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2012 HCPCS Alpha-Numeric Index 1 HCPCS 2012

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<strong>2012</strong> <strong>HCPCS</strong> <strong>Alpha</strong>-<strong>Numeric</strong> <strong>Index</strong> 1A<strong>HCPCS</strong> <strong>2012</strong> <strong>Index</strong>Abatacept, J0129Abciximab, J0130Abdomendressing holder/binder, A4462pad, low profile, L1270Abduction control, each, L2624Abduction rotation bar, foot, L3140-L3170AbobotulinumtoxintypeA, J0586Absorption dressing, A6251-A6256Access system, A4301Accessoriesambulation devices, E0153-E0159artificial kidney and machine (see also ESRD), E1510-E1699beds, E0271-E0280, E0300-E0326wheelchairs, E0950-E1030, E1050-E1298, E2300-E2399, K0001-K0109Acetaminophen, J0131Acetazolamide sodium, J1120Acetylcysteine, inhalation solution, J7604, J7608Acetylcysteine, injection, J0132Acyclovir, J0133Adalimumab, J0135Adenosine, J0150, J0152Adhesive, A4364bandage, A6413disc or foam pad, A5126remover, A4455, A4456support, breast prosthesis, A4280Administrative, Miscellaneous and Investigational, A9000-A9999Adrenalin, J0171Aerosolcompressor, E0571, E0572compressor filter, K0178-K0179mask, K0180AFO, E1815, E1830, L1900-L1990, L4392, L4396Agalsidase beta, J0180Aggrastat, J3245A-hydroCort, J1710Air bubble detector, dialysis, E1530


<strong>2012</strong> <strong>HCPCS</strong> <strong>Alpha</strong>-<strong>Numeric</strong> <strong>Index</strong> 2Air fluidized bed, E0194Air pressure pad/mattress, E0186, E0197Air travel and nonemergency transportation, A0140Alarm, pressure, dialysis, E1540Alatrofloxacin mesylate, J0200Albumin, human, P9041, P9042Albuterol, all formulations, inhalation solution, concentrated, J7610, J7611Albuterol, all formulations, inhalation solution, unit dose, J7609, J7613Albuterol, all formulations, inhalation solution, J7620Alcohol, A4244Alcohol wipes, A4245Aldesleukin (IL2), J9015Alefacept, J0215Alemtuzumab, J9010Alert device, A9280Alginate dressing, A6196-A6199Alglucerase, J0205Alglucosidase, J0220Alglucosidase alfa, J0221<strong>Alpha</strong>nate, J7186<strong>Alpha</strong>-1-proteinase inhibitor, human, J0256, J0257Alprostadil, injection, J0270Alprostadil, urethral supposity, J0275Alteplase recombinant, J2997Alternating pressure mattress/pad, A4640, E0180, E0181, E0277Ambulance, A0021-A0999air, A0430, A0431, A0435, A0436disposable supplies, A0382-A0398oxygen, A0422Ambulation device, E0100-E0159Amikacin Sulfate, J0278Aminolevulinate, J7309Aminolevulinic acid HCl, J7308Aminophylline, J0280Amiodarone Hcl, J0282Amitriptyline HCI, J1320Ammonia N-13, A9526Ammonia test paper, A4774Amniotic membrane, V2790Amobarbital, J0300Amphotericin B, J0285Amphotericin B Lipid Complex, J0287-J0289Ampicillin sodium, J0290Ampicillin sodium/sulbactam sodium, J0295Amputee


<strong>2012</strong> <strong>HCPCS</strong> <strong>Alpha</strong>-<strong>Numeric</strong> <strong>Index</strong> 3adapter, wheelchair, E0959prosthesis, L5000-L7510, L7520, L7900, L8400-L8465stump sock, L8470-L8485wheelchair, E1170-E1190, E1200, K0100Amygdalin, J3570Anadulafungin, J0348Anistreplase, J0350Ankle splint, recumbent, K0126-K0130Ankle-foot orthosis (AFO), L1900-L1990, L2106-L2116, L4361, L4392, L4396Anterior-posterior-lateral orthosis, L0700, L0710Anti-emetic, oral, Q0163-Q0181, J8498, J8597Anti-hemophilic factor (Factor VIII), J7190-J7192Anti-inhibitors, per I.U., J7198Anti-neoplastic drug, NOC, J9999Antithrombin III, J7197Antithrombin recombinant, J7196Apomorphine, J0364Appliancecleaner, A5131pneumatic, E0655-E0673Aprotinin, J0365Aqueousshunt, L8612sterile, J7051Arbutamine HCl, J0395Arch support, L3040-L3100Intralesional, J3302Arformoterol, J7605Aripiprazole, J0400Arm, wheelchair, E0973Arsenic trioxide, J9017ArtificialCornea, L8609kidney machines and accessories (see also Dialysis), E1510-E1699larynx, L8500saliva, A9155Asparaginase, J9020Assessmentaudiologic, V5008-V5020cardiac output, M0302speech, V5362-V5364Astramorph, J2275Atropine, inhalation solution, concentrated, J7635Atropine, inhalation solution, unit dose, J7636Atropine sulfate, J0461


<strong>2012</strong> <strong>HCPCS</strong> <strong>Alpha</strong>-<strong>Numeric</strong> <strong>Index</strong> 4Audiologic assessment, V5008-V5020Auditory osseointegrated device, L8690-L8693Aurothioglucose, J2910Azacitidine, J9025Azathioprine, J7500, J7501Azithromycin injection, J0456BBack supports, L0621-L0861, L0960Baclofen, J0475, J0476Bacterial sensitivity study, P7001Bagdrainage, A4357irrigation supply, A4398urinary, A5112, A4358Basiliximab, J0480Bathtubchair, E0240stool or bench, E0245, E0247-E0248transfer rail, E0246wall rail, E0241, E0242Battery, L7360, L7364-L7368charger, E1066, L7362, L7366replacement for blood glucose monitor, A4233-A4234replacement for cochlear implant device, L8623-L8624replacement for TENS, A4630ventilator, A4611-A4613BCG live, intravesical, J9031Beclomethasone inhalation solution, J7622Bedair fluidized, E0194cradle, any type, E0280drainage bag, bottle, A4357, A5102hospital, E0250-E0270, E0300-E0329pan, E0275, E0276rail, E0305, E0310safety enclosure frame/canopy, E0316Belimumab, J0490Beltextremity, E0945ostomy, A4367pelvic, E0944safety, K0031


<strong>2012</strong> <strong>HCPCS</strong> <strong>Alpha</strong>-<strong>Numeric</strong> <strong>Index</strong> 5wheelchair, E0978, E0979Bench, bathtub (see also Bathtub), E0245Bendamustine HCl, J9033Benesch boot, L3212-L3214Benztropine, J0515Betadine, A4246, A4247Betameth, J0704Betamethasone inhalation solution, J7624Betamethasone acetate and betamethasone sodium phosphate, J0702Bethanechol chloride, J0520Bevacizumab, J9035, Q2024Bifocal, glass or plastic, V2200-V2299Bilirubin (phototherapy) light, E0202Binder, A4465Biofeedback device, E0746Bioimpedance, electrical, cardiac output, M0302Biperiden lactate, J0190Bitolterol mesylate, inhalation solution, concentrated, J7628Bitolterol mesylate, inhalation solution, unit dose, J7629Bivalirudin, J0583Bladder calculi irrigation solution, Q2004Bleomycin sulfate, J9040Bloodfresh frozen plasma, P9017glucose monitor, E0607, E2100, E2101glucose test, A4253granulocytes, pheresis, P9050ketone test, A4252leak detector, dialysis, E1560leukocyte poor, P9016mucoprotein, P2038platelets, P9019platelets, irradiated, P9032platelets, leukocytes reduced, P9031platelets, leukocytes reduced, irradiated, P9033platelets, pheresis, P9034platelets, pheresis, irradiated, P9036platelets, pheresis, leukocytes reduced, P9035platelets, pheresis, leukocytes reduced, irradiated, P9037pressure monitor, A4660, A4663, A4670pump, dialysis, E1620red blood cells, deglycerolized, P9039red blood cells, irradiated, P9038red blood cells, leukocytes reduced, P9016red blood cells, leukocytes reduced, irradiated, P9040


<strong>2012</strong> <strong>HCPCS</strong> <strong>Alpha</strong>-<strong>Numeric</strong> <strong>Index</strong> 6red blood cells, washed, P9022strips, A4253supply, P9010-P9022testing supplies, A4770tubing, A4750, A4755Blood collection devices accessory, A4257, E0620Body jacketscoliosis, L1300, L1310Body sock, L0984Bond or cement, ostomy skin, A4364Bootpelvic, E0944surgical, ambulatory, L3260Bortezomib, J9041Brachytherapy radioelements, Q3001Breast prosthesis, L8000-L8035, L8600Breast prosthesis, adhesive skin support, A4280Breast pumpaccessories, A4281-A4286electric, any type, E0603heavy duty, hospital grade, E0604manual, any type, E0602Breathing circuit, A4618Brompheniramine maleate, J0945Budesonide inhalation solution, J7626, J7627, J7633, J7634Bulking agent, L8604Buprenorphine hydrochloride, J0592Bus, nonemergency transportation, A0110Busulfan, J0594, J8510Butorphanol tartrate, J0595CC-1 Esterase Inhibitor, J0597-J0598Cabazitaxel, J9043Cabergoline, oral, J8515Caffeine citrate, J0706Calcitriol, J0636Calcitonin-salmon, J0630Calcium disodium edetate, J0600Calcium gluconate, J0610Calcium glycerophosphate and calcium lactate, J0620Calcium lactate and calcium glycerophosphate, J0620Calcium leucovorin, J0640


<strong>2012</strong> <strong>HCPCS</strong> <strong>Alpha</strong>-<strong>Numeric</strong> <strong>Index</strong> 8Ceftriaxone sodium, J0696Cefuroxime sodium, J0697CellCept, K0412Cellular therapy, M0075Cement, ostomy, A4364Centrifuge, A4650Cephalin Floculation, blood, P2028Cephalothin sodium, J1890Cephapirin sodium, J0710Certolizumab pegol, J0718Cervicalhalo, L0810-L0830head harness/halter, E0942orthosis, L0100-L0200traction, E0855, E0856Cervical cap contraceptive, A4261Cervical-thoracic-lumbar-sacral orthosis (CTLSO), L0700, L0710Cetuximab, J9055Chairadjustable, dialysis, E1570lift, E0627rollabout, E1031sitz bath, E0160-E0162Chelation therapy, M0300Chemical endarterectomy, M0300Chemistry and toxicology tests, P2028-P3001Chemotherapyadministration, Q0083-Q0085 (hospital reporting only)drug, oral, not otherwise classified, J8999drugs (see also drug by name), J9000-J9999Chest shell (cuirass), E0457Chest Wall Oscillation System, E0483hose, replacement, A7026vest, replacement, A7025Chest wrap, E0459Chin cup, cervical, L0150Chloramphenicol sodium succinate, J0720Chlordiazepoxide HCl, J1990Chloromycetin Sodium Succinate, J0720Chloroprocaine HCl, J2400Chloroquine HCl, J0390Chlorothiazide sodium, J1205Chlorpromazine HCl, J3230Chorionic gonadotropin, J0725Chromic phosphate P32 suspension, A9564


<strong>2012</strong> <strong>HCPCS</strong> <strong>Alpha</strong>-<strong>Numeric</strong> <strong>Index</strong> 9Chromium CR-51 sodium chromate, A9553Cidofovir, J0740Cilastatin sodium, imipenem, J0743Ciprofloxacin, for intravenous infusion, J0744Cisplatin, J9060Cladribine, J9065Clampdialysis, A4910, A4918, A4920external urethral, A4356Cleanser, wound, A6260Cleansing agent, dialysis equipment, A4790Clofarabine, J9027Clonidine, J0735Clotting time tube, A4771Clubfoot wedge, L3380Cochlear prosthetic implant, L8614accessories, L8615-L8617batteries, L8621-L8624replacement, L8619, L8627-L8629Codeine phosphate, J0745Colchicine, J0760Colistimethate sodium, J0770Collagenskin test, G0025urinary tract implant, L8603wound dressing, A6020-A6024Collagenase, Clostridium Histolyticum, J0775Collar, cervicalmultiple post, L0180-L0200nonadjust (foam), L0120Coly-Mycin M, J0770Comfort items, A9190Commode, E0160-E0175chair, E0170-E0171lift, E0625, E0172pail, E0167seat, wheelchair, E0968Composite dressing, A6200-A6205Compressed gas system, E0424-E0480Compression bandage, A4460Compression burn garment, A6501-A6512Compression stockings, A6530-A6549Compressor, E0565, E0570, E0571, E0572, E0650-E0652Conductivity meter, bath, dialysis, E1550Congo red, blood, P2029


<strong>2012</strong> <strong>HCPCS</strong> <strong>Alpha</strong>-<strong>Numeric</strong> <strong>Index</strong> 10Contact layer, A6206-A6208Contact lens, V2500-V2599Continent device, A5081, A5082, A5083Continuous glucose monitoring systemreceiver, A9278sensor, A9276transmitter, A9277Continuous passive motion exercise device, E0936Continuous positive airway pressure (CPAP) device, E0601compressor, K0269Contraceptivecervical cap, A4261condoms, A4267, A4268diaphragm, A4266intratubal occlusion device, A4264intrauterine, copper, J7300intrauterine, levonorgestrel releasing, J7302levonorgestrel, implants and supplies, A4260patch, J7304spermicide, A4269vaginal ring, J7303Contracts, maintenance, ESRD, A4890Contrast materialinjection during MRI, A4643low osmolar, A4644-A4646Corneal tissue processing, V2785Corset, spinal orthosis, L0970-L0976Corticorelin ovine triflutate, J0795Corticotropin, J0800Corvert, see Ibutilide fumarateCosyntropin, J0833, J0834Cough stimulating device, A7020, E0482Cover, woundalginate dressing, A6196-A6198foam dressing, A6209-A6214hydrogel dressing, A6242-A6248non-contact wound warming cover, and accessory, A6000, E0231, E0232specialty absorptive dressing, A6251-A6256CPAP (continuous positive airway pressure) device, E0601headgear, K0185humidifier, A7046intermittent assist, E0452Cradle, bed, E0280Crib, E0300Cromolyn sodium, inhalation solution, unit dose, J7631, J7632


<strong>2012</strong> <strong>HCPCS</strong> <strong>Alpha</strong>-<strong>Numeric</strong> <strong>Index</strong> 11Crotalidae polyvalent immune fab, J0840Crutches, E0110-E0118accessories, A4635-A4637, K0102Cryoprecipitate, each unit, P9012CTLSO, L1000-L1120, L0700, L0710Cuirass, E0457Culture sensitivity study, P7001Cushion, wheelchair, E0977Cyanocobalamin Cobalt C057, A9559Cycler dialysis machine, E1594Cyclophosphamide, J9070Cyclophosphamide, oral, J8530Cyclosporine, J7502, J7515, J7516Cytarabine, J9100Cytarabine liposome, J9098Cytomegalovirus immune globulin (human), J0850DDacarbazine, J9130Daclizumab, J7513Dactinomycin, J9120Dalalone, J1100Dalteparin sodium, J1645Daptomycin, J0878Darbepoetin Alfa, J0881-J0882Daunorubicin Citrate, J9151Daunorubicin HCl, J9150DaunoXome, see Daunorubicin citrateDecitabine, J0894Decubitus care equipment, E0180-E0199Deferoxamine mesylate, J0895Defibrillator, external, E0617, K0606battery, K0607electrode, K0609garment, K0608Degarelix, J9155Deionizer, water purification system, E1615Delivery/set-up/dispensing, A9901Denileukin diftitox, J9160Denosumab, J0897Depo-estradiol cypionate, J1000Desmopressin acetate, J2597Detector, blood leak, dialysis, E1560


<strong>2012</strong> <strong>HCPCS</strong> <strong>Alpha</strong>-<strong>Numeric</strong> <strong>Index</strong> 12Dexamethasone acetate, J1094Dexamethasone, inhalation solution, concentrated, J7637Dexamethasone, inhalation solution, unit dose, J7638Dexamethasone, intravitreal implant, J7312Dexamethasone, oral, J8540Dexamethasone sodium phosphate, J1100Dextran, J7100Dextrosesaline (normal), J7042water, J7060, J7070Dextrostick, A4772Diagnosticradiology services, R0070-R0076Dialysate concentrate additives, A4765Dialysate solution, A4728Dialysate testing solution, A4760Dialysisair bubble detector, E1530bath conductivity, meter, E1550chemicals/antiseptics solution, A4674disposable cycler set, A4671equipment, E1510-E1702extension line, A4672-A4673filter, A4680fluid barrier, E1575forceps, A4910kit, A4820pressure alarm, E1540shunt, A4740supplies, A4650-A4927thermometer, A4910tourniquet, A4910unipuncture control system, E1580venous pressure clamp, A4918Dialyzer, A4690Diaper, T1500, T4521-T4540Diaper, adult incontinence garment, A4520Diazepam, J3360Diazoxide, J1730Dicyclomine HCl, J0500Diethylstilbestrol diphosphate, J9165Digoxin, J1160Digoxin immune fab (ovine), J1162Dihydroergotamine mesylate, J1110


<strong>2012</strong> <strong>HCPCS</strong> <strong>Alpha</strong>-<strong>Numeric</strong> <strong>Index</strong> 13Dimenhydrinate, J1240Dimercaprol, J0470Dimethyl sulfoxide (DMSO), J1212Diphenhydramine HCl, J1200Dipyridamole, J1245Disarticulationlower extremities, prosthesis, L5000-L5999upper extremities, prosthesis, L6000-L6692Disposable supplies, ambulance, A0382, A0384, A0392- A0398DMSO, J1212Dobutamine HCl, J1250Docetaxel, J9171Dolasetron mesylate, J1260Dome and mouthpiece (for nebulizer), A7016Dopamine HCl, J1265Doripenem, J1267Dornase alpha, inhalation solution, unit dose form, J7639Doxercalciferol, J1270Doxil, J9001Doxorubicin HCl, J9000, J9001Drainagebag, A4357, A4358board, postural, E0606bottle, A5102Dressing (see also Bandage), A6020-A6406alginate, A6196-A6199collagen, A6020-A6024composite, A6200-A6205contact layer, A6206-A6208foam, A6209-A6215gauze, A6216-A6230, A6402-A6406holder/binder, A4462hydrocolloid, A6234-A6241hydrogel, A6242-A6248specialty absorptive, A6251-A6256transparent film, A6257-A6259tubular, A6457Droperidol, J1790and fentanyl citrate, J1810Dropper, A4649Drugs (see also Table of Drugs)administered through a metered dose inhaler, J3535chemotherapy, J8500-J9999disposable delivery system, 5 ml or less per hour, A4306disposable delivery system, 50 ml or greater per hour, A4305


<strong>2012</strong> <strong>HCPCS</strong> <strong>Alpha</strong>-<strong>Numeric</strong> <strong>Index</strong> 14immunosuppressive, J7500-J7599infusion supplies, A4230-A4232, A4221, A4222inhalation solutions, J7608-J7699not otherwise classified, J3490, J7599, J7699, J7799, J8499, J8999, J9999prescription, oral, J8499, J8999Dry pressure pad/mattress, E0179, E0184, E0199Durable medical equipment (DME), E0100-E1830, K CodesDuraclon, see ClonidineDyphylline, J1180EEar mold, V5264Ecallantide, J1290Echocardiography injectable contrast material, A9700Eculizumab, J1300Edetate calcium disodium, J0600Edetate disodium, J3520Eggcrate dry pressure pad/mattress, E0184, E0199Elastic garments, A4466Elbowdisarticulation, endoskeletal, L6450orthosis (EO), E1800, L3700-L3740, L3760protector, E0191Electrical work, dialysis equipment, A4870Electrodes, per pair, A4556Elevating leg rest, K0195Elliotts b solution, J9175EMG, E0746Eminase, J0350Endarterectomy, chemical, M0300Endoscope sheath, A4270Endoskeletal system, addition, L5848, L5856-L5857, L5925Enfuvirtide, J1324Enoxaparin sodium, J1650Enteralfeeding supply kit (syringe) (pump) (gravity), B4034-B4036formulae, B4149-B4156nutrition infusion pump (with alarm) (without), B9000, B9002Epinephrine, J0171Epirubicin HCl, J9178Epoetin alpha, J0885-J0886, Q4081Epoprostenol, J1325Ergonovine maleate, J1330


<strong>2012</strong> <strong>HCPCS</strong> <strong>Alpha</strong>-<strong>Numeric</strong> <strong>Index</strong> 15Eribulin mesylate, J9179Ertapenem sodium, J1335Erythromycin lactobionate, J1364ESRD (End Stage Renal Disease; see also Dialysis)machines and accessories, E1500-E1699plumbing, A4870supplies, A4651-A4929Estrogen conjugated, J1410Estrone (5, Aqueous), J1435Ethanolamine oleate, J1430Etidronate disodium, J1436Etonogestrel implant system, J7307Etoposide, J9181Etoposide, oral, J8560Euflexxa, J7323Everolimus, J8561Exercise equipment, A9300Externalambulatory infusion pump, E0781, E0784ambulatory insulin delivery system, A9274power, battery components, L7360-L7368power, elbow, L7160-L7191urinary supplies, A4356-A4359Extremity belt/harness, E0945Eyecase, V2756lens (contact) (spectacle), V2100-V2615prosthetic, V2623, V2629service (miscellaneous), V2700-V2799FFaceplate, ostomy, A4361Face tent, oxygen, A4619Factor VIIA coagulation factor, recombinant, J7189Factor VIII, anti-hemophilic factor, J7185, J7190-J7192Factor IX, J7193, J7194, J7195Factor XIII, anti-hemophilic factor, J7180Family Planning Education, H1010Fentanyl citrate, J3010Fentanyl citrate and droperidol, J1810Fern test, Q0114Ferumoxytol, Q0138, Q0139Filgrastim (G-CSF), J1440, J1441


<strong>2012</strong> <strong>HCPCS</strong> <strong>Alpha</strong>-<strong>Numeric</strong> <strong>Index</strong> 16Filler, woundalginate dressing, A6199foam dressing, A6215hydrocolloid dressing, A6240, A6241hydrogel dressing, A6248not elsewhere classified, A6261, A6262Film, transparent (for dressing), A6257-A6259Filteraerosol compressor, A7014dialysis carbon, A4680ostomy, A4368tracheostoma, A4481ultrasonic generator, A7014Fistula cannulation set, A4730Flebogamma, J1572Flowmeter, E0440, E0555, E0580Floxuridine, J9200Fluconazole, injection, J1450Fludarabine phosphate, J8562, J9185Fluid barrier, dialysis, E1575Flunisolide inhalation solution, J7641Fluocinolone, J7311Fluorodeoxyglucose F-18 FDG, A9552Fluorouracil, J9190Foam dressing, A6209-A6215Foam pad adhesive, A5126Folding walker, E0135, E0143Foley catheter, A4312-A4316, A4338-A4346Fomepizole, J1451Fomivirsen sodium intraocular, J1452Fondaparinux sodium, J1652Footdrop splint, L4398Footplate, E0175, E0970, L3031Footwear, orthopedic, L3201-L3265Forearm crutches, E0110, E0111Formoterol, J7640Formoterol fumarate, J7606Fosaprepitant, J1453Foscarnet sodium, J1455Fosphenytoin, Q2009Fracturebedpan, E0276frame, E0920, E0930, E0946-E0948orthosis, L2106-L2136, L3980-L3986orthotic additions, L2180-L2192, L3995


<strong>2012</strong> <strong>HCPCS</strong> <strong>Alpha</strong>-<strong>Numeric</strong> <strong>Index</strong> 17Fragmin, see Dalteparin sodiumFrames (spectacles), V2020, V2025Fulvestrant, J9395Furosemide, J1940GGadobutrol, A9585Gadofosveset trisodium, A9583Gadoxetate disodium, A9581Gait trainer, E8000-E8002Gallium Ga67, A9556Gallium nitrate, J1457Galsulfase, J1458Gammagard liquid, J1569Gamma globulin, J1460, J1560Gammaplex, J1557Gamunex, J1561Ganciclovir, implant, J7310Ganciclovir sodium, J1570Garamycin, J1580Gas systemcompressed, E0424, E0425gaseous, E0430, E0431, E0441, E0443liquid, E0434-E0440, E0442, E0444Gatifloxacin, J1590Gauze (see also Bandage)impregnated, A6222-A6233, A6266non-impregnated, A6402-A6404Gefitinib, J8565Gelconductive, A4558pressure pad, E0185, E0196Gemcitabine HCl, J9201Gemtuzumab ozogamicin, J9300Generatorultrasonic with nebulizer, E0574Gentamicin (Sulfate), J1580Glassesair conduction, V5070binaural, V5120-V5150bone conduction, V5080frames, V2020, V2025hearing aid, V5230


<strong>2012</strong> <strong>HCPCS</strong> <strong>Alpha</strong>-<strong>Numeric</strong> <strong>Index</strong> 18Gloves, A4927Glucagon HCl, J1610Glucose monitor with integrated lancing/blood sample collection, E2101Glucose monitor with integrated voice synthesizer, E2100Glucose test strips, A4253, A4772Gluteal pad, L2650Glycopyrrolate, inhalation solution, concentrated, J7642Glycopyrrolate, inhalation solution, unit dose, J7643Gold sodium thiomalate, J1600Gomco drain bottle, A4912Gonadorelin HCl, J1620Goserelin acetate implant (see also Implant), J9202Grab bar, trapeze, E0910, E0940Grade-aid, wheelchair, E0974Granisetron HCl, J1626Gravity traction device, E0941Gravlee jet washer, A4470HHair analysis (excluding arsenic), P2031Hallus-Valgus dynamic splint, L3100Hallux prosthetic implant, L8642Haloperidol, J1630decanoate, J1631Halo procedures, L0810-L0860Halter, cervical head, E0942Hand finger orthosis, prefabricated, L3923Hand restoration, L6900-L6915partial prosthesis, L6000-L6020orthosis (WHFO), E1805, E1825, L3800-L3805, L3900-L3954rims, wheelchair, E0967Handgrip (cane, crutch, walker), A4636Harness, E0942, E0944, E0945Headgear (for positive airway pressure device), K0185Hearing devices, V5000-V5299, L8614Heatapplication, E0200-E0239lamp, E0200, E0205infrared heating pad system, A4639, E0221pad, A9273, E0210, E0215, E0237, E0249Heater (nebulizer), E1372Heelelevator, air, E0370


<strong>2012</strong> <strong>HCPCS</strong> <strong>Alpha</strong>-<strong>Numeric</strong> <strong>Index</strong> 19protector, E0191shoe, L3430-L3485stabilizer, L3170Helicopter, ambulance (see also Ambulance)Helmet, cervical, L0100, L0110Helmet, head, A8000-A8004Hemin, J1640Hemi-wheelchair, E1083-E1086Hemipelvectomy prosthesis, L5280Hemodialysismachine, E1590Hemodialyzer, portable, E1635Hemofil M, J7190Hemophilia clotting factor, J7190-J7198Hemophilia clotting factor, NOC, J7199Hemostats, A4850Hemostix, A4773Hepagam B IM, J1571Hepagam B IV, J1573Heparin infusion pump, dialysis, E1520Heparin lock flush, J1642Heparin sodium, J1644Hep-Lock (U/P), J1642Hexalite, A4590High osmolar contrast material, Q9958-Q9964Hipdisarticulation prosthesis, L5250, L5270orthosis (HO), L1600-L1690Hip-knee-ankle-foot orthosis (HKAFO), L2040-L2090Histrelin acetate, J1675Histrelin implant, J9225HKAFO, L2040-L2090Home Health Agency Services, T0221Hot water bottle, A9273Human fibrinogen concentrate, J1680Humidifier, A7046, E0550-E0563Hyalgan, J7321Hyaluronan, J7326Hyaluronate, sodium, J7317Hyaluronidase, J3470Hyaluronidase, ovine, J3471-J3473Hydralazine HCl, J0360Hydraulic patient lift, E0630Hydrocollator, E0225, E0239Hydrocolloid dressing, A6234-A6241


<strong>2012</strong> <strong>HCPCS</strong> <strong>Alpha</strong>-<strong>Numeric</strong> <strong>Index</strong> 20Hydrocortisoneacetate, J1700sodium phosphate, J1710sodium succinate, J1720Hydrogel dressing, A6242-A6248, A6231-A6233Hydromorphone, J1170Hydroxyprogesterone caproate, J1725Hydroxyzine HCl, J3410Hylan G-F 20, J7322Hyoscyamine Sulfate, J1980Hyperbaric oxygen chamber, topical, A4575Hypertonic saline solution, J7130IIbandronate sodium, J1740Ibutilide Fumarate, J1742Icecap, E0230collar, E0230Idarubicin HCl, J9211Idursulfase, J1743Ifosfamide, J9208Iloprost, Q4074Imiglucerase, J1786Immune globulinFlebogamma, J1572Gammagard liquid, J1569Gammaplex, J1557Gamunex, J1561HepaGam B, J1571Hizentra, J1559NOS, J1566Octagam, J1568Privigen, J1459Rho(D), J2788, J2790Rhophylac, J2791Subcutaneous, J1562Immunosuppressive drug, not otherwise classified, J7599Implantaccess system, A4301aqueous shunt, L8612breast, L8600cochlear, L8614, L8619


<strong>2012</strong> <strong>HCPCS</strong> <strong>Alpha</strong>-<strong>Numeric</strong> <strong>Index</strong> 21collagen, urinary tract, L8603dextranomer/hyaluronic acid copolymer, L8604ganciclovir, J7310hallux, L8642urinary tract, L8603, L8606infusion pump, programmable, E0783, E0786joint, L8630, L8641, L8658lacrimal duct, A4262, A4263metacarpophalangeal joint, L8630metatarsal joint, L8641neurostimulator pulse generator, L8681-L8688not otherwise specified, L8699ocular, L8610ossicular, L8613osteogenesis stimulator, E0749percutaneous access system, A4301replacement implantable intraspinal catheter, E0785synthetic, urinary, L8606vascular graft, L8670Implantable radiation dosimeter, A4650Impregnated gauze dressing, A6222-A6230Incobotulinumtoxin a, J0588Incontinenceappliances and supplies, A4310, A4360, A5071-A5075, A5102-A5114, K0280, K0281treatment system, E0740Indium IN-111 carpromab pendetide, A9507Indium IN-111 ibritumomab tiuxetan, A9542Indium IN-111 labeled autologous white blood cells, A9570Indium IN-111 labeled autologous platelets, A9571Indium IN-111 oxyquinoline, A9547Indium IN-111 pentetate, A9548Indium IN-111 pentetreotide, A9572Indium IN-111 satumomab, A4642Infliximab injection, J1745Infusionpump, ambulatory, with administrative equipment, E0781pump, heparin, dialysis, E1520pump, implantable, E0782, E0783pump, implantable, refill kit, A4220pump, insulin, E0784pump, mechanical, reusable, E0779, E0780pump, uninterrupted infusion of Epiprostenol, K0455supplies, A4219, A4221, A4222, A4230-A4232therapy, other than chemotherapeutic drugs, Q0081Inhalation solution (see also drug name), J7608-J7699, Q4074


<strong>2012</strong> <strong>HCPCS</strong> <strong>Alpha</strong>-<strong>Numeric</strong> <strong>Index</strong> 22Injections (see also drug name), J0120-J7320supplies for self-administered, A4211Insertion tray, A4310-A4316Insulin, J1815, J1817Interferon<strong>Alpha</strong>, J9212-J9215Beta-1 a, J1826, Q3025-Q3026Beta- 1 b, J1830Gamma, J9216Intermittentassist device with continuous positive airway pressure device, E0470-E0472limb compression device, E0676peritoneal dialysis system, E1592positive pressure breathing (IPPB) machine, E0500Interphalangeal joint, prosthetic implant, L8658, L8659Interscapular thoracic prosthesisendoskeletal, L6570upper limb, L6350-L6370Intraconazole, J1835Intraocular lenses, V2630-V2632Intrapulmonary percussive ventilation system, E0481Intrauterine copper contraceptive, J7300Iodine Iobenguane sulfate I-131, A9508Iodine I-123 iobenguane, A9582Iodine I-123 ioflupane, A9584Iodine I-123 sodium iodide, A9509, A9516Iodine I-125 serum albumin, A9532Iodine I-125 sodium iodide, A9527Iodine I-125 sodium iothalamate, A9554Iodine I-131 iodinated serum albumin, A9524Iodine I-131 sodium iodide capsule, A9517, A9528Iodine I-131 sodium iodide solution, A9529-A9531Iodine I-131 tositumomab, A9544-A9545Iodine swabs/wipes, A4247IPDsystem, E1592IPPB machine, E0500Ipilimumab, J9228Ipratropium bromide, inhalation solution, unit dose, J7644, J7645Irinotecan, J9206Iron Dextran, J1750Iron sucrose, J1756Irrigation/evacuation system, bowelcontrol unit, E0350disposable supplies for, E0352


<strong>2012</strong> <strong>HCPCS</strong> <strong>Alpha</strong>-<strong>Numeric</strong> <strong>Index</strong> 23Irrigation solution for bladder calculi, Q2004Irrigation supplies, A4320-A4322, A4355, A4397-A4400Isoetharine HCL, inhalation solution, concentrated, J7647, J7648Isoetharine HCL, inhalation solution, unit dose, J7649, J7650Isolates, B4150, B4152Isoproterenol HCL, inhalation solution, concentrated, J7657, J7658Isoproterenol HCL, inhalation solution, unit dose, J7659, J7660Isosulfan blue, Q9968IV pole, each, E0776, K0105Ixabepilone, J9207JJacketscoliosis, L1300, L1310Jenamicin, J1580KKanamycin sulfate, J1840, J1850Kartop patient lift, toilet or bathroom (see also Lift), E0625Ketorolac thomethamine, J1885KidneyESRD supply, A4650-A4927system, E1510wearable artificial, E1632Kitsenteral feeding supply (syringe) (pump) (gravity), B4034-B4036fistula cannulation (set), A4730parenteral nutrition, B4220-B4224surgical dressing (tray), A4550tracheostomy, A4625Kneedisarticulation, prosthesis, L5150, L5160joint, miniature, L5826orthosis (KO), E1810, L1800-L1885Knee-ankle-foot orthosis (KAFO), L2000-L2039, L2126-L2136Knee-ankle-foot orthosis (KAFO) addition, high strength, lightweight material, L2755Kyphosis pad, L1020, L1025LLaboratory testschemistry, P2028-P2038


<strong>2012</strong> <strong>HCPCS</strong> <strong>Alpha</strong>-<strong>Numeric</strong> <strong>Index</strong> 24microbiology, P7001miscellaneous, P9010-P9615, Q0111-Q0115toxicology, P3000-P3001, Q0091Lacrimal duct implantpermanent, A4263temporary, A4262Lactated Ringer’s infusion, J7120Laetrile, J3570Lancet, A4258, A4259Lanreotide, J1930Laronidase, J1931Larynx, artificial, L8500Laser blood collection device and accessory, E0620, A4257Lead investigation, T1029Lead wires, per pair, A4557Legbag, A4358, A5105, A5112extensions for walker, E0158rest, elevating, K0195rest, wheelchair, E0990strap, replacement, A5113-A5114Legg Perthes orthosis, L1700-L1755Lensaniseikonic, V2118, V2318contact, V2500-V2599eye, V2100-V2615, V2700-V2799intraocular, V2630-V2632low vision, V2600-V2615progressive, V2781Lepirudin, J1945Leucovorin calcium, J0640Leukocyte poor blood, each unit, P9016Leuprolide acetate, J9217, J9218, J9219, J1950Levalbuterol, all formulations, inhalation solution, concentrated, J7607, J7612Levalbuterol, all formulations, inhalation solution, unit dose, J7614, J7615Levetiracetam, J1953Levocarnitine, J1955Levofloxacin, J1956Levoleucovorin, J0641Levonorgestrel, (contraceptive), implants and supplies, J7306Levorphanol tartrate, J1960Lexidronam, A9604Lidocaine HCl, J2001Liftpatient (includes seat lift), E0621-E0635


<strong>2012</strong> <strong>HCPCS</strong> <strong>Alpha</strong>-<strong>Numeric</strong> <strong>Index</strong> 25shoe, L3300-L3334Lincomycin HCl, J2010Linezolid, J2020Liquid barrier, ostomy, A4363Lodging, recipient, escort nonemergency transport, A0180, A0200Lorazepam, J2060Low osmolar contrast material, Q9965-Q9967LSO, L0621-L0640Lubricant, A4402, A4332Lumbar flexion, L0540Lumbar-sacral orthosis (LSO), L0621-L0640Lymphocyte immune globulin, J7504, J7511MMagnesium sulphate, J3475Maintenance contract, ESRD, A4890Mannitol, J2150, J7665Maskaerosol, K0180oxygen, A4620Mastectomybra, L8000form, L8020prosthesis, L8030, L8600sleeve, L8010Mattressair pressure, E0186alternating pressure, E0277dry pressure, E0184gel pressure, E0196hospital bed, E0271, E0272non-powered, pressure reducing, E0373overlay, E0371-E0372powered, pressure reducing, E0277water pressure, E0187Mecasermin, J2170Mechlorethamine HCl, J9230Medical and surgical supplies, A4206-A8999Medroxyprogesterone acetate, J1051, J1055Medroxyprogesterone acetate/estradiol cypionate, J1056Melphalan HCl, J9245Melphalan, oral, J8600Meperidine, J2175


<strong>2012</strong> <strong>HCPCS</strong> <strong>Alpha</strong>-<strong>Numeric</strong> <strong>Index</strong> 26Meperidine and promethazine, J2180Mepivacaine HCl, J0670Meropenem, J2185Mesna, J9209Metacarpophalangeal joint, prosthetic implant, L8630, L8631Metaproterenol sulfate, inhalation solution, concentrated, J7667, J7668Metaproterenol sulfate, inhalation solution, unit dose, J7669, J7670Metaraminol bitartrate, J0380Metatarsal joint, prosthetic implant, L8641Meter, bath conductivity, dialysis, E1550Methacholine chloride, J7674Methadone HCl, J1230Methocarbamol, J2800Methotrexate, oral, J8610Methotrexate sodium, J9250, J9260Methyldopate HCl, J0210Methylene blue, Q9968Methylprednisoloneacetate, J1020-J1040oral, J7509sodium succinate, J2920, J2930Metoclopramide HCl, J2765Micafungin sodium, J2248Microbiology test, P7001Midazolam HCl, J2250Mileage, ambulance, A0380, A0390Milrinone lactate, J2260Mini-bus, nonemergency transportation, A0120Minocycline hydrochloride, J2265Mitomycin, J9280Mitoxantrone HCl, J9293Modalities, with office visit, M0005-M0008Moisture exchanger for use with invasive mechanical ventilation, A4483Moisturizer, skin, A6250Monitorblood glucose, E0607blood pressure, A4670pacemaker, E0610, E0615Monitoring feature/device, A9279Monoclonal antibodies, J7505Morphine sulfate, J2270, J2271sterile, preservative-free, J2275Mouthpiece (for respiratory equipment), A4617Moxifloxacin, J2280Mucoprotein, blood, P2038


<strong>2012</strong> <strong>HCPCS</strong> <strong>Alpha</strong>-<strong>Numeric</strong> <strong>Index</strong> 27Multiaxial ankle, L5986Multidisciplinary services, H2000-H2001, T1023-T1028Multiple post collar, cervical, L0180-L0200Multi-Podus type AFO, L4396Muromonab-CD3, J7505Mycophenolate mofetil, J7517Mycophenolic acid, J7518NNabilone, J8650Nalbuphine HCl, J2300Naloxone HCl, J2310Naltrexone, J2315Nandrolonedecanoate, J2320Narrowing device, wheelchair, E0969Nasal application device, K0183Nasal pillows/seals (for nasal application device), K0184Nasal vaccine inhalation, J3530Nasogastric tubing, B4081, B4082Natalizumab, J2323Nebulizer, E0570-E0585aerosol compressor, E0571aerosol mask, A7015corrugated tubing, disposable, A7010corrugated tubing, non-disposable, A7011filter, disposable, A7013filter, non-disposable, A7014heater, E1372large volume, disposable, prefilled, A7008large volume, disposable, unfilled, A7007not used with oxygen, durable, glass, A7017pneumatic, administration set, A7003, A7005, A7006pneumatic, nonfiltered, A7004portable, E0570small volume, A7003-A7005ultrasonic, E0575ultrasonic, dome and mouthpiece, A7016ultrasonic, reservoir bottle, non-disposable, A7009water collection device, large volume nebulizer, A7012Needle, A4215non-coring, A4212with syringe, A4206-A4209


<strong>2012</strong> <strong>HCPCS</strong> <strong>Alpha</strong>-<strong>Numeric</strong> <strong>Index</strong> 28Negative pressure wound therapy pump, E2402accessories, A6550Nelarabine, J9261Neonatal transport, ambulance, base rate, A0225Neostigmine methylsulfate, J2710Nerve stimulator with batteries, E0765Nesiritide injection, J2324Neuromuscular stimulator, E0745Neurostimulatorbattery recharging system, L8695pulse generator, L8681-L8688Nitrogen N-13 ammonia, A9526Nonchemotherapy drug, oral, NOS, J8499Noncovered services, A9270Nonemergency transportation, A0080-A0210Nonimpregnated gauze dressing, A6216-A6221, A6402-A6404Nonprescription drug, A9150Not otherwise classified drug, J3490, J7599, J7699, J7799, J8499, J8999, J9999,Q0181NPH, J1820NTIOL category 3, Q1003NTIOL category 4, Q1004NTIOL category 5, Q1005Nursing care, T1030-T1031Nutritionenteral infusion pump, B9000, B9002parenteral infusion pump, B9004, B9006parenteral solution, B4164-B5200OOccipital/mandibular support, cervical, L0160Octafluoropropane, Q9956Octagam, J1568Octreotide acetate, J2353, J2354Ocular prosthetic implant, L8610Ofatumumab, J9302Olanzapine, J2358Omalizumab, J2357OnabotulinumtoxinA, J0585Ondansetron HCl, J2405Ondansetron oral, Q0162One arm, drive attachment, K0101Oprelvekin, J2355


<strong>2012</strong> <strong>HCPCS</strong> <strong>Alpha</strong>-<strong>Numeric</strong> <strong>Index</strong> 29O & P supply/accessory/service, L9900Oral device/appliance, E0485-E0486Oral/nasal mask, A7027nasal pillows, A7029oral cushion, A7028Oropharyngeal suction catheter, A4628Orphenadrine, J2360Orthopedic shoesarch support, L3040-L3100footwear, L3201-L3265insert, L3000-L3030lift, L3300-L3334miscellaneous additions, L3500-L3595positioning device, L3140-L3170transfer, L3600-L3649wedge, L3340-L3420Orthotic additionscarbon graphite lamination, L2755fracture, L2180-L2192, L3995halo, L0860lower extremity, L2200-L2999, L4320ratchet lock, L2430scoliosis, L1010-L1120, L1210-L1290shoe, L3300-L3595, L3649spinal, L0970-L0984upper limb, L3810-L3890, L3970-L3974, L3995Orthotic devicesankle-foot (AFO; see also Orthopedic shoes), E1815, E1816, E1830, L1900-L1990,L2102-L2116, L3160, L4361anterior-posterior-lateral, L0700, L0710cervical, L0100-L0200cervical-thoracic-lumbar-sacral (CTLSO), L0700, L0710elbow (EO), E1800, E1801, L3700-L3740fracture, L2102-L2136, L3980-L3986halo, L0810-L0830hand, finger, prefabricated, L3923hand, (WHFO), E1805, E1825, L3807, L3900-L3954hip (HO), L1600-L1690hip-knee-ankle-foot (HKAFO), L2040-L2090interface material, E1820knee (KO), E1810, E1811, L1800-L1885knee-ankle-foot (KAFO; see also Orthopedic shoes), L2000-L2038, L2126-L2136Legg Perthes, L1700-L1755multiple post collar, L0180-L0200not otherwise specified, L0999, L1499, L2999, L3999, L5999, L7499, L8039, L8239


<strong>2012</strong> <strong>HCPCS</strong> <strong>Alpha</strong>-<strong>Numeric</strong> <strong>Index</strong> 30pneumatic splint, L4350-L4380pronation/supination, E1818repair or replacement, L4000-L4210replace soft interface material, L4390-L4394sacroiliac, L0600-L0620scoliosis, L1000 - L1499shoe, see Orthopedic shoesshoulder (SO), L1840, L3650, L3674shoulder-elbow-wrist-hand (SEWHO), L3960-L3978side bar disconnect, L2768spinal, cervical, L0100-L0200spinal, DME, K0112-K0116thoracic, L0210thoracic-hip-knee-ankle (THKO), L1500-L1520toe, E1830wrist-hand-finger (WHFO), E1805, E1806, E1825, L3900-L3954Orthovisc, J7324Ossicula prosthetic implant, L8613Osteogenesis stimulator, E0747-E0749, E0760Ostomyaccessories, A5093belt, A4396pouches, A4416-A4434skin barrier, A4401-A4449supplies, A4361-A4421, A5051-A5149Oxacillin sodium, J2700Oxaliplatin, J9263Oxygenambulance, A0422battery charger, E1357battery pack/cartridge, E1356catheter, transtracheal, A7018chamber, hyperbaric, topical, A4575concentrator, E1390-E1391DC power adapter, E1358Liquid oxygen system, E0433mask, A4620medication supplies, A4611-A4627rack/stand, E1355regulator, E1353respiratory equipment/supplies, A4611-A4627, E0424-E0480supplies and equipment, E0425-E0444, E0455tent, E0455tubing, A4616water vapor enriching system, E1405, E1406


<strong>2012</strong> <strong>HCPCS</strong> <strong>Alpha</strong>-<strong>Numeric</strong> <strong>Index</strong> 31wheeled cart, E1354Oxymorphone HCl, J2410Oxytetracycline HCl, J2460Oxytocin, J2590PPacemaker monitor, E0610, E0615Paclitaxel, J9265Paclitaxel protein-bound particles, J9264Padgel pressure, E0185, E0196heat, E0210, E0215, E0217, E0238, E0249orthotic device interface, E1820sheepskin, E0188, E0189water circulating cold with pump, E0218water circulating heat with pump, E0217water circulating heat unit, E0249Pail, for use with commode chair, E0167Palate, prosthetic implant, L8618Palifermin, J2425Paliperidone palmitate, J2426Palonosetron HCl, J2469Pamidronate disodium, J2430Pan, for use with commode chair, E0167Panitumumab, J9303Papanicolaou (Pap) screening smear, P3000, P3001, Q0091Papaverine HCl, J2440Paraffin, A4265Paraffin bath unit, E0235Parenteral nutritionadministration kit, B4224pump, B9004, B9006solution, B4164-B5200supply kit, B4220, B4222Paricalcitol, J2501Parking fee, nonemergency transport, A0170Paste, conductive, A4558Pathology and laboratory tests, miscellaneous, P9010-P9615Patient support system, E0636Patient transfer system, E1035-E1036PEFR, peak expiratory flow rate meter, A4614Pegademase bovine, J2504Pegaptanib, J2503


<strong>2012</strong> <strong>HCPCS</strong> <strong>Alpha</strong>-<strong>Numeric</strong> <strong>Index</strong> 32Pegaspargase, J9266Pegfilgrastim, J2505Pegloticase, J2507Pelvic belt/harness/boot, E0944Pemetrexed, J9305PenicillinG benzathine/G benzathine and penicillin G procaine, J0558, J0561G potassium, J2540G procaine, aqueous, J2510Pentamidine isethionate, J2545, J7676Pentastarch, 10% solution, J2513Pentazocine HCl, J3070Pentobarbital sodium, J2515Pentostatin, J9268Percussor, E0480Percutaneous access system, A4301Perflexane lipid microspheres, Q9955Perflutren lipid microspheres, Q9957Peroneal strap, L0980Peroxide, A4244Perphenazine, J3310Personal care services, T1019-T1021Pessary, A4561, A4562Phenobarbital sodium, J2560Phentolamine mesylate, J2760Phenylephrine HCl, J2370Phenytoin sodium, J1165Phisohex solution, A4246Photofrin, see Porfimer sodiumPhototherapy light, E0202Phytonadione, J3430Pillow, cervical, E0943Pinworm examination, Q0113Plasmasingle donor, fresh frozen, P9017multiple donor, pooled, frozen, P9023Plastazote, L3002, L3252, L3253, L3265, L5654-L5658Plateletconcentrate, each unit, P9019rich plasma, each unit, P9020Platform attachmentforearm crutch, E0153walker, E0154Plerixafor, J2562Plicamycin, J9270


<strong>2012</strong> <strong>HCPCS</strong> <strong>Alpha</strong>-<strong>Numeric</strong> <strong>Index</strong> 33Plumbing, for home ESRD equipment, A4870Pneumaticappliance, E0655-E0673, L4350-L4380compressor, E0650-E0652splint, L4350-L4380ventricular assist device, Q0480-Q0505Pneumatic nebulizeradministration set, small volume, filtered, A7006administration set, small volume, nonfiltered, A7003administration set, small volume, nonfiltered, non-disposable, A7005small volume, disposable, A7004Porfimer, J9600Portableequipment transfer, R0070-R0076gaseous oxygen, K0741, K0742hemodialyzer system, E1635liquid oxygen system, E0433x-ray equipment, Q0092Positioning seat, T5001Positive airway pressure device, accessories, A7030-A7039, E0561-E0562Positive expiratory pressure device, E0484Post-coital examination, Q0115Postural drainage board, E0606Potassium chloride, J3480Potassium hydroxide (KOH) preparation, Q0112Pouchfecal collection, A4330ostomy, A4375-A4378, A5051-A5054, A5061-A5065urinary, A4379-A4383, A5071-A5075Pralatrexate, J9307Pralidoxime chloride, J2730Prednisoloneacetate, J2650oral, J7506, J7510Prednisone, J7506Preparation kits, dialysis, A4914Preparatory prosthesis, L5510-L5595chemotherapy, J8999nonchemotherapy, J8499Pressurealarm, dialysis, E1540pad, A4640, E0180-E0199Privigen, J1459Procainamide HCl, J2690Prochlorperazine, J0780


<strong>2012</strong> <strong>HCPCS</strong> <strong>Alpha</strong>-<strong>Numeric</strong> <strong>Index</strong> 34Prolotherapy, M0076Promazine HCl, J2950Promethazine HCl, J2550Promethazine and meperdine, J2180Propranolol HCl, J1800Prosthesisartificial larynx battery/accessory, L8505breast, L8000-L8035, L8600eye, L8610, L8611, V2623-V2629fitting, L5400-L5460, L6380-L6388foot/ankle one piece system, L5979hand, L6000-L6020, L6025implants, L8600-L8690larynx, L8500lower extremity, L5700-L5999, L8640-L8642mandible, L8617maxilla, L8616maxillofacial, provided by a non-physician, L8040-L8048miscellaneous service, L8499ocular, V2623-V2629repair of, L7520, L8049socks (shrinker, sheath, stump sock), L8400-L8485taxes, orthotic/prosthetic/other, L9999tracheo-esophageal, L8507-L8509upper extremity, L6000-L6999vacuum erection system, L7900Prosthetic additionslower extremity, L5610-L5999upper extremity, L6600-L7405Protamine sulfate, J2720Protectant, skin, A6250Protector, heel or elbow, E0191Protein C Concentrate, J2724Protirelin, J2725Pulse generator, E2120Pumpalternating pressure pad, E0182ambulatory infusion, E0781ambulatory insulin, E0784blood, dialysis, E1620breast, E0602-E0604enteral infusion, B9000, B9002external infusion, E0779heparin infusion, E1520implantable infusion, E0782, E0783


<strong>2012</strong> <strong>HCPCS</strong> <strong>Alpha</strong>-<strong>Numeric</strong> <strong>Index</strong> 35implantable infusion, refill kit, A4220infusion, supplies, A4230, A4232negative pressure wound therapy, E2402parenteral infusion, B9004, B9006suction, portable, E0600water circulating pad, E0236Purification system, E1610, E1615Pyridoxine HCl, J3415QQuad cane, E0105Quinupristin/dalfopristin, J2770RRack/stand, oxygen, E1355Radiesse, Q2026Radioelements for brachytherapy, Q3001Radiology service, R0070-R0076Radiopharmaceutical diagnostic imaging agent, A4641, A4642, A9500, A9532Radiopharmaceutical, therapeutic, A9600, A9605Railbathtub, E0241, E0242, E0246bed, E0305, E0310toilet, E0243Ranibizumab, J2778Rasburicase, J2783Reaching/grabbing device, A9281Reagent strip, A4252Reciprocating peritoneal dialysis system, E1630Reclast, J3488Red blood cells, P9021, P9022Regadenoson, J2785Regular insulin, J1820Regulator, oxygen, E1353Repaircontract, ESRD, A4890durable medical equipment, E1340maxillofacial prosthesis, L8049orthosis, L4000-L4130prosthetic, L7500, L7510Replacementbattery, A4630


<strong>2012</strong> <strong>HCPCS</strong> <strong>Alpha</strong>-<strong>Numeric</strong> <strong>Index</strong> 36pad (alternating pressure), A4640tanks, dialysis, A4880tip for cane, crutches, walker, A4637underarm pad for crutches, A4635RespiGam, see Respiratory syncytial virus immune globulinRestraint, any type, E0710Reteplase, J2993Rho(D) immune globulin, human, J2788, J2790, J2791, J2792Rib belt, thoracic, A4572, L0220Rilanocept, J2793RimabotulinumtoxinB, J0587Ringers lactate infusion, J7120Ring, ostomy, A4404Risperidone, J2794Rituximab, J9310Robin-Aids, L6000, L6010, L6020, L6855, L6860Rocking bed, E0462Rollabout chair, E1031Romidepsin, J9315Romiplostim, J2796Ropivacaine HCl, J2795Rubidium Rb-82, A9555SSacral nerve stimulation test lead, A4290Safety equipment, E0700vest, wheelchair, E0980Salinehypertonic, J7130solution, J7030-J7050, A4216-A4218Samarium SM 153 Lexidronamm, A9605Sargramostim (GM-CSF), J2820Scoliosis, L1000 - L1499additions, L1010-L1120, L1210-L1290Sculptra, Q2027Sealantskin, A6250Seatattachment, walker, E0156insert, wheelchair, E0992lift (patient), E0621, E0627-E0629upholstery, wheelchair, E0975Secretin, J2850


<strong>2012</strong> <strong>HCPCS</strong> <strong>Alpha</strong>-<strong>Numeric</strong> <strong>Index</strong> 37Semen analysis, G0027Sensitivity study, P7001Sermorelin acetate, Q0515Serum clotting time tube, A4771SEWHO, L3960-L3974Sheepskin pad, E0188, E0189Shoesarch support, L3040-L3100for diabetics, A5500-A5508insert, L3000-L3030lift, L3300-L3334miscellaneous additions, L3500-L3595orthopedic, L3201-L3265positioning device, L3140-L3170transfer, L3600-L3649wedge, L3340-L3485Shoulderdisarticulation, prosthetic, L6300-L6320, L6550orthosis (SO), L3650 - L3674spinal, cervical, L0100-L0200Shoulder-elbow-wrist-hand orthosis (SEWHO), L3960-L3969Shoulder sling, A4566Shunt accessory for dialysis, A4740aqueous, L8612Sigmoidoscopy, cancer screening, G0104, G0106Sincalide, J2805Sipuleucel-T, Q2043Sirolimus, J7520Sitz bath, E0160-E0162Skinbarrier, ostomy, A4362, A4363, A4369-A4373, A4385, A5120bond or cement, ostomy, A4364sealant, protectant, moisturizer, A6250substitute, Q4100-Q4130Sling, A4565patient lift, E0621, E0630, E0635Social worker, nonemergency transport, A0160Sockbody sock, L0984prosthetic sock, L8420-L8435, L8470, L8480, L8485stump sock, L8470-L8485Sodiumchloride injection, J2912ferric gluconate complex in sucrose, J2916fluoride F-18, A9580


<strong>2012</strong> <strong>HCPCS</strong> <strong>Alpha</strong>-<strong>Numeric</strong> <strong>Index</strong> 38hyaluronateEuflexxa, J7323Hyalgan, J7321Orthovisc, J7324Supartz, J7321Synvisc and Synvisc-One, J7325phosphate P32, A9563succinate, J1720Solution,calibrator, A4256dialysate, A4760elliotts b, J9175enteral formulae, B4149-B4156parenteral nutrition, B4164-B5200Somatrem, J2940Somatropin, J2941Sorbent cartridge, ESRD, E1636Specialty absorptive dressing, A6251-A6256Spectinomycin HCl, J3320Speech assessment, V5362-V5364Speech generating device, E2500-E2599Spinal orthosis,cervical, L0100-L0200cervical-thoracic-lumbar-sacral (CTLSO), L0700, L0710DME, K0112-K0116halo, L0810-L0830multiple post collar, L0180-L0200scoliosis, L1000-L1499torso supports, L0960Splint, A4570, L3100, L4350-L4380ankle, L4390-L4398dynamic, E1800, E1805, E1810, E1815, E1825, E1830, E1840footdrop, L4398Static progressive stretch, E1801, E1806, E1811, E1816, E1818, E1821Sterile cefuroxime sodium, J0697Sterile water, A4216-A4217Stimulatorsneuromuscular, E0744, E0745osteogenesis, electrical, E0747-E0749ultrasound, E0760salivary reflex, E0755stoma absorptive cover, A5083Stomach tube, B4083Streptokinase, J2995Streptomycin, J3000


<strong>2012</strong> <strong>HCPCS</strong> <strong>Alpha</strong>-<strong>Numeric</strong> <strong>Index</strong> 39Streptozocin, J9320Strip, blood glucose test, A4253, A4772urine reagent, A4250Strontium-89 chloride, supply of, A9600Stump sock, L8470-L8485Stylet, A4212Succinylcholine chloride, J0330Suction pumpgastric, home model, E2000portable, E0600respiratory, home model, E0600Sumatriptan succinate, J3030Supartz, J7321Supply/accessory/service, A9900Supportarch, L3040-L3090cervical, L0100-L0200spinal, L0960stockings, L8100-L8239Surgicalboot, L3208-L3211brush, dialysis, A4910dressing, A6196-A6406stocking, A4490-A4510supplies, A4649tray, A4550Swabs, betadine or iodine, A4247Syringe, A4213with needle, A4206-A4209Synvisc and Synvisc-One, J7325TTables, bed, E0274, E0315Tacrolimus, oral, J7507Tacrolimus, parenteral, J7525Taxi, non emergency transportation, A0100Technetium TC 99M Arcitumomab, A9568Technetium TC 99M Bicisate, A9557Technetium TC 99M Depreotide, A9536Technetium TC 99M Disofenin, A9510Technetium TC 99M Exametazine, A9521Technetium TC 99M Exametazine labeled autologous white blood cells, A9569Technetium TC 99M Fanolesomab, A9566Technetium TC 99M Glucepatate, A9550


<strong>2012</strong> <strong>HCPCS</strong> <strong>Alpha</strong>-<strong>Numeric</strong> <strong>Index</strong> 40Technetium TC 99M - Labeled red blood cells, A9560Technetium TC 99M Macroaggregated albumin, A9540Technetium TC 99M Mebrofenin, A9537Technetium TC 99M Mertiatide, A9562Technetium TC 99M Oxidronate, A9561Technetium TC 99M Pentetate, A9539, A9567Technetium TC 99M Pertechnetate, A9512Technetium TC 99M Pyrophosphate, A9538Technetium TC 99M Sestamibi, A9500Technetium TC 99M Succimer, A9551Technetium TC 99M Sulfur colloid, A9541Technetium TC 99M Teboroxime, A9501Technetium TC 99M Tetrofosmin, A9502TEEV, J0900Telavancin, J3095Telehealth, Q3014Telehealth transmission, T1014Temozolomide, injection, J9328Temozolomide, oral, J8700Temsirolimus, J9330Tenecteplase, J3101Teniposide, Q2017TENS, A4595, E0720-E0749Tent, oxygen, E0455Terbutaline sulfate, J3105Terbutaline sulfate, inhalation solution, concentrated, J7680Terbutaline sulfate, inhalation solution, unit dose, J7681Teriparatide, J3110Terminal devices, L6700-L6895Testosteroneaqueous, J3140cypionate and estradiol cypionate, J1060enanthate, J3120, J3130enanthate and estradiol valerate, J0900propionate, J3150suspension, J3140Tetanus immune globulin, human, J1670Tetracycline, J0120Thallous Chloride TL 201, A9505Theophylline, J2810Therapeutic lightbox, A4634, E0203Therapyoccupational, H5300Thermometer, A4931-A4932Thermometer, dialysis, A4910Thiamine HCl, J3411


<strong>2012</strong> <strong>HCPCS</strong> <strong>Alpha</strong>-<strong>Numeric</strong> <strong>Index</strong> 41Thiethylperazine maleate, J3280Thiotepa, J9340Thoracic-hip-knee-ankle (THKAO), L1500-L1520Thoracic-lumbar-sacral orthosis (TLSO)scoliosis, L1200-L1290spinal, L0430-L0492Thoracic orthosis, L0210Thymol turbidity, blood, P2033Thyrotropin Alfa, J3240Tigecycline, J3243Tinzarparin sodium, J1655Tip (cane, crutch, walker) replacement, A4637Tire, wheelchair, E0999Tirofiban, J3246Tissue marker, A4648TLSO, L0430-L0492, L1200-L1290Tobramycin, inhalation solution, unit dose, J7682, J7685Tobramycin sulfate, J3260Tocilizumab, J3262Toilet accessories, E0167-E0179, E0243, E0244, E0625Tolazoline HCl, J2670Toll, non emergency transport, A0170Topical hyperbaric oxygen chamber, A4575Topotecan, J8705, J9351Torsemide, J3265Tracheostoma heat moisture exchange system, A7501-A7509Tracheostomycare kit, A4629filter, A4481speaking valve, L8501supplies, A4623, A4629, A7523-A7524tube, A7520-A7522Tracheotomy mask or collar, A7525-A7526Traction device, ambulatory, E0830Traction equipment, E0840-E0948Transcutaneous electrical nerve stimulator (TENS), E0720-E0770Transducer protector, dialysis, E1575Transfer (shoe orthosis), L3600-L3640Transfer system with seat, E1035Transparent film (for dressing), A6257-A6259Transportationambulance, A0021-A0999, Q3019, Q3020corneal tissue, V2785EKG (portable), R0076handicapped, A0130


<strong>2012</strong> <strong>HCPCS</strong> <strong>Alpha</strong>-<strong>Numeric</strong> <strong>Index</strong> 42non emergency, A0080-A0210, T2001-T2005service, including ambulance, A0021-A0999, T2006taxi, non emergency, A0100toll, non emergency, A0170volunteer, non emergency, A0080, A0090x-ray (portable), R0070, R0075Transtracheal oxygen catheter, A7018Trapeze bar, E0910-E0912, E0940Trayinsertion, A4310-A4316irrigation, A4320surgical (see also kits), A4550wheelchair, E0950Treprostinil, J3285Triamcinolone, J3301-J3303acetonide, J3300, J3301diacetate, J3302hexacetonide, J3303inhalation solution, concentrated, J7683inhalation solution, unit dose, J7684Triflupromazine HCI, J3400Trifocal, glass or plastic, V2300-V2399Trimethobenzamide HCl, J3250Trimetrexate glucuoronate, J3305Triptorelin pamoate, J3315Truss, L8300-L8330Tube/Tubinganchoring device, A5200blood, A4750, A4755drainage extension, A4331gastrostomy, B4087, B4088irrigation, A4355larynectomy, A4622nasogastric, B4081, B4082oxygen, A4616serum clotting time, A4771stomach, B4083suction pump, each, A7002tire, K0091, K0093, K0095, K0097tracheostomy, A4622urinary drainage, K0280UUltrasonic nebulizer, E0575


<strong>2012</strong> <strong>HCPCS</strong> <strong>Alpha</strong>-<strong>Numeric</strong> <strong>Index</strong> 43Ultraviolet light therapy system, A4633, E0691-E0694Unclassified drug, J3490Unipuncture control system, dialysis, E1580Upper extremity addition, locking elbow, L6693Upper extremity fracture orthosis, L3980-L3999Upper limb prosthesis, L6000-L7499Urea, J3350Ureterostomy supplies, A4454-A4590Urethral suppository, Alprostadil, J0275Urinal, E0325, E0326Urinarycatheter, A4338-A4346, A4351-A4353collection and retention (supplies), A4310-A4360tract implant, collagen, L8603tract implant, snythetic, L8606Urinesensitivity study, P7001tests, A4250Urofollitropin, J3355Urokinase, J3364, J3365Ustekinumab, J3357U-V lens, V2755VVabra aspirator, A4480Vaccination, administrationhepatitis B, G0010influenza virus, G0008pneumococcal, G0009Vancomycin HCl, J3370Vaporizer, E0605Vascularcatheter (appliances and supplies), A4300-A4306graft material, synthetic, L8670Vasoxyl, J3390Velaglucerase alfa, J3385Venous pressure clamp, dialysis, A4918Ventilatorbattery, A4611-A4613moisture exchanger, disposable, A4483negative pressure, E0460volume, stationary or portable, E0450, E0461-E0464Ventricular assist device, Q0478-Q0506Verteporfin, J3396


<strong>2012</strong> <strong>HCPCS</strong> <strong>Alpha</strong>-<strong>Numeric</strong> <strong>Index</strong> 44Vest, safety, wheelchair, E0980Vinblastine sulfate, J9360Vincristine sulfate, J9370Vinorelbine tartrate, J9390Vision service, V2020-V2799Vitamin B-12 cyanocobalamin, J3420Vitamin K, J3430Voice amplifier, L8510Voice prosthesis, L8511-L8514Von Willebrand Factor Complex, human, J7183, J7187Voriconazole, J3465WWaiver, T<strong>2012</strong>-T2050Walker, E0130-E0149accessories, A4636, A4637attachments, E0153-E0159Walking splint, L4386Waterdistilled (for nebulizer), A7018pressure pad/mattress, E0187, E0198purification system (ESRD), E1610, E1615softening system (ESRD), E1625sterile, A4714Wedges, shoe, L3340-L3420Wet mount, Q0111Wheel attachment, rigid pickup walker, E0155Wheelchair, E0950-E1298, K0001-K0108accessories, E0192, E0950-E1030, E1065-E1069, E2211-E2230, E2300-E2399amputee, E1170-E1200back, fully reclining, manual, E1226component or accessory, not otherwise specified, K0108cushions, E2601-E2625narrowing device, E0969power add-on, E0983-E0984shock absorber, E1015-E1018specially sized, E1220, E1230stump support system, K0551tire, E0999transfer board or device, E0705tray, K0107van, non-emergency, A0130youth, E1091WHFO with inflatable air chamber, L3807


<strong>2012</strong> <strong>HCPCS</strong> <strong>Alpha</strong>-<strong>Numeric</strong> <strong>Index</strong> 45WHO, wrist extension, L3914Whirlpool equipment, E1300-E1310Wig, A9282Wipes, A4245, A4247Wound cleanser, A6260Wound coveralginate dressing, A6196-A6198collagen dressing, A6020-A6024foam dressing, A6209-A6214hydrocolloid dressing, A6234-A6239hydrogel dressing, A6242-A6247non-contact wound warming cover, and accessory, E0231, E0232specialty absorptive dressing, A6251-A6256Wound filleralginate dressing, A6199collagen based, A6010foam dressing, A6215hydrocolloid dressing, A6240, A6241hydrogel dressing, A6248not elsewhere classified, A6261, A6262Wound pouch, A6154Wristdisarticulation prosthesis, L6050, L6055hand/finger orthosis (WHFO), E1805, E1825, L3800-L3954XXenon Xe 133, A9558Xylocaine HCl, J2000X-ray equipment, portable, Q0092, R0070, R0075YYttrium Y-90 ibritumomab, A9543ZZiconotide, J2278Zidovudine, J3485Ziprasidone mesylate, J3486Zoledronic acid, J3487Zometa, J3487Last Updated September 14, 2011

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