HCPCS Index 2017

Hemin,   J1640
Hydrocollator,   E0225, E0239
Hair analysis (excluding arsenic),   P2031
Hallus-Valgus dynamic splint,   L3100
Hallux prosthetic implant,   L8642
Haloperidol,   J1630
decanoate,   J1631
Halo procedures,   L0810 - L0860
Halo procedure, cervical halo incorporated into jacket vest   L0810
Halo procedure, cervical halo incorporated into plaster body jacket   L0820
Halo procedure, cervical halo incorporated into milwaukee type orthosis   L0830
Addition to halo procedure, magnetic resonance image compatible systems, rings and pins, any material   L0859
Halter, cervical head,   E0942
Hand finger orthosis, prefabricated,   L3923
Hand restoration,   L6900 - L6915
Hand restoration (casts, shading and measurements included), partial hand, with glove, thumb or one finger remaining   L6900
Hand restoration (casts, shading and measurements included), partial hand, with glove, multiple fingers remaining   L6905
Hand restoration (casts, shading and measurements included), partial hand, with glove, no fingers remaining   L6910
Hand restoration (shading, and measurements included), replacement glove for above   L6915
partial prosthesis,   L6000 - L6020
Partial hand, thumb remaining   L6000
Partial hand, little andor ring finger remaining   L6010
Partial hand, no finger remaining   L6020
orthosis (WHFO),   E1805, E1825, L3800 - L3805 , L3900 - L3954
Wrist hand orthosis, includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft interface, straps, custom fabricated, includes fitting and adjustment   L3905
Wrist hand finger orthosis, dynamic flexor hinge, reciprocal wrist extension flexion, finger flexionextension, wrist or finger driven, custom-fabricated   L3900
Wrist hand finger orthosis, dynamic flexor hinge, reciprocal wrist extension flexion, finger flexionextension, cable driven, custom-fabricated   L3901
Wrist hand orthosis, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment   L3906
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, includes fitting and adjustment   L3908
Wrist hand finger orthosis, external powered, electric, custom-fabricated   L3904
Hand finger orthosis, flexion glove with elastic finger control, prefabricated, includes fitting and adjustment   L3912
Hand finger orthosis, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment   L3913
Wrist hand orthosis, includes one or more nontorsion joint(s), elastic bands, turnbuckles, may include soft interface, straps, prefabricated, includes fitting and adjustment   L3915
Wrist hand orthosis, includes one or more nontorsion joint(s), elastic bands, turnbuckles, may include soft interface, straps, prefabricated, off-the-shelf   L3916
Hand orthosis, metacarpal fracture orthosis, prefabricated, includes fitting and adjustment   L3917
Hand orthosis, metacarpal fracture orthosis, prefabricated, off-the-shelf   L3918
Hand orthosis, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment   L3919
Hand finger orthosis, includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft interface, straps, custom fabricated, includes fitting and adjustment   L3921
Hand finger orthosis, without joints, may include soft interface, straps, prefabricated, includes fitting and adjustment   L3923
Hand finger orthosis, without joints, may include soft interface, straps, prefabricated, off-the-shelf   L3924
Finger orthosis, proximal interphalangeal (pip)distal interphalangeal (dip), non torsion jointspring, extensionflexion, may include soft interface material, prefabricated, includes fitting and adjustment   L3925
Finger orthosis, proximal interphalangeal (pip)distal interphalangeal (dip), without jointspring, extensionflexion (eg static or ring type), may include soft interface material, prefabricated, includes fitting and adjustment   L3927
Hand finger orthosis, includes one or more nontorsion joint(s), turnbuckles, elastic bandssprings, may include soft interface material, straps, prefabricated, includes fitting and adjustment   L3929
Hand finger orthosis, includes one or more nontorsion joint(s), turnbuckles, elastic bandssprings, may include soft interface material, straps, prefabricated, off-the-shelf   L3930
Wrist hand finger orthosis, includes one or more nontorsion joint(s), turnbuckles, elastic bandssprings, may include soft interface material, straps, prefabricated, includes fitting and adjustment   L3931
Finger orthosis, without joints, may include soft interface, custom fabricated, includes fitting and adjustment   L3933
Finger orthosis, nontorsion joint, may include soft interface, custom fabricated, includes fitting and adjustment   L3935
rims, wheelchair,   E0967
Handgrip (cane, crutch, walker),   A4636
Harness,   E0942, E0944, E0945
Headgear (for positive airway pressure device),   K018
Hearing devices,   V5000 - V5299 , L8614
Hearing screening   V5008
Assessment for hearing aid   V5010
Fittingorientationchecking of hearing aid   V5011
Repairmodification of a hearing aid   V5014
Conformity evaluation   V5020
Hearing aid, monaural, body worn, air conduction   V5030
Hearing aid, monaural, body worn, bone conduction   V5040
Hearing aid, monaural, in the ear   V5050
Hearing aid, monaural, behind the ear   V5060
Glasses, air conduction   V5070
Glasses, bone conduction   V5080
Dispensing fee, unspecified hearing aid   V5090
Semi-implantable middle ear hearing prosthesis   V5095
Hearing aid, bilateral, body worn   V5100
Dispensing fee, bilateral   V5110
Binaural, body   V5120
Binaural, in the ear   V5130
Binaural, behind the ear   V5140
Binaural, glasses   V5150
Dispensing fee, binaural   V5160
Hearing aid, cros, in the ear   V5170
Hearing aid, cros, behind the ear   V5180
Hearing aid, cros, glasses   V5190
Dispensing fee, cros   V5200
Hearing aid, bicros, in the ear   V5210
Hearing aid, bicros, behind the ear   V5220
Hearing aid, bicros, glasses   V5230
Dispensing fee, bicros   V5240
Dispensing fee, monaural hearing aid, any type   V5241
Hearing aid, analog, monaural, cic (completely in the ear canal)   V5242
Hearing aid, analog, monaural, itc (in the canal)   V5243
Hearing aid, digitally programmable analog, monaural, cic   V5244
Hearing aid, digitally programmable, analog, monaural, itc   V5245
Hearing aid, digitally programmable analog, monaural, ite (in the ear)   V5246
Hearing aid, digitally programmable analog, monaural, bte (behind the ear)   V5247
Hearing aid, analog, binaural, cic   V5248
Hearing aid, analog, binaural, itc   V5249
Hearing aid, digitally programmable analog, binaural, cic   V5250
Hearing aid, digitally programmable analog, binaural, itc   V5251
Hearing aid, digitally programmable, binaural, ite   V5252
Hearing aid, digitally programmable, binaural, bte   V5253
Hearing aid, digital, monaural, cic   V5254
Hearing aid, digital, monaural, itc   V5255
Hearing aid, digital, monaural, ite   V5256
Hearing aid, digital, monaural, bte   V5257
Hearing aid, digital, binaural, cic   V5258
Hearing aid, digital, binaural, itc   V5259
Hearing aid, digital, binaural, ite   V5260
Hearing aid, digital, binaural, bte   V5261
Hearing aid, disposable, any type, monaural   V5262
Hearing aid, disposable, any type, binaural   V5263
Ear moldinsert, not disposable, any type   V5264
Ear moldinsert, disposable, any type   V5265
Battery for use in hearing device   V5266
Hearing aid or assistive listening devicesuppliesaccessories, not otherwise specified   V5267
Assistive listening device, telephone amplifier, any type   V5268
Assistive listening device, alerting, any type   V5269
Assistive listening device, television amplifier, any type   V5270
Assistive listening device, television caption decoder   V5271
Assistive listening device, tdd   V5272
Assistive listening device, for use with cochlear implant   V5273
Assistive listening device, not otherwise specified   V5274
Ear impression, each   V5275
Assistive listening device, personal fmdm system, monaural, (1 receiver, transmitter, microphone), any type   V5281
Assistive listening device, personal fmdm system, binaural, (2 receivers, transmitter, microphone), any type   V5282
Assistive listening device, personal fmdm neck, loop induction receiver   V5283
Assistive listening device, personal fmdm, ear level receiver   V5284
Assistive listening device, personal fmdm, direct audio input receiver   V5285
Assistive listening device, personal blue tooth fmdm receiver   V5286
Assistive listening device, personal fmdm receiver, not otherwise specified   V5287
Assistive listening device, personal fmdm transmitter assistive listening device   V5288
Assistive listening device, personal fmdm adapterboot coupling device for receiver, any type   V5289
Assistive listening device, transmitter microphone, any type   V5290
Hearing aid, not otherwise classified   V5298
Hearing service, miscellaneous   V5299
application,   E0200 - E0239
Heat lamp, without stand (table model), includes bulb, or infrared element   E0200
Phototherapy (bilirubin) light with photometer   E0202
Therapeutic lightbox, minimum 10,000 lux, table top model   E0203
Heat lamp, with stand, includes bulb, or infrared element   E0205
Electric heat pad, standard   E0210
Electric heat pad, moist   E0215
Water circulating heat pad with pump   E0217
Water circulating cold pad with pump   E0218
Infrared heating pad system   E0221
Hydrocollator unit, includes pads   E0225
Non-contact wound warming device (temperature control unit, ac adapter and power cord) for use with warming card and wound cover   E0231
Warming card for use with the non contact wound warming device and non contact wound warming wound cover   E0232
Paraffin bath unit, portable (see medical supply code a4265 for paraffin)   E0235
Pump for water circulating pad   E0236
Hydrocollator unit, portable   E0239
lamp,   E0200, E0205
infrared heating pad system,   A4639, E0221
pad,   A9273, E0210, E0215, E0237, E0249
Heater (nebulizer),   E1372
elevator, air,   E0370
protector,   E0191
shoe,   L3430 - L3485
Heel, counter, plastic reinforced   L3430
Heel, counter, leather reinforced   L3440
Heel, sach cushion type   L3450
Heel, new leather, standard   L3455
Heel, new rubber, standard   L3460
Heel, thomas with wedge   L3465
Heel, thomas extended to ball   L3470
Heel, pad and depression for spur   L3480
Heel, pad, removable for spur   L3485
stabilizer,   L3170
Helmet, cervical,   L0100, L0110
Helmet, head,   A8000 - A8004
Helmet, protective, soft, prefabricated, includes all components and accessories   A8000
Helmet, protective, hard, prefabricated, includes all components and accessories   A8001
Helmet, protective, soft, custom fabricated, includes all components and accessories   A8002
Helmet, protective, hard, custom fabricated, includes all components and accessories   A8003
Soft interface for helmet, replacement only   A8004
Hemi-wheelchair,   E1083 - E1086
Hemi-wheelchair, fixed full length arms, swing away detachable elevating leg rest   E1083
Hemi-wheelchair, detachable arms desk or full length arms, swing away detachable elevating leg rests   E1084
Hemi-wheelchair, fixed full length arms, swing away detachable foot rests   E1085
Hemi-wheelchair detachable arms desk or full length, swing away detachable footrests   E1086
Hemipelvectomy prosthesis,   L5280
machine,   E1590
Hemodialyzer, portable,   E1635
Hemofil M,   J7190
Hemophilia clotting factor,   J7190 - J7198
Factor viii (antihemophilic factor, human) per i U   J7190
Factor viii (antihemophilic factor (porcine)), per i U   J7191
Factor viii (antihemophilic factor, recombinant) per i U , not otherwise specified   J7192
Factor ix (antihemophilic factor, purified, non-recombinant) per i U   J7193
Factor ix, complex, per i U   J7194
Factor ix (antihemophilic factor, recombinant) per i U   J7195
Injection, antithrombin recombinant, 50 i U   J7196
Antithrombin iii (human), per i U   J7197
Anti-inhibitor, per i U   J7198
Hemophilia clotting factor, NOC,   J7199
Hemostats,   A485
Hemostix,   A4773
Hepagam B IM,   J1571
Hepagam B IV,   J1573
Heparin infusion pump, dialysis,   E1520
Heparin lock flush,   J1642
Heparin sodium,   J1644
Hep-Lock (UP),   J1642
Hexalite,   A4590
High osmolar contrast material,   Q9958 - Q9964
High osmolar contrast material, up to 149 mgml iodine concentration, per ml   Q9958
High osmolar contrast material, 150-199 mgml iodine concentration, per ml   Q9959
High osmolar contrast material, 200-249 mgml iodine concentration, per ml   Q9960
High osmolar contrast material, 250-299 mgml iodine concentration, per ml   Q9961
High osmolar contrast material, 300-349 mgml iodine concentration, per ml   Q9962
High osmolar contrast material, 350-399 mgml iodine concentration, per ml   Q9963
High osmolar contrast material, 400 or greater mgml iodine concentration, per ml   Q9964
disarticulation prosthesis,   L5250, L5270
orthosis (HO),   L1600 - L1690
Hip orthosis, abduction control of hip joints, flexible, frejka type with cover, prefabricated, includes fitting and adjustment   L1600
Hip orthosis, abduction control of hip joints, flexible, (frejka cover only), prefabricated, includes fitting and adjustment   L1610
Hip orthosis, abduction control of hip joints, flexible, (pavlik harness), prefabricated, includes fitting and adjustment   L1620
Hip orthosis, abduction control of hip joints, semi-flexible (von rosen type), custom-fabricated   L1630
Hip orthosis, abduction control of hip joints, static, pelvic band or spreader bar, thigh cuffs, custom-fabricated   L1640
Hip orthosis, abduction control of hip joints, static, adjustable, (ilfled type), prefabricated, includes fitting and adjustment   L1650
Hip orthosis, bilateral thigh cuffs with adjustable abductor spreader bar, adult size, prefabricated, includes fitting and adjustment, any type   L1652
Hip orthosis, abduction control of hip joints, static, plastic, prefabricated, includes fitting and adjustment   L1660
Hip orthosis, abduction control of hip joints, dynamic, pelvic control, adjustable hip motion control, thigh cuffs (rancho hip action type), custom fabricated   L1680
Hip orthosis, abduction control of hip joint, postoperative hip abduction type, custom fabricated   L1685
Hip orthosis, abduction control of hip joint, postoperative hip abduction type, prefabricated, includes fitting and adjustment   L1686
Combination, bilateral, lumbo-sacral, hip, femur orthosis providing adduction and internal rotation control, prefabricated, includes fitting and adjustment   L1690
Hip-knee-ankle-foot orthosis (HKAFO),   L2040 - L2090
Hip knee ankle foot orthosis, torsion control, bilateral rotation straps, pelvic bandbelt, custom fabricated   L2040
Hip knee ankle foot orthosis, torsion control, bilateral torsion cables, hip joint, pelvic bandbelt, custom-fabricated   L2050
Hip knee ankle foot orthosis, torsion control, bilateral torsion cables, ball bearing hip joint, pelvic band belt, custom-fabricated   L2060
Hip knee ankle foot orthosis, torsion control, unilateral rotation straps, pelvic bandbelt, custom fabricated   L2070
Hip knee ankle foot orthosis, torsion control, unilateral torsion cable, hip joint, pelvic bandbelt, custom-fabricated   L2080
Hip knee ankle foot orthosis, torsion control, unilateral torsion cable, ball bearing hip joint, pelvic band belt, custom-fabricated   L2090
Histrelin acetate,   J1675
Histrelin implant,   J9225
HKAFO,   L2040 - L2090
Hip knee ankle foot orthosis, torsion control, bilateral rotation straps, pelvic bandbelt, custom fabricated   L2040
Hip knee ankle foot orthosis, torsion control, bilateral torsion cables, hip joint, pelvic bandbelt, custom-fabricated   L2050
Hip knee ankle foot orthosis, torsion control, bilateral torsion cables, ball bearing hip joint, pelvic band belt, custom-fabricated   L2060
Hip knee ankle foot orthosis, torsion control, unilateral rotation straps, pelvic bandbelt, custom fabricated   L2070
Hip knee ankle foot orthosis, torsion control, unilateral torsion cable, hip joint, pelvic bandbelt, custom-fabricated   L2080
Hip knee ankle foot orthosis, torsion control, unilateral torsion cable, ball bearing hip joint, pelvic band belt, custom-fabricated   L2090
Home Health Agency Services,   T022
Hot water bottle,   A9273
Human fibrinogen concentrate,   J7178
Humidifier,   A7046, E0550 - E0563
Humidifier, durable for extensive supplemental humidification during ippb treatments or oxygen delivery   E0550
Humidifier, durable, glass or autoclavable plastic bottle type, for use with regulator or flowmeter   E0555
Humidifier, durable for supplemental humidification during ippb treatment or oxygen delivery   E0560
Humidifier, non-heated, used with positive airway pressure device   E0561
Humidifier, heated, used with positive airway pressure device   E0562
Hyalgan,   J7321
Hyaluronan,   J7326, J7327
Hyaluronate, sodium,   J731
Hyaluronidase,   J3470
Hyaluronidase, ovine,   J3471 - J3473
Injection, hyaluronidase, ovine, preservative free, per 1 usp unit (up to 999 usp units)   J3471
Injection, hyaluronidase, ovine, preservative free, per 1000 usp units   J3472
Injection, hyaluronidase, recombinant, 1 usp unit   J3473
Hydralazine HCl,   J0360
Hydraulic patient lift,   E0630
Hydrocolloid dressing,   A6234 - A6241
Hydrocolloid dressing, wound cover, sterile, pad size 16 sq in Or less, without adhesive border, each dressing   A6234
Hydrocolloid dressing, wound cover, sterile, pad size more than 16 sq in but less than or equal to 48 sq in, without adhesive border, each dressing   A6235
Hydrocolloid dressing, wound cover, sterile, pad size more than 48 sq in, without adhesive border, each dressing   A6236
Hydrocolloid dressing, wound cover, sterile, pad size 16 sq in Or less, with any size adhesive border, each dressing   A6237
Hydrocolloid dressing, wound cover, sterile, pad size more than 16 sq in but less than or equal to 48 sq in, with any size adhesive border, each dressing   A6238
Hydrocolloid dressing, wound cover, sterile, pad size more than 48 sq in, with any size adhesive border, each dressing   A6239
Hydrocolloid dressing, wound filler, paste, sterile, per ounce   A6240
Hydrocolloid dressing, wound filler, dry form, sterile, per gram   A6241
acetate,   J1700
sodium phosphate,   J1710
sodium succinate,   J1720
Hydrogel dressing,   A6242 - A6248 , A6231 - A6233
Hydrogel dressing, wound cover, sterile, pad size 16 sq in Or less, without adhesive border, each dressing   A6242
Hydrogel dressing, wound cover, sterile, pad size more than 16 sq in but less than or equal to 48 sq in, without adhesive border, each dressing   A6243
Hydrogel dressing, wound cover, sterile, pad size more than 48 sq in, without adhesive border, each dressing   A6244
Hydrogel dressing, wound cover, sterile, pad size 16 sq in Or less, with any size adhesive border, each dressing   A6245
Hydrogel dressing, wound cover, sterile, pad size more than 16 sq in but less than or equal to 48 sq in, with any size adhesive border, each dressing   A6246
Hydrogel dressing, wound cover, sterile, pad size more than 48 sq in, with any size adhesive border, each dressing   A6247
Hydrogel dressing, wound filler, gel, per fluid ounce   A6248
Gauze, impregnated, hydrogel, for direct wound contact, sterile, pad size 16 sq in Or less, each dressing   A6231
Gauze, impregnated, hydrogel, for direct wound contact, sterile, pad size greater than 16 sq in, but less than or equal to 48 sq in, each dressing   A6232
Gauze, impregnated, hydrogel, for direct wound contact, sterile, pad size more than 48 sq in, each dressing   A6233
Hydromorphone,   J1170
Hydroxyprogesterone caproate,   J1725
Hydroxyzine HCl,   J3410
Hylan G-F 20,   J732
Hyoscyamine Sulfate,   J1980
Hyperbaric oxygen chamber, topical,   A4575
Hypertonic saline solution,   J713