HCPCS Codes - Medical Procedures, Supplies & DME Codes - a7 Codes
HCPCS Procedure, Supply & DME (Durable Medical Equipment) Codes ("a7" Codes):- A7000 canister disposable used suction pump each HCPCS Code Code
- A7001 canister nondisposable used suction pump each HCPCS Code Code
- A7002 tubing used suction pump each HCPCS Code Code
- A7003 administration set small volume nonfiltered pneumatic HCPCS Code Code
- A7004 small volume nonfiltered pneumatic nebulizer disposable HCPCS Code Code
- A7005 administration set small volume nonfiltered pneumatic HCPCS Code Code
- A7006 administration set small volume filtered pneumatic HCPCS Code Code
- A7007 large volume nebulizer disposable unfilled used HCPCS Code Code
- A7008 large volume nebulizer disposable prefilled used HCPCS Code Code
- A7009 reservoir bottle nondisposable used large volume HCPCS Code Code
- A7010 corrugated tubing disposable used large volume HCPCS Code Code
- A7011 corrugated tubing nondisposable used large volume HCPCS Code Code
- A7012 water collection device used large volume HCPCS Code Code
- A7013 filter disposable used aerosol compressor HCPCS Code Code
- A7014 filter nondisposable used aerosol compressor ultrasonic HCPCS Code Code
- A7015 aerosol mask used dme nebulizer HCPCS Code Code
- A7016 dome mouthpiece used small volume ultrasonic HCPCS Code Code
- A7017 nebulizer durable glass autoclavable plastic bottle HCPCS Code Code
- A7018 water distilled used large volume nebulizer HCPCS Code Code
- A7020 Interface for cough stimulating device, includes all HCPCS Code Code
- A7023 Mechanical allergen particle barrier/inhalation filter, cream, nasal, topical HCPCS Code Code
- A7025 high frequency chest wall oscillation system HCPCS Code Code
- A7026 high frequency chest wall oscillation system HCPCS Code Code
- A7027 COMBINATION ORAL/NASAL MASK HCPCS Code Code
- A7028 REPL ORAL CUSHION COMBO MASK HCPCS Code Code
- A7029 REPL NASAL PILLOW COMB MASK HCPCS Code Code
- A7030 full face mask used positive airway HCPCS Code Code
- A7031 face mask interface replacement full face HCPCS Code Code
- A7032 cushion use nasal mask interface replacement HCPCS Code Code
- A7033 pillow use nasal cannula type interface HCPCS Code Code
- A7034 nasal interface mask cannula type used HCPCS Code Code
- A7035 headgear used positive airway pressure device HCPCS Code Code
- A7036 chinstrap used positive airway pressure device HCPCS Code Code
- A7037 tubing used positive airway pressure device HCPCS Code Code
- A7038 filter disposable used positive airway pressure HCPCS Code Code
- A7039 filter non disposable used positive airway HCPCS Code Code
- A7040 one way chest drain valve HCPCS Code Code
- A7041 water seal drainage container tubing use HCPCS Code Code
- A7042 implanted pleural catheter each HCPCS Code Code
- A7043 vacuum drainage bottle tubing use implanted HCPCS Code Code
- A7044 oral interface used positive airway pressure HCPCS Code Code
- A7045 exhalation port swivel used accessories positive HCPCS Code Code
- A7046 water chamber humidifier used positive airway HCPCS Code Code
- A7047 Oral interface used with respiratory suction pump, HCPCS Code Code
- A7048 Vacuum drainage collection unit and tubing kit, HCPCS Code Code
- A7049 Expiratory positive airway pressure intranasal resistance valve HCPCS Code Code
- A7501 tracheostoma valve including diaphragm each HCPCS Code Code
- A7502 replacement diaphragmfaceplate tracheostoma valve each HCPCS Code Code
- A7503 filter holder filter cap reusable use HCPCS Code Code
- A7504 filter use a tracheostoma heat moisture HCPCS Code Code
- A7505 housing reusable adhesive use a heat HCPCS Code Code
- A7506 adhesive disc use a heat moisture HCPCS Code Code
- A7507 filter holder integrated filter adhesive use HCPCS Code Code
- A7508 housing integrated adhesive use a tracheostoma HCPCS Code Code
- A7509 filter holder integrated filter housing adhesive HCPCS Code Code
- A7520 tracheostomylaryngectomy tube noncuffed polyvinylchloride pvc silicone HCPCS Code Code
- A7521 tracheostomylaryngectomy tube cuffed polyvinylchloride pvc silicone HCPCS Code Code
- A7522 tracheostomylaryngectomy tube stainless steel equal sterilizable HCPCS Code Code
- A7523 tracheostomy shower protector each HCPCS Code Code
- A7524 tracheostoma stentstudbutton each HCPCS Code Code
- A7525 tracheostomy mask each HCPCS Code Code
- A7526 tracheostomy tube collarholder each HCPCS Code Code
- A7527 tracheostomylaryngectomy tube plugstop each HCPCS Code Code
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HCPCS Medical Codes & Code Modifiers
(HCPCS is commonly pronounced Hick-Picks.)Each year, in the United States, health care insurers process over 5 billion claims for payment. For Medicare and other health insurance programs to ensure that these claims are processed in an orderly and consistent manner, standardized coding systems are essential. The HCPCS Level II Code Set is one of the standard code sets used for this purpose. The HCPCS is divided into two principal subsystems, referred to as level I and level II of the HCPCS. Level I of the HCPCS is comprised of CPT (Current Procedural Terminology), a numeric coding system maintained by the American Medical Association (AMA). The CPT is a uniform coding system consisting of descriptive terms and identifying codes that are used primarily to identify medical services and procedures furnished by physicians and other health care professionals. These health care professionals use the CPT to identify services and procedures for which they bill public or private health insurance programs. Decisions regarding the addition, deletion, or revision of CPT codes are made by the AMA. The CPT codes are republished and updated annually by the AMA. Level I of the HCPCS, the CPT codes, does not include codes needed to separately report medical items or services that are regularly billed by suppliers other than physicians.
Level II of the HCPCS is a standardized coding system that is used primarily to identify products, supplies, and services not included in the CPT codes, such as ambulance services and durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS) when used outside a physician's office. Because Medicare and other insurers cover a variety of services, supplies, and equipment that are not identified by CPT codes, the level II HCPCS codes were established for submitting claims for these items. The development and use of level II of the HCPCS began in the 1980's. Level II codes are also referred to as alpha-numeric codes because they consist of a single alphabetical letter followed by 4 numeric digits, while CPT codes are identified using 5 numeric digits.
In October of 2003, the Secretary of HHS delegated authority under the HIPAA legislation to CMS to maintain and distribute HCPCS Level II Codes. As stated in 42 CFR Sec. 414.40 (a) CMS establishes uniform national definitions of services, codes to represent services, and payment modifiers to the codes. Within CMS there is a CMS HCPCS Workgroup which is an internal workgroup comprised of representatives of the major components of CMS, as well as other consultants from pertinent Federal agencies. Prior to December 31, 2003, Level III HCPCS were developed and used by Medicaid State agencies, Medicare contractors, and private insurers in their specific programs or local areas of jurisdiction. For purposes of Medicare, level III codes were also referred to as local codes. Local codes were established when an insurer preferred that suppliers use a local code to identify a service, for which there is no level I or level II code, rather than use a "miscellaneous or not otherwise classified code." The Health Insurance Portability and Accountability Act of 1996 (HIPAA) required CMS to adopt standards for coding systems that are used for reporting health care transactions. We published, in the Federal Register on August 17, 2000 (65 FR 50312), regulations to implement this part of the HIPAA legislation. These regulations provided for the elimination of level III local codes by October 2002, at which time, the level I and level II code sets could be used. The elimination of local codes was postponed, as a result of section 532(a) of BIPA, which continued the use of local codes through December 31, 2003.
(Source: http://www.cms.hhs.gov/MedHCPCSGenInfo/)
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