A45 — HCPCS Level II Codes

• A4500 Surgical stockings below knee length, each billable
• A4510 Surgical stockings full length, each billable
• A4520 Incontinence garment, any type, (e.g., brief, diaper), each billable
• A4540 Distal transcutaneous electrical nerve stimulator, stimulates peripheral nerves of the upper arm billable
• A4541 Monthly supplies for use of device coded at e0733 billable
• A4542 Supplies and accessories for external upper limb tremor stimulator of the peripheral nerves of the wrist billable
• A4543 Supplies for transcutaneous electrical nerve stimulator, for nerves in the auricular region, per month billable
• A4544 Electrode for external lower extremity nerve stimulator for restless legs syndrome billable
• A4545 Supplies and accessories for external tibial nerve stimulator (e.g., socks, gel pads, electrodes, etc.), needed for one month billable
• A4550 Surgical trays billable
• A4553 Non-disposable underpads, all sizes billable
• A4554 Disposable underpads, all sizes billable
• A4555 Electrode/transducer for use with electrical stimulation device used for cancer treatment, replacement only billable
• A4556 Electrodes, (e.g., apnea monitor), per pair billable
• A4557 Lead wires, (e.g., apnea monitor), per pair billable
• A4558 Conductive gel or paste, for use with electrical device (e.g., tens, nmes), per oz billable
• A4559 Coupling gel or paste, for use with ultrasound device, per oz billable
• A4560 Neuromuscular electrical stimulator (nmes), disposable, replacement only billable
• A4561 Pessary, reusable, rubber, any type billable
• A4562 Pessary, reusable, non rubber, any type billable
• A4563 Rectal control system for vaginal insertion, for long term use, includes pump and all supplies and accessories, any type each billable
• A4564 Pessary, disposable, any type billable
• A4565 Slings billable
• A4566 Shoulder sling or vest design, abduction restrainer, with or without swathe control, prefabricated, includes fitting and adjustment billable
• A4570 Splint billable
• A4575 Topical hyperbaric oxygen chamber, disposable billable
• A4580 Cast supplies (e.g., plaster) billable
• A4590 Special casting material (e.g., fiberglass) billable
• A4593 Neuromodulation stimulator system, adjunct to rehabilitation therapy regime, controller billable
• A4594 Neuromodulation stimulator system, adjunct to rehabilitation therapy regime, mouthpiece each billable
• A4595 Electrical stimulator supplies, 2 lead, per month, (e.g., tens, nmes) billable
• A4596 Cranial electrotherapy stimulation (ces) system supplies and accessories, per month billable