HCPCS Range

• 251 Elbow Disarticulation, Forearm and Hand Prosthetics (L6200-L6205)

• 252 Above Elbow, Forearm and Hand Prosthetics (L6250-L6250)

• 253 Shoulder Disarticulation, Arm and Hand Prosthetics (L6300-L6320)

• 254 Interscapular Thoracic, Arm, and Hand Prosthetics (L6350-L6370)

• 255 Prosthetic Fitting, Immediate Postsurgical or Early, Upper Limbs (L6380-L6388)

• 256 Molded Socket Endoskeletal Prosthetic System, Upper Limbs (L6400-L6570)

• 257 Preparatory Prosthetic, Upper Limbs (L6580-L6590)

• 258 Upper Extremity Prosthetic Additions (L6600-L6700)

• 259 Terminal Devices and Additions (L6703-L6882)

• 260 Replacement Sockets, Upper Limbs (L6883-L6885)

• 261 Hand Restoration Prosthetics and Additions (L6890-L6915)

• 262 External Power Upper Limb Prosthetics (L6920-L6975)

• 263 Electric Hand or Hook and Additions (L7007-L7045)

• 264 Electronic Elbow and Additions (L7170-L7259)

• 265 Batteries and Accessories (L7360-L7368)

• 266 Additions for Upper Extremity Prosthetics (L7400-L7406)

• 267 Upper Extremity Prosthetics, Not Otherwise Specified (NOS) (L7499-L7499)

• 268 Prosthetic Repair (L7510-L7520)

• 269 Prosthetic Donning Sleeve (L7600-L7600)

• 270 Penile Prosthetics (L7900-L7902)

• 271 Breast Prosthetics and Accessories (L8000-L8039)

• 272 Facial and External Ear Prosthetics (L8040-L8049)

• 273 Hernia Trusses (L8300-L8330)

• 274 Prosthetic Sheaths, Socks, and Shrinkers (L8400-L8485)

• 275 Unlisted Prosthetic Procedures (L8499-L8499)

• 276 Voice Prosthetics and Accessories (L8500-L8515)

• 277 Prosthetic Breast Implant (L8600-L8600)

• 278 Bulking Agents (L8603-L8607)

• 279 Implantable Eye and Ear Prosthetics and Accessories (L8608-L8629)

• 280 Implantable Hand and Feet Prosthetics (L8630-L8659)

• 281 Vascular Implants (L8670-L8670)

• 282 Implantable Neurostimulators and Components (L8678-L8689)

• 283 Miscellaneous Orthotic and Prosthetic Services and Supplies (L8690-L9900)

• 284 Laboratory Tests of Blood and Hair (P2028-P2038)

• 285 Pap Smears (P3000-P3001)

• 286 Urine Bacterial Culture and Sensitivity Studies (P7001-P7001)

• 287 Blood and Blood Products, with Associated Procedures (P9010-P9100)

• 288 Specimen Collection, Travel Allowance (P9603-P9604)

• 289 Specimen Collection, Catheterization (P9612-P9615)

• 290 Miscellaneous Drugs and Tests (Q0035-Q0144)

• 291 Chemotherapy Anti-emetic Medications (Q0155-Q0181)

• 292 Ventricular Assist Devices (Q0477-Q0509)

• 293 Pharmacy Supply and Dispensing Fees (Q0510-Q0521)

• 294 Miscellaneous Drug and New Technology Codes (Q0515-Q2028)

• 295 Influenza Virus Vaccines (Q2034-Q2039)

• 296 Other Drugs and Service Fees (Q2041-Q3031)

• 297 Cast and Splint Supplies (Q4001-Q4051)

• 298 Miscellaneous Drugs (Q4074-Q4082)

• 299 Skin Substitutes and Biologicals (Q4100-Q4397)

• 300 Hospice and Home Health Care (Q5001-Q5010)

• 301 Additional Miscellaneous Drugs (Q5098-Q5101)

• 302 Contrast Agents/Diagnostic Imaging (Q9950-Q9983)

• 303 Non-Medicare Drug Codes (S0012-S0197)

• 304 Miscellaneous Provider Services (S0199-S0400)

• 305 Vision Supplies (S0500-S0596)

• 306 Screenings and Examinations (S0601-S0622)

• 307 Miscellaneous Provider Services and Supplies (S0630-S3722)

• 308 Genetic Testing (S3800-S3870)

• 309 Miscellaneous Tests (S3900-S3904)

• 310 Assorted Obstetrical and Fertility Services (S4005-S4989)

• 311 Miscellaneous Medications and Therapeutic Substances (S4990-S5014)

• 312 Various Home Care Services (S5035-S5199)

• 313 Home Infusion Therapy (S5497-S5523)

• 314 Insulin and Delivery Devices (S5550-S5571)

• 315 Imaging Studies (S8030-S8092)

• 316 Assisted Breathing Supplies (S8096-S8210)

• 317 Miscellaneous Supplies and Services (S8265-S9152)

• 318 Home Management of Pregnancy (S9208-S9214)

• 319 Home Infusion Therapy (S9325-S9379)

• 320 Miscellaneous Supplies and Services (S9381-S9485)

• 321 Home Therapy Services (S9490-S9810)

• 322 Various Services, Fees, and Costs (S9900-S9999)

• 323 Nursing Services (T1000-T1005)

• 324 Alcohol and Substance Abuse Services (T1006-T1012)

• 325 Other Services (T1013-T1018)

• 326 Home Health Services (T1019-T1022)

• 327 Screenings, Assessments, and Treatments, Individual and Family (T1023-T1029)

• 328 Additional Nursing Services (T1030-T1031)

• 329 Miscellaneous Services and Supplies (T1502-T1999)

• 330 Transportation Services (T2001-T2007)

• 331 Preadmission Screening (T2010-T2011)

• 332 Waiver Services (T2012-T2041)

• 333 Hospice Care (T2042-T2046)

• 334 Long-term Residential Care (T2048-T2048)

• 335 Non-emergency Transportation Fees (T2049-T2049)

• 336 Services Related to Breast Milk (T2101-T2101)

• 337 Incontinence Supplies (T4521-T4545)

• 338 Other and Unspecified Supplies (T5001-T5999)

• 339 Spectacle Frames (V2020-V2025)

• 340 Lenses, Single Vision (V2100-V2199)

• 341 Lenses, Bifocals (V2200-V2299)

• 342 Lenses, Trifocal (V2300-V2399)

• 343 Lenses, Aspherical and Variable Sphericity (V2410-V2499)

• 344 Assorted Contact Lenses (V2500-V2599)

• 345 Low and Near Vision Aids (V2600-V2615)

• 346 Eye Prosthetics and Services (V2623-V2629)

• 347 Lenses, Intraocular (V2630-V2632)

• 348 Vision Services (V2700-V2799)

• 349 Hearing Assessments and Evaluations (V5008-V5020)

• 350 Hearing Aid, Monaural (V5030-V5060)

• 351 Miscellaneous Hearing Services and Supplies (V5070-V5110)

• 352 Hearing Aids (V5120-V5267)

• 353 Assistive Hearing Devices (V5268-V5290)

• 354 Other and Miscellaneous Hearing Services and Supplies (V5298-V5299)

• 355 Speech-related Screenings and Communication Device Repair (V5336-V5364)

• 356 Low-profile Additions, Thoracic-lumbar-sacral Orthotics (L1200-L1290)

• 357 Behavioral Health Services (T1040-T1041)

• 358 Other Drugs and Test (Q9991-Q9999)

• 359 Gasket or Seal with Prosthetic (L7700-L7700)

• 360 Radiology services Prostate (G9894-G9897)

• 361 Geriatric care Management (G9898-G9898)

• 362 Breast screening/diagnostics/Therapeutics (G9899-G9900)

• 363 Tobacco Screening (G9902-G9908)

• 364 Anti TNF Diagnostics for HBV status (G9912-G9915)

• 365 Functional Status codes (G9916-G9918)

• 366 Screening (G9919-G9931)

• 367 Geriatric Care Management and Other Services (G9938-G9940)

• 368 Pain assessment (G9942-G9949)

• 369 Medications (Antiemetics and Antimicrobials) (G9954-G9961)

• 370 Embolization (G9962-G9963)

• 371 Screening, Wellness and Physician visits (G9964-G9970)

• 372 Additional Geriatric care Management (G9901-G9901)

• 373 Other Geriatric care Management (G9910-G9910)

• 374 Breast screening (Therapeutics) (G9911-G9911)

• 375 Anti-Inflammatory Medication and Chemotherapy Medication (Q5103-Q5111)

• 376 Remote In-House Evaluation And Management Assessment (G9978-G9987)

• 377 Adolescent Depression, Remission AND Management (M1019-M1021)

• 378 Anticoagulation Management (M1055-M1057)

• 379 Breast MRI - Computer Aided Detection (C8937-C8937)

• 380 Evaluation AND Assessment (M1006-M1014)

• 381 Fall Risk Assessment (M1069-M1070)

• 382 Functional STATUS Measurement (M1043-M1049)

• 383 Head Imaging (M1027-M1029)

• 384 Home Care Management Services (G0076-G0087)

• 385 Hospice Services (M1067-M1067)

• 386 Limb Pain Assessment (M1052-M1052)

• 387 Lumbar Spine Associated Conditions (M1037-M1041)

• 388 Lumbar Spine Conditions (M1051-M1051)

• 389 Mobility Status (M1068-M1068)

• 390 Other Evaluation and Management Services (G2001-G2020)

• 391 Patient Status (M1016-M1018)

• 392 Performance Assessment (M1058-M1060)

• 393 Pharmacotherapy for OUD (M1032-M1036)

• 394 Professional Services for Drug Infusion (G0068-G0070)

• 395 Spinal Procedures (M1071-M1071)

• 396 TB Screening (M1003-M1005)

• 397 Telemed Services (G0071-G0071)

• 398 Urgent Care Visit (M1054-M1054)

• 399 Convulsive Therapy Procedure (G2000-G2000)

• 400 Screening Procedures (M1003-M1070)

• 401 Cancer, Vision and Other Associated Drugs (Q5112-Q5159)

• 402 Care Management Services (G2021-G2025)

• 403 Medication Assisted Treatment Programme (G2067-G2075)

• 404 Opioid Use Disorder - Evaluation and Treatment (G2076-G2081)

• 405 Evaluation and Management Services (G2082-G2083)

• 406 Opioid Use Disorder - Treatment (Office Based) (G2086-G2088)

• 407 Functional Status (G2090-G2152)

• 408 Performance Measures (G2167-G2167)

• 409 Components, Accessories and Supplies (K1004-K1037)

• 410 Episode of Care (M1106-M1143)

• 411 Therapy Maintenance Program in Home Health Setting (G2168-G2169)

• 412 Coronavirus Diagnostic Panel (U0001-U0002)

• 413 Arteriovenous Fistula Procedure (G2170-G2171)

• 414 Other Professional Services (G1025-G1028)

• 415 Assessment and Couseling-Department of Veterans Affairs Chaplain Services (Q9001-Q9004)

• 416 Prevocational Habilitation Waiver Services (T2047-T2047)

• 417 Other Therapeutic Procedures (C1052-C1062)

• 418 Initial Visit for Professional Services (G0088-G0090)

• 419 Clinician Documentation and Management Services (G2173-G2210)

• 420 Other Services (M1146-M1425)

• 421 Evaluation and Care Management Services (G2211-G2214)

• 422 Take Home Supplies (G2215-G2216)

• 423 Documentation assessment (Remote) (G2250-G2250)

• 424 Brief Communication Technology-Based Services (G2251-G2252)

• 425 COVID-19 Infusion Therapy (Q0220-Q0249)

• 426 Opioid Use Disorder (OUD) Treatment Services (G2172-G2172)

• 427 Matrix for Wound Management (Placental, Equine, Synthetic) (A2001-A2039)

• 428 MIPS Specialty Set (G4000-G4038)

• 429 Palliative Care Services (G9988-G9999)

• 430 MIPS Measures (G0028-G0067)

• 431 Fresh Frozen Plasma-Covid-19 (C9507-C9507)

• 432 Skin Substitute Device (A4100-A4100)

• 433 Financial Management and Supports Brokerage Services, Per Diem (T2050-T2051)

• 434 Doula Birth Worker Services (T1032-T1033)

• 435 Miscellaneous Surgical Procedures (C7500-C7565)

• 436 Mental Health Evaluation and Management Services (C7900-C7903)

• 437 Chronic Pain Management And Treatment Services (G3002-G3003)

• 438 MIPS Value Pathways (M0001-M0005)

• 439 Virtual Reality Cognitive Behavioral Therapy Device (CBT) (E1905-E1905)

• 440 EOM (Enhancing Oncology Model) Enhanced Services (M0010-M0010)

• 441 Surgical, Imaging Devices and Grafts (C1600-C1606)

• 442 Electronic Positional Obstructive Sleep Apnea Treatment (E0530-E0530)

• 443 Non Pneumatic Compressors and Appliances (E0678-E0683)

• 444 Speech Volume Modulation System (E3000-E3000)

• 445 Psychotherapy, Pre-Exposure Prophylaxis Counseling and Community Health Integration Services (G0011-G0024)

• 446 Implantable Support Device for AV Fistula (C8000-C8000)

• 447 Intravaginal Device and Supplies for Pelvic Floor Muscles Strengthening (E0715-E0716)

• 448 Gait Modulation System (E3200-E3200)

• 449 3D Imaging for Preoperative Planning (C8001-C8001)

• 450 Preparation of Skin Cell Autograft (C8002-C8002)

• 451 Extraarticular Knee Implants (C8003-C8003)

• 452 Mental Health programs for Indigenous People (H0052-H0053)

• 453 Joint Fixation Device (C1737-C1737)

• 454 Imaging Supplies (C1738-C1749)

• 455 Catheters for Multiple Applications (C1750-C1759)

• 456 Simulation Angiogram for Radioembolization of Tumors (C8004-C8004)

• 457 Bronchoscopy with Transtracheal and/or Transbronchial Sampling (C8005-C8005)

• 458 Pleural-Peritoneal Shunt with Intercostal Pump Chamber Insertion Procedures (C8006-C8006)