3224
Orthopedic footwear, man's shoe, oxford, used as an integral part of a brace (orthosis)   L3225
Orthopedic footwear, custom shoe, depth inlay, each   L3230
Orthopedic footwear, custom molded shoe, removable inner mold, prosthetic shoe, each   L3250
Foot, shoe molded to patient model, silicone shoe, each   L3251
Foot, shoe molded to patient model, plastazote (or similar), custom fabricated, each   L3252
Foot, molded shoe plastazote (or similar) custom fitted, each   L3253
Non-standard size or width   L3254
Non-standard size or length   L3255
Orthopedic footwear, additional charge for split size   L3257
Surgical bootshoe, each   L3260
Plastazote sandal, each   L3265
Forearm crutches,   E0110, E0111
Frames (spectacles),   V2020, V2025
Fulvestrant,   J9395
Furosemide,   J1940