HCPCS Index 2017

Ultrasonic nebulizer,   E0575
Ultraviolet light therapy system,   A4633, E0691 - E0694
Ultraviolet light therapy system, includes bulbslamps, timer and eye protection treatment area 2 square feet or less   E0691
Ultraviolet light therapy system panel, includes bulbslamps, timer and eye protection, 4 foot panel   E0692
Ultraviolet light therapy system panel, includes bulbslamps, timer and eye protection, 6 foot panel   E0693
Ultraviolet multidirectional light therapy system in 6 foot cabinet, includes bulbslamps, timer and eye protection   E0694
Unclassified drug,   J3490
Unipuncture control system, dialysis,   E1580
Upper extremity addition, locking elbow,   L6693
Upper extremity fracture orthosis,   L3980 - L3999
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
Addition to upper extremity orthosis, sock, fracture or equal, each   L3995
Upper limb orthosis, not otherwise specified   L3999
Upper limb prosthesis,   L6000 - L7499
Partial hand, thumb remaining   L6000
Elbow disarticulation, molded socket, endoskeletal system, including soft prosthetic tissue shaping   L6450
Above elbow, molded socket, endoskeletal system, including soft prosthetic tissue shaping   L6500
Shoulder disarticulation, molded socket, endoskeletal system, including soft prosthetic tissue shaping   L6550
Hand restoration (casts, shading and measurements included), partial hand, with glove, thumb or one finger remaining   L6900
Wrist disarticulation, external power, self-suspended inner socket, removable forearm shell, otto bock or equal, switch, cables, two batteries and one charger, switch control of terminal device   L6920
Interscapular thoracic, molded socket, endoskeletal system, including soft prosthetic tissue shaping   L6570
Immediate post surgical or early fitting, application of initial rigid dressing, including fitting alignment and suspension of components, and one cast change, wrist disarticulation or below elbow   L6380
Shoulder disarticulation, molded socket, shoulder bulkhead, humeral section, internal locking elbow, forearm   L6300
Upper extremity additions, polycentric hinge, pair   L6600
Below elbow, molded socket, flexible elbow hinge, triceps pad   L6100
Above elbow, molded double wall socket, internal locking elbow, forearm   L6250
Below elbow, molded socket, endoskeletal system, including soft prosthetic tissue shaping   L6400
Electronic elbow, hosmer or equal, switch controlled   L7170
Terminal device, passive handmitt, any material, any size   L6703
Wrist disarticulation, molded socket, flexible elbow hinges, triceps pad   L6050
Elbow disarticulation, molded socket, outside locking hinge, forearm   L6200
Addition to upper extremity prosthesis, glove for terminal device, any material, prefabricated, includes fitting and adjustment   L6890
Interscapular thoracic, molded socket, shoulder bulkhead, humeral section, internal locking elbow, forearm   L6350
Six volt battery, each   L7360
Interscapular thoracic, passive restoration (complete prosthesis)   L6360
Elbow disarticulation, molded socket with expandable interface, outside locking hinges, forearm   L6205
Wrist disarticulation, molded socket with expandable interface, flexible elbow hinges, triceps pad   L6055
Partial hand, little andor ring finger remaining   L6010
Hand restoration (casts, shading and measurements included), partial hand, with glove, multiple fingers remaining   L6905
Addition to upper extremity prosthesis, glove for terminal device, any material, custom fabricated   L6895
Electronic elbow, microprocessor sequential control of elbow and terminal device   L7180
Terminal device, sportrecreationalwork attachment, any material, any size   L6704
Wrist disarticulation, external power, self-suspended inner socket, removable forearm shell, otto bock or equal electrodes, cables, two batteries and one charger, myoelectronic control of terminal device   L6925
Battery charger, six volt, each   L7362
Preparatory, wrist disarticulation or below elbow, single wall plastic socket, friction wrist, flexible elbow hinges, figure of eight harness, humeral cuff, bowden cable control, usmc or equal pylon, no cover, molded to patient model   L6580
Upper extremity additions, single pivot hinge, pair   L6605
Below elbow, molded socket, (muenster or northwestern suspension types)   L6110
Immediate post surgical or early fitting, application of initial rigid dressing including fitting alignment and suspension of components, and one cast change, elbow disarticulation or above elbow   L6382
Shoulder disarticulation, passive restoration (complete prosthesis)   L6310
Upper extremity additions, flexible metal hinge, pair   L6610
Shoulder disarticulation, passive restoration (shoulder cap only)   L6320
Immediate post surgical or early fitting, application of initial rigid dressing including fitting alignment and suspension of components, and one cast change, shoulder disarticulation or interscapular thoracic   L6384
Preparatory, wrist disarticulation or below elbow, single wall socket, friction wrist, flexible elbow hinges, figure of eight harness, humeral cuff, bowden cable control, usmc or equal pylon, no cover, direct formed   L6582
Partial hand, no finger remaining   L6020
Twelve volt battery, each   L7364
Terminal device, hook, mechanical, voluntary opening, any material, any size, lined or unlined   L6706
Interscapular thoracic, passive restoration (shoulder cap only)   L6370
Electronic elbow, microprocessor simultaneous control of elbow and terminal device   L7181
Hand restoration (casts, shading and measurements included), partial hand, with glove, no fingers remaining   L6910
Below elbow, external power, self-suspended inner socket, removable forearm shell, otto bock or equal switch, cables, two batteries and one charger, switch control of terminal device   L6930
Below elbow, molded double wall split socket, step-up hinges, half cuff   L6120
Transcarpalmetacarpal or partial hand disarticulation prosthesis, external power, self-suspended, inner socket with removable forearm section, electrodes and cables, two batteries, charger, myoelectric control of terminal device, excludes terminal device(s)   L6026
Hand restoration (shading, and measurements included), replacement glove for above   L6915
Terminal device, hook, mechanical, voluntary closing, any material, any size, lined or unlined   L6707
Below elbow, molded double wall split socket, stump activated locking hinge, half cuff   L6130
Immediate post surgical or early fitting, each additional cast change and realignment   L6386
Addition to upper extremity prosthesis, external powered, additional switch, any type   L6611
Preparatory, elbow disarticulation or above elbow, single wall plastic socket, friction wrist, locking elbow, figure of eight harness, fair lead cable control, usmc or equal pylon, no cover, molded to patient model   L6584
Battery charger, twelve volt, each   L7366
Electronic elbow, adolescent, variety village or equal, switch controlled   L7185
Below elbow, external power, self-suspended inner socket, removable forearm shell, otto bock or equal electrodes, cables, two batteries and one charger, myoelectronic control of terminal device   L6935
Electronic elbow, child, variety village or equal, switch controlled   L7186
Elbow disarticulation, external power, molded inner socket, removable humeral shell, outside locking hinges, forearm, otto bock or equal switch, cables, two batteries and one charger, switch control of terminal device   L6940
Immediate post surgical or early fitting, application of rigid dressing only   L6388
Terminal device, hand, mechanical, voluntary opening, any material, any size   L6708
Lithium ion battery, rechargeable, replacement   L7367
Upper extremity addition, disconnect locking wrist unit   L6615
Preparatory, elbow disarticulation or above elbow, single wall socket, friction wrist, locking elbow, figure of eight harness, fair lead cable control, usmc or equal pylon, no cover, direct formed   L6586
Upper extremity addition, additional disconnect insert for locking wrist unit, each   L6616
Preparatory, shoulder disarticulation or interscapular thoracic, single wall plastic socket, shoulder joint, locking elbow, friction wrist, chest strap, fair lead cable control, usmc or equal pylon, no cover, molded to patient model   L6588
Elbow disarticulation, external power, molded inner socket, removable humeral shell, outside locking hinges, forearm, otto bock or equal electrodes, cables, two batteries and one charger, myoelectronic control of terminal device   L6945
Electronic elbow, adolescent, variety village or equal, myoelectronically controlled   L7190
Lithium ion battery charger, replacement only   L7368
Terminal device, hand, mechanical, voluntary closing, any material, any size   L6709
Above elbow, external power, molded inner socket, removable humeral shell, internal locking elbow, forearm, otto bock or equal switch, cables, two batteries and one charger, switch control of terminal device   L6950
Terminal device, hook, mechanical, voluntary opening, any material, any size, lined or unlined, pediatric   L6711
Upper extremity addition, flexionextension wrist unit, with or without friction   L6620
Preparatory, shoulder disarticulation or interscapular thoracic, single wall socket, shoulder joint, locking elbow, friction wrist, chest strap, fair lead cable control, usmc or equal pylon, no cover, direct formed   L6590
Electronic elbow, child, variety village or equal, myoelectronically controlled   L7191
Addition to upper extremity prosthesis, below elbowwrist disarticulation, ultralight material (titanium, carbon fiber or equal)   L7400
Upper extremity prosthesis addition, flexionextension wrist with or without friction, for use with external powered terminal device   L6621
Above elbow, external power, molded inner socket, removable humeral shell, internal locking elbow, forearm, otto bock or equal electrodes, cables, two batteries and one charger, myoelectronic control of terminal device   L6955
Electronic wrist rotator, any type   L7259
Terminal device, hook, mechanical, voluntary closing, any material, any size, lined or unlined, pediatric   L6712
Addition to upper extremity prosthesis, above elbow disarticulation, ultralight material (titanium, carbon fiber or equal)   L7401
Addition to upper extremity prosthesis, shoulder disarticulationinterscapular thoracic, ultralight material (titanium, carbon fiber or equal)   L7402
Terminal device, hand, mechanical, voluntary opening, any material, any size, pediatric   L6713
Shoulder disarticulation, external power, molded inner socket, removable shoulder shell, shoulder bulkhead, humeral section, mechanical elbow, forearm, otto bock or equal switch, cables, two batteries and one charger, switch control of terminal device   L6960
Upper extremity addition, spring assisted rotational wrist unit with latch release   L6623
Addition to upper extremity prosthesis, below elbowwrist disarticulation, acrylic material   L7403
Terminal device, hand, mechanical, voluntary closing, any material, any size, pediatric   L6714
Shoulder disarticulation, external power, molded inner socket, removable shoulder shell, shoulder bulkhead, humeral section, mechanical elbow, forearm, otto bock or equal electrodes, cables, two batteries and one charger, myoelectronic control of terminal device   L6965
Upper extremity addition, flexionextension and rotation wrist unit   L6624
Addition to upper extremity prosthesis, above elbow disarticulation, acrylic material   L7404
Interscapular-thoracic, external power, molded inner socket, removable shoulder shell, shoulder bulkhead, humeral section, mechanical elbow, forearm, otto bock or equal switch, cables, two batteries and one charger, switch control of terminal device   L6970
Terminal device, multiple articulating digit, includes motor(s), initial issue or replacement   L6715
Upper extremity addition, rotation wrist unit with cable lock   L6625
Terminal device, hook or hand, heavy duty, mechanical, voluntary opening, any material, any size, lined or unlined   L6721
Upper extremity addition, quick disconnect hook adapter, otto bock or equal   L6628
Interscapular-thoracic, external power, molded inner socket, removable shoulder shell, shoulder bulkhead, humeral section, mechanical elbow, forearm, otto bock or equal electrodes, cables, two batteries and one charger, myoelectronic control of terminal device   L6975
Addition to upper extremity prosthesis, shoulder disarticulationinterscapular thoracic, acrylic material   L7405
Upper extremity addition, quick disconnect lamination collar with coupling piece, otto bock or equal   L6629
Terminal device, hook or hand, heavy duty, mechanical, voluntary closing, any material, any size, lined or unlined   L6722
Upper extremity prosthesis, not otherwise specified   L7499
Electric hand, switch or myoelectric controlled, adult   L7007
Addition to terminal device, modifier wrist unit   L6805
Electric hand, switch or myoelectric, controlled, pediatric   L7008
Upper extremity addition, stainless steel, any wrist   L6630
Addition to terminal device, precision pinch device   L6810
Electric hook, switch or myoelectric controlled, adult   L7009
Upper extremity addition, latex suspension sleeve, each   L6632
Upper extremity addition, lift assist for elbow   L6635
Electric hand, switch or myoelectric controlled, independently articulating digits, any grasp pattern or combination of grasp patterns, includes motor(s)   L6880
Prehensile actuator, switch controlled   L7040
Upper extremity addition, nudge control elbow lock   L6637
Electric hook, switch or myoelectric controlled, pediatric   L7045
Automatic grasp feature, addition to upper limb electric prosthetic terminal device   L6881
Upper extremity addition to prosthesis, electric locking feature, only for use with manually powered elbow   L6638
Microprocessor control feature, addition to upper limb prosthetic terminal device   L6882
Upper extremity additions, shoulder abduction joint, pair   L6640
Replacement socket, below elbowwrist disarticulation, molded to patient model, for use with or without external power   L6883
Replacement socket, above elbowelbow disarticulation, molded to patient model, for use with or without external power   L6884
Upper extremity addition, excursion amplifier, pulley type   L6641
Replacement socket, shoulder disarticulationinterscapular thoracic, molded to patient model, for use with or without external power   L6885
Upper extremity addition, excursion amplifier, lever type   L6642
Upper extremity addition, shoulder flexion-abduction joint, each   L6645
Upper extremity addition, shoulder joint, multipositional locking, flexion, adjustable abduction friction control, for use with body powered or external powered system   L6646
Upper extremity addition, shoulder lock mechanism, body powered actuator   L6647
Upper extremity addition, shoulder lock mechanism, external powered actuator   L6648
Upper extremity addition, shoulder universal joint, each   L6650
Upper extremity addition, standard control cable, extra   L6655
Upper extremity addition, heavy duty control cable   L6660
Upper extremity addition, teflon, or equal, cable lining   L6665
Upper extremity addition, hook to hand, cable adapter   L6670
Upper extremity addition, harness, chest or shoulder, saddle type   L6672
Upper extremity addition, harness, (eg, figure of eight type), single cable design   L6675
Upper extremity addition, harness, (eg, figure of eight type), dual cable design   L6676
Upper extremity addition, harness, triple control, simultaneous operation of terminal device and elbow   L6677
Upper extremity addition, test socket, wrist disarticulation or below elbow   L6680
Upper extremity addition, test socket, elbow disarticulation or above elbow   L6682
Upper extremity addition, test socket, shoulder disarticulation or interscapular thoracic   L6684
Upper extremity addition, suction socket   L6686
Upper extremity addition, frame type socket, below elbow or wrist disarticulation   L6687
Upper extremity addition, frame type socket, above elbow or elbow disarticulation   L6688
Upper extremity addition, frame type socket, shoulder disarticulation   L6689
Upper extremity addition, frame type socket, interscapular-thoracic   L6690
Upper extremity addition, removable insert, each   L6691
Upper extremity addition, silicone gel insert or equal, each   L6692
Upper extremity addition, locking elbow, forearm counterbalance   L6693
Addition to upper extremity prosthesis, below elbowabove elbow, custom fabricated from existing mold or prefabricated, socket insert, silicone gel, elastomeric or equal, for use with locking mechanism   L6694
Addition to upper extremity prosthesis, below elbowabove elbow, custom fabricated from existing mold or prefabricated, socket insert, silicone gel, elastomeric or equal, not for use with locking mechanism   L6695
Addition to upper extremity prosthesis, below elbowabove elbow, custom fabricated socket insert for congenital or atypical traumatic amputee, silicone gel, elastomeric or equal, for use with or without locking mechanism, initial only (for other than initial, use code l6694 or l6695)   L6696
Addition to upper extremity prosthesis, below elbowabove elbow, custom fabricated socket insert for other than congenital or atypical traumatic amputee, silicone gel, elastomeric or equal, for use with or without locking mechanism, initial only (for other than initial, use code l6694 or l6695)   L6697
Addition to upper extremity prosthesis, below elbowabove elbow, lock mechanism, excludes socket insert   L6698
Urea,   J3350
Ureterostomy supplies,   A4454 - A4590
Belt, strap, sleeve, garment, or covering, any type   A4467
Non-disposable underpads, all sizes   A4553
Adhesive remover or solvent (for tape, cement or other adhesive), per ounce   A4455
Adhesive remover, wipes, any type, each   A4456
Enema bag with tubing, reusable   A4458
Manual pump-operated enema system, includes balloon, catheter and all accessories, reusable, any type   A4459
Surgical dressing holder, non-reusable, each   A4461
Surgical dressing holder, reusable, each   A4463
Non-elastic binder for extremity   A4465
Gravlee jet washer   A4470
Vabra aspirator   A4480
Tracheostoma filter, any type, any size, each   A4481
Moisture exchanger, disposable, for use with invasive mechanical ventilation   A4483
Surgical stockings above knee length, each   A4490
Surgical stockings thigh length, each   A4495
Surgical stockings below knee length, each   A4500
Surgical stockings full length, each   A4510
Incontinence garment, any type, (eg, brief, diaper), each   A4520
Surgical trays   A4550
Disposable underpads, all sizes   A4554
Electrodetransducer for use with electrical stimulation device used for cancer treatment, replacement only   A4555
Electrodes, (eg, apnea monitor), per pair   A4556
Lead wires, (eg, apnea monitor), per pair   A4557
Conductive gel or paste, for use with electrical device (eg, tens, nmes), per oz   A4558
Coupling gel or paste, for use with ultrasound device, per oz   A4559
Pessary, rubber, any type   A4561
Pessary, non rubber, any type   A4562
Slings   A4565
Shoulder sling or vest design, abduction restrainer, with or without swathe control, prefabricated, includes fitting and adjustment   A4566
Splint   A4570
Topical hyperbaric oxygen chamber, disposable   A4575
Cast supplies (eg, plaster)   A4580
Special casting material (eg, fiberglass)   A4590
Urethral suppository, Alprostadil,   J0275
Urinal,   E0325, E0326
catheter,   A4338 - A4346 , A4351 - A4353
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
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
collection and retention (supplies),   A4310 - A4360
Insertion tray without drainage bag and without catheter (accessories only)   A4310
External urethral clamp or compression device (not to be used for catheter clamp), each   A4356
Insertion tray without drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc)   A4311
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each   A4357
Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each   A4358
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
Disposable external urethral clamp or compression device, with pad andor pouch, each   A4360
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
tract implant, collagen,   L8603
tract implant, snythetic,   L8606
sensitivity study,   P7001
tests,   A4250
Urofollitropin,   J3355
Urokinase,   J3364, J3365
Ustekinumab,   J3357
U-V lens,   V2755