HCPCS Level II Codes

7,418 codes · current release 2026Q3 (effective 2026-07-01).

A

• A00 Ambulance service, outside state per mile, transport (medicaid only) (3)
• A01 Non-emergency transportation; taxi (9)
• A02 Non-emergency transportation: ancillary: lodging escort (3)
• A03 Bls mileage (per mile) (8)
• A04 Ambulance waiting time (als or bls), one half (1/2) hour increments (15)
• A08 Noncovered ambulance mileage, per mile (e.g., for miles traveled beyond closest… (1)
• A09 Ambulance response and treatment, no transport (2)
• A20 Innovamatrix ac, per square centimeter (add-on, list separately in addition to… (44)
• A41 Non-sheet form skin substitute, fda cleared as a device, not otherwise specifie… (1)
• A42 Syringe with needle, sterile, 1 cc or less, each (65)
• A43 Implantable access catheter, (e.g., venous, arterial, epidural subarachnoid, or… (76)
• A44 Ostomy irrigation set (57)
• A45 Surgical stockings below knee length, each (32)
• A46 Sleeve for intermittent limb compression device, replacement only, each (51)
• A47 Bicarbonate concentrate, solution, for hemodialysis, per gallon (28)
• A48 Protamine sulfate, for hemodialysis, per 50 mg (4)
• A49 Drain bag/bottle, for dialysis, each (9)
• A50 Ostomy pouch, closed; with barrier attached (1 piece), each (17)
• A51 Bedside drainage bottle with or without tubing, rigid or expandable, each (10)
• A52 Percutaneous catheter/tube anchoring device, adhesive skin attachment (1)
• A55 For diabetics only, fitting (including follow-up), custom preparation and suppl… (12)
• A60 Non-contact wound warming wound cover for use with the non-contact wound warmin… (8)
• A61 Wound pouch, each (5)
• A62 Composite dressing, sterile, pad size 16 sq. in. or less, with any size adhesiv… (57)
• A64 Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive… (27)
• A65 Compression burn garment, bodysuit (head to foot), custom fabricated (92)
• A66 Gradient compression bandaging supply, high density foam sheet, per 250 square… (12)
• A70 Canister, disposable, used with suction pump, each (44)
• A75 Tracheostoma valve, including diaphragm, each (17)
• A80 Helmet, protective, soft, prefabricated, includes all components and accessories (7)
• A91 Non-prescription drugs (6)
• A92 Programmer for transient, orally ingested capsule (22)
• A93 Exercise equipment (1)
• A95 Technetium tc-99m sestamibi, diagnostic, per study dose (85)
• A96 Strontium sr-89 chloride, therapeutic, per millicurie (17)
• A97 Supply of injectable contrast material for use in echocardiography, per study (1)
• A98 Gallium ga-68 gozetotide, diagnostic, (locametz), 1 millicurie (1)
• A99 Miscellaneous dme supply, accessory, and/or service component of another hcpcs… (3)

B

• B40 Enteral feeding supply kit; syringe fed, per day, includes but not limited to f… (8)
• B41 Food thickener, administered orally, per ounce (30)
• B42 Parenteral nutrition; additives (vitamins, trace elements, heparin, electrolyte… (4)
• B50 Parenteral nutrition solution compounded amino acid and carbohydrates with elec… (1)
• B51 Parenteral nutrition solution compounded amino acid and carbohydrates with elec… (1)
• B52 Parenteral nutrition solution compounded amino acid and carbohydrates with elec… (1)
• B90 Enteral nutrition infusion pump, any type (3)
• B99 Noc for enteral supplies (2)

C

• C10 Hemostatic agent, gastrointestinal, topical (2)
• C16 Catheter, transluminal intravascular lesion preparation device, bladed, sheathe… (10)
• C17 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) (69)
• C18 Prosthesis, penile, inflatable (46)
• C19 Lead, left ventricular coronary venous system (2)
• C25 Probe, image-guided, robotic, waterjet ablation (1)
• C26 Lung biopsy plug with delivery system (33)
• C75 Debridement, bone including epidermis, dermis, subcutaneous tissue, muscle and/… (68)
• C79 Service for diagnosis, evaluation, or treatment of a mental health or substanc… (4)
• C80 Support device, extravascular, for arteriovenous fistula (implantable) (15)
• C89 Magnetic resonance angiography with contrast, abdomen (34)
• C90 Cocaine hydrochloride nasal solution (goprelto), 1 mg (3)
• C91 Injection, oliceridine, 0.1 mg (4)
• C92 Human plasma fibrin sealant, vapor-heated, solvent-detergent (artiss), 2 ml (5)
• C93 Injection, leucovorin calcium (avyxa), 1 mg (14)
• C94 Injection, cangrelor, 1 mg (4)
• C95 Plasma, high titer covid-19 convalescent, each unit (1)
• C96 Percutaneous transcatheter placement of drug eluting intracoronary stent(s), wi… (10)
• C97 Placement of endorectal intracavitary applicator for high intensity brachythera… (41)
• C98 Elastomeric infusion pump (e.g., on-q* pump with bolus), including catheter and… (16)
• C99 Endoscopic defect closure within the entire gastrointestinal tract, including u… (1)

E

• E01 Cane, includes canes of all materials, adjustable or fixed, with tip (56)
• E02 Heat lamp, without stand (table model), includes bulb, or infrared element (51)
• E03 Pediatric crib, hospital grade, fully enclosed, with or without top enclosure (19)
• E04 Stationary compressed gaseous oxygen system, rental; includes container, conten… (40)
• E05 Ippb machine, all types, with built-in nebulization; manual or automatic valves… (14)
• E06 Respiratory suction pump, home model, portable or stationary, electric (59)
• E07 Safety equipment, device or accessory, any type (47)
• E08 Ambulatory traction device, all types, each (10)
• E09 Traction stand, free standing, pelvic traction, (e.g., buck's) (49)
• E10 Wheelchair accessory, power seating system, tilt only (44)
• E11 Semi-reclining wheelchair, fixed full length arms, swing away detachable elevat… (13)
• E12 Amputee wheelchair, fixed full length arms, swing away detachable footrest (32)
• E13 Whirlpool, portable (overtub type) (15)
• E14 Oxygen and water vapor enriching system with heated delivery (2)
• E15 Centrifuge, for dialysis (13)
• E16 Delivery and/or installation charges for hemodialysis equipment (14)
• E17 Jaw motion rehabilitation system (3)
• E18 Dynamic adjustable elbow extension and flexion device, includes soft interface… (31)
• E19 Communication board, non-electronic augmentative or alternative communication d… (2)
• E20 Gastric suction pump, home model, portable or stationary, electric (2)
• E21 Blood glucose monitor with integrated voice synthesizer (6)
• E22 Manual wheelchair accessory, nonstandard seat frame, width greater than or equa… (35)
• E23 Wheelchair accessory, power standing system, any type (59)
• E24 Negative pressure wound therapy electrical pump, stationary or portable (1)
• E25 Speech generating device, digitized speech, using pre-recorded messages, less t… (10)
• E26 General use wheelchair seat cushion, width less than 22 inches, any depth (32)
• E30 Speech volume modulation system, any type, including all components and accesso… (1)
• E32 Gait modulation system, rhythmic auditory stimulation, including restricted the… (1)
• E80 Gait trainer, pediatric size, posterior support, includes all accessories and c… (3)

G

• G00 Administration of influenza virus vaccine (69)
• G01 Cervical or vaginal cancer screening; pelvic and clinical breast examination (49)
• G02 Pet imaging whole body; melanoma for non-covered indications (34)
• G03 Direct skilled nursing services of a licensed practical nurse (lpn) in the home… (44)
• G04 Home sleep test (hst) with type iv portable monitor, unattended; minimum of 3 c… (70)
• G05 Moderate sedation services provided by the same physician or other qualified he… (64)
• G06 Drug test(s), definitive, utilizing drug identification methods able to identif… (25)
• G09 Improvement in visual function achieved within 90 days following cataract surge… (6)
• G10 Patient-months where there are more than one medicare capitated payment (mcp) p… (4)
• G20 Blinded administration of convulsive therapy procedure, either electroconvulsiv… (45)
• G21 Patients 66 years of age and older with at least one claim/encounter for frailt… (64)
• G22 Patient identified as an unhealthy alcohol user received brief counseling (18)
• G30 Chronic pain management and treatment, monthly bundle including, diagnosis; ass… (2)
• G40 Dermatology mips specialty set (39)
• G83 Left ventricular ejection fraction (lvef) >= 40% or documentation as normal or… (4)
• G84 Patient with central dual-energy x-ray absorptiometry (dxa) results not documen… (27)
• G85 Screening for depression is documented as negative, a follow-up plan is not req… (27)
• G86 Iv thrombolytic therapy initiated within 4.5 hours (<= 270 minutes) of time las… (25)
• G87 Patient not prescribed antibiotic (22)
• G88 Performance of trans-abdominal or trans-vaginal ultrasound and pregnancy locati… (39)
• G89 Patient documented not to have experienced any of the following events: a burn… (32)
• G90 Coordinated care fee, initial rate (62)
• G91 Oncology; disease status; gastric cancer, limited to adenocarcinoma as predomin… (50)
• G92 Dsm-ivtm criteria for major depressive disorder documented at the initial evalu… (42)
• G93 Intervention for presence of leak of endoluminal contents through an anastomosi… (44)
• G94 Patients with cardiac tamponade and/or pericardiocentesis occurring within 30 d… (53)
• G95 Radiation exposure indices documented in final report for procedure using fluor… (51)
• G96 Patient survey score improved from baseline following treatment (60)
• G97 Patients who use hospice services any time during the measurement period (79)
• G98 Patients who use hospice services any time during the measurement period (59)
• G99 Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammo… (66)

H

• H00 Alcohol and/or drug assessment (53)
• H10 Prenatal care, at-risk assessment (8)
• H20 Comprehensive multidisciplinary evaluation (33)

J

• J00 Esketamine, nasal spray, 1 mg (1)
• J01 Injection, tetracycline, up to 250 mg (30)
• J02 Injection, alemtuzumab, 1 mg (33)
• J03 Injection, amobarbital, up to 125 mg (8)
• J04 Injection, aripiprazole, intramuscular, 0.25 mg (16)
• J05 Injection, dicyclomine hcl, up to 20 mg (35)
• J06 Injection, edetate calcium disodium, up to 1000 mg (46)
• J07 Injection, cefepime hydrochloride (baxter), not therapeutically equivalent to m… (31)
• J08 Injection, corticotropin (acthar gel), up to 40 units (31)
• J09 Vadadustat, oral, 1 mg (for esrd on dialysis) (3)
• J10 Injection, depo-estradiol cypionate, up to 5 mg (10)
• J11 Injection, dexamethasone sodium phosphate, 1 mg (13)
• J12 Injection, diphenhydramine hcl, up to 50 mg (17)
• J13 Injection, edaravone, 1 mg (19)
• J14 Injection, estrogen conjugated, per 25 mg (30)
• J15 Injection, immune globulin (cutaquig), 100 mg (28)
• J16 Injection, gold sodium thiomalate, up to 50 mg (20)
• J17 Injection, hydrocortisone acetate, up to 25 mg (22)
• J18 Injection, propranolol hcl, up to 1 mg (21)
• J19 Injection, labetalol hydrochloride, 5 mg (21)
• J20 Injection, lidocaine hcl in 5% dextrose, 1 mg (8)
• J21 Injection, mannitol, 250 mg (9)
• J22 Injection, methylergonovine maleate, up to 0.2 mg (22)
• J23 Injection, nalbuphine hydrochloride, per 10 mg (26)
• J24 Injection, chloroprocaine hydrochloride, per 1 mg (20)
• J25 Injection, paricalcitol, 1 mcg (21)
• J26 Injection, vasopressin (baxter), 1 unit (7)
• J27 Injection, oxacillin sodium, up to 250 mg (31)
• J28 Injection, methocarbamol, up to 10 ml (11)
• J29 Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg (7)
• J30 Injection, streptomycin, up to 1 gm (10)
• J31 Injection, tenecteplase, 1 mg (6)
• J32 Injection, chlorpromazine hcl, up to 50 mg (17)
• J33 Injection, triamcinolone acetonide, preservative free, 1 mg (29)
• J34 Beremagene geperpavec-svdt for topical administration, containing nominal 5 x 1… (23)
• J35 Edetate disodium, per 150 mg (6)
• J70 Infusion, normal saline solution , 1000 cc (6)
• J71 Infusion, dextran 40, 500 ml (37)
• J72 Injection, factor ix, (antihemophilic factor, recombinant), rixubis, per iu (20)
• J73 Intrauterine copper contraceptive (paragard) (36)
• J74 Mometasone furoate sinus implant, (sinuva), 10 micrograms (1)
• J75 Azathioprine, oral, 50 mg (23)
• J76 Ensifentrine, inhalation suspension, fda approved final product, non-compounded… (59)
• J77 Noc drugs, other than inhalation drugs, administered through dme (1)
• J79 Compounded drug, not otherwise classified (1)
• J84 Antiemetic drug, rectal/suppository, not otherwise specified (2)
• J85 Aprepitant, oral, 5 mg (11)
• J86 Melphalan; oral, 2 mg (6)
• J87 Temozolomide, oral, 5 mg (2)
• J89 Prescription drug, oral, chemotherapeutic, nos (1)
• J90 Injection, doxorubicin hydrochloride, 10 mg (51)
• J91 Injection, cytarabine, 100 mg (27)
• J92 Injection, floxuridine, 500 mg (65)
• J93 Injection, obinutuzumab, 10 mg (58)
• J94 Injection, ziv-aflibercept, 1 mg (1)
• J96 Injection, porfimer sodium, 75 mg (2)
• J99 Not otherwise classified, antineoplastic drugs (1)

K

• K00 Standard wheelchair (43)
• K01 Iv hanger, each (3)
• K04 Infusion pump used for uninterrupted parenteral administration of medication, (… (2)
• K05 Supplies for external non-insulin drug infusion pump, syringe type cartridge, s… (1)
• K06 Replacement battery for external infusion pump owned by patient, silver oxide,… (11)
• K07 Controlled dose inhalation drug delivery system (9)
• K08 Power operated vehicle, group 1 standard, patient weight capacity up to and inc… (64)
• K09 Customized durable medical equipment, other than wheelchair (1)
• K10 Low frequency ultrasonic diathermy treatment device for home use (8)

L

• L01 Cranial cervical orthosis, congenital torticollis type, with or without soft in… (12)
• L02 Cervical, multiple post collar, occipital/mandibular supports, adjustable cervi… (2)
• L04 Tlso, flexible, provides trunk support, upper thoracic region, produces intraca… (24)
• L06 Sacroiliac orthosis, flexible, provides pelvic-sacral support, reduces motion a… (27)
• L07 Cervical-thoracic-lumbar-sacral-orthoses (ctlso), anterior-posterior-lateral co… (3)
• L08 Halo procedure, cervical halo incorporated into jacket vest (5)
• L09 Tlso, corset front (9)
• L10 Cervical-thoracic-lumbar-sacral orthosis (ctlso) (milwaukee), inclusive of furn… (16)
• L11 Addition to ctlso or scoliosis orthosis, ring flange, plastic or leather (3)
• L12 Thoracic-lumbar-sacral-orthosis (tlso), inclusive of furnishing initial orthosi… (10)
• L13 Other scoliosis procedure, body jacket molded to patient model (3)
• L14 Spinal orthosis, not otherwise specified (1)
• L16 Hip orthosis, abduction control of hip joints, flexible, frejka type with cover… (14)
• L17 Legg perthes orthosis, (toronto type), custom fabricated (5)
• L18 Knee orthosis, elastic with joints, prefabricated item that has been trimmed, b… (21)
• L19 Ankle foot orthosis, spring wire, dorsiflexion assist calf band, custom fabrica… (20)
• L20 Knee ankle foot orthosis, single upright, free knee, free ankle, solid stirrup,… (17)
• L21 Ankle foot orthosis, fracture orthosis, tibial fracture cast orthosis, thermopl… (17)
• L22 Addition to lower extremity, limited ankle motion, each joint (13)
• L23 Addition to lower extremity, abduction bar (bilateral hip involvement), jointed… (16)
• L24 Addition to knee joint, drop lock, each (5)
• L25 Addition to lower extremity, thigh/weight bearing, gluteal/ ischial weight bear… (10)
• L26 Addition to lower extremity, pelvic control, hip joint, clevis type, or thrust… (13)
• L27 Addition to lower extremity orthosis, plating chrome or nickel, per bar (7)
• L28 Addition to lower extremity orthosis, knee control, knee cap, medial or lateral… (7)
• L29 Lower extremity orthoses, not otherwise specified (1)
• L30 Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, e… (14)
• L31 Hallus-valgus night dynamic splint, prefabricated, off-the-shelf (6)
• L32 Orthopedic shoe, oxford with supinator or pronator, infant (30)
• L33 Lift, elevation, heel, tapered to metatarsals, per inch (12)
• L34 Metatarsal bar wedge, rocker (12)
• L35 Orthopedic shoe addition, insole, leather (11)
• L36 Transfer of an orthosis from one shoe to another, caliper plate, existing (14)
• L37 Elbow orthosis, without joints, may include soft interface, straps, custom fabr… (12)
• L38 Wrist hand finger orthosis, includes one or more nontorsion joint(s), turnbuckl… (5)
• L39 Wrist hand finger orthosis, dynamic flexor hinge, reciprocal wrist extension/ f… (40)
• L40 Replace girdle for spinal orthosis (ctlso or so) (13)
• L41 Replace leather cuff kafo, proximal thigh (3)
• L42 Repair of orthotic device, labor component, per 15 minutes (2)
• L43 Ankle control orthosis, stirrup style, rigid, includes any type interface (e.g.… (11)
• L46 Ankle foot orthosis, walking boot type, varus/valgus correction, rocker bottom,… (1)
• L50 Partial foot, shoe insert with longitudinal arch, toe filler (5)
• L51 Below knee, molded socket, shin, sach foot (4)
• L52 Above knee, molded socket, single axis constant friction knee, shin, sach foot (7)
• L53 Below knee, molded socket, shin, sach foot, endoskeletal system (5)
• L54 Immediate post surgical or early fitting, application of initial rigid dressing… (6)
• L55 Initial, below knee 'ptb' type socket, non-alignable system, pylon, no cover, s… (13)
• L56 Preparatory, hip disarticulation-hemipelvectomy, pylon, no cover, sach foot, la… (69)
• L57 Replacement, socket, below knee, molded to patient model (25)
• L58 Addition, endoskeletal knee-shin system, single axis, manual lock (22)
• L59 Addition, endoskeletal system, below knee, alignable system (35)
• L60 Transcarpal/metacarpal or partial hand disarticulation prosthesis, external pow… (15)
• L61 Below elbow, molded socket, flexible elbow hinge, triceps pad (4)
• L62 Elbow disarticulation, molded socket, outside locking hinge, forearm (3)
• L63 Shoulder disarticulation, molded socket, shoulder bulkhead, humeral section, in… (11)
• L64 Below elbow, molded socket, endoskeletal system, including soft prosthetic tiss… (2)
• L65 Above elbow, molded socket, endoskeletal system, including soft prosthetic tiss… (9)
• L66 Upper extremity additions, polycentric hinge, pair (50)
• L67 Upper extremity addition, external powered feature, myoelectronic control modul… (14)
• L68 Addition to terminal device, modifier wrist unit (10)
• L69 Hand restoration (casts, shading and measurements included), partial hand, with… (16)
• L70 Electric hand, switch or myoelectric controlled, adult (5)
• L71 Electronic elbow, hosmer or equal, switch controlled (7)
• L72 Electronic wrist rotator, any type (1)
• L73 Six volt battery, each (6)
• L74 Addition to upper extremity prosthesis, below elbow/wrist disarticulation, ultr… (8)
• L75 Repair of prosthetic device, repair or replace minor parts (2)
• L76 Prosthetic donning sleeve, any material, each (1)
• L77 Gasket or seal, for use with prosthetic socket insert, any type, each (1)
• L79 Male vacuum erection system (2)
• L80 Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, a… (21)
• L83 Truss, single with standard pad (4)
• L84 Prosthetic sheath, below knee, each (14)
• L85 Artificial larynx, any type (11)
• L86 Implantable breast prosthesis, silicone or equal (53)
• L87 Powered upper extremity range of motion assist device, elbow, wrist, hand with… (4)
• L99 Orthotic and prosthetic supply, accessory, and/or service component of another… (1)

M

• M00 Advancing cancer care mips value pathways (7)
• M01 Intragastric hypothermia using gastric freezing (1)
• M02 Administration of pneumococcal, influenza, hepatitis b, and/or covid-19 vaccine… (12)
• M03 Iv chelation therapy (chemical endarterectomy) (2)
• M10 Tb screening performed and results interpreted within twelve months prior to in… (46)
• M11 The start of an episode of care documented in the medical record (82)
• M12 Ace inhibitor (ace-i) or arb therapy prescribed during the measurement period (98)
• M13 Influenza immunization was not administered for reasons documented by clinician… (99)
• M14 Patients who died during the follow-up period (100)
• M15 Neuropsychology mips value pathway (4)

P

• P20 Cephalin floculation, blood (5)
• P30 Screening papanicolaou smear, cervical or vaginal, up to three smears, by techn… (2)
• P70 Culture, bacterial, urine; quantitative, sensitivity study (1)
• P90 Blood (whole), for transfusion, per unit (45)
• P91 Pathogen(s) test for platelets (1)
• P96 Travel allowance one way in connection with medically necessary laboratory spec… (4)

Q

• Q00 Cardiokymography (7)
• Q01 Wet mounts, including preparations of vaginal, cervical or skin specimens (21)
• Q02 Injection, pemivibart, for the pre-exposure prophylaxis only, for certain adult… (6)
• Q04 Power module patient cable for use with electric or electric/pneumatic ventricu… (23)
• Q05 Filters for use with electric or electric/pneumatic ventricular assist device,… (16)
• Q10 New technology intraocular lens category 4 as defined in federal register notice (2)
• Q20 Irrigation solution for treatment of bladder calculi, for example renacidin, pe… (22)
• Q30 Radioelements for brachytherapy, any type, each (5)
• Q40 Casting supplies, body cast adult, with or without head, plaster (54)
• Q41 Apligraf, per square centimeter (add-on, list separately in addition to primary… (91)
• Q42 Skin te, per square centimeter (add-on, list separately in addition to primary… (92)
• Q43 Acesso tl, per square centimeter (add-on, list separately in addition to primar… (98)
• Q44 Polygon3 membrane, per square centimeter (add-on, list separately in addition t… (39)
• Q50 Hospice or home health care provided in patient's home/residence (12)
• Q51 Injection, ustekinumab-kfce (yesintek), biosimilar, 1 mg (66)
• Q90 Assessment by chaplain services (4)
• Q99 Injection, sulfur hexafluoride lipid microspheres, per ml (26)

R

• R00 Transportation of portable x-ray equipment and personnel to home or nursing hom… (3)

S

• S00 Butorphanol tartrate, nasal spray, 25 mg (13)
• S01 Zidovudine, oral, 100 mg (39)
• S02 Partial hospitalization services, less than 24 hours, per diem (20)
• S03 Completed early periodic screening diagnosis and treatment (epsdt) service (lis… (14)
• S04 Global fee for extracorporeal shock wave lithotripsy treatment of kidney stone(… (1)
• S05 Disposable contact lens, per lens (16)
• S06 Screening proctoscopy (9)
• S08 Laser in situ keratomileusis (lasik) (3)
• S10 Deluxe item, patient aware (list in addition to code for basic item) (12)
• S20 Transplantation of small intestine and liver allografts (14)
• S21 Islet cell tissue transplant from pancreas; allogeneic (12)
• S22 Echosclerotherapy (13)
• S23 Arthroscopy, shoulder, surgical; with thermally-induced capsulorrhaphy (8)
• S24 Repair, congenital diaphragmatic hernia in the fetus using temporary tracheal o… (8)
• S29 Surgical techniques requiring use of robotic surgical system (list separately i… (1)
• S30 Diabetic indicator; retinal eye exam, dilated, bilateral (2)
• S36 Stat laboratory request (situations other than s3601) (8)
• S37 Gastrointestinal fat absorption study (2)
• S38 Genetic testing for amyotrophic lateral sclerosis (als) (16)
• S39 Surface electromyography (emg) (3)
• S40 Interim labor facility global (labor occurring but not resulting in delivery) (23)
• S49 Insertion of levonorgestrel-releasing intrauterine system (6)
• S50 Prescription drug, generic (8)
• S51 Day care services, adult; per 15 minutes (35)
• S54 Home infusion therapy, catheter care / maintenance, not otherwise classified; i… (2)
• S55 Home infusion therapy, catheter care / maintenance, complex (more than one lume… (18)
• S80 Scleral application of tantalum ring(s) for localization of lesions for proton… (11)
• S81 Holding chamber or spacer for use with an inhaler or nebulizer; without mask (10)
• S82 Mucus trap (3)
• S83 Infection control supplies, not otherwise specified (1)
• S84 Supplies for home delivery of infant (18)
• S89 Electrical stimulation of auricular acupuncture points; each 15 minutes of pers… (6)
• S90 Home uterine monitor with or without associated nursing services (14)
• S91 Telemonitoring of patient in their home, including all necessary equipment; com… (16)
• S92 Home management of preterm labor, including administrative services, profession… (6)
• S93 Home infusion therapy, pain management infusion; administrative services, profe… (41)
• S94 Anticoagulation clinic, inclusive of all services except laboratory tests, per… (38)
• S95 Home infusion therapy, antibiotic, antiviral, or antifungal therapy; once every… (15)
• S98 Home therapy; professional pharmacy services for provision of infusion, special… (1)
• S99 Services by a journal-listed christian science practitioner for the purpose of… (19)

T

• T10 Private duty / independent nursing service(s) - licensed, up to 15 minutes (34)
• T15 Administration of oral, intramuscular and/or subcutaneous medication by health… (3)
• T19 Miscellaneous therapeutic items and supplies, retail purchases, not otherwise c… (1)
• T20 Non-emergency transportation; patient attendant/escort (48)
• T21 Human breast milk processing, storage and distribution only (1)
• T45 Adult sized disposable incontinence product, brief/diaper, small, each (25)
• T50 Positioning seat for persons with special orthopedic needs (1)
• T59 Supply, not otherwise specified (1)

U

• U00 Cdc 2019 novel coronavirus (2019-ncov) real-time rt-pcr diagnostic panel (2)

V

• V20 Frames, purchases (2)
• V21 Sphere, single vision, plano to plus or minus 4.00, per lens (19)
• V22 Sphere, bifocal, plano to plus or minus 4.00d, per lens (21)
• V23 Sphere, trifocal, plano to plus or minus 4.00d, per lens (21)
• V24 Variable asphericity lens, single vision, full field, glass or plastic, per lens (3)
• V25 Contact lens, pmma, spherical, per lens (18)
• V26 Hand held low vision aids and other nonspectacle mounted aids (13)
• V27 Balance lens, per lens (27)
• V50 Hearing screening (13)
• V51 Hearing aid, bilateral, body worn (11)
• V52 Dispensing fee, contralateral, monaural (56)
• V53 Repair/modification of augmentative communicative system or device (excludes ad… (4)