Article Detail - JA DME
January 2024 HCPCS Updates
CMS has released the January 2024 Healthcare Common Procedure Coding System (HCPCS) File. Inclusion on this list does not indicate coverage. All HCPCS code changes are effective and should be used for claims with dates of service on or after January 1, 2024. Please watch the Noridian website for additional policy updates regarding HCPCS codes.
Added HCPCS Codes
Effective for dates of service on and after January 1, 2024
| HCPC | DESCRIPTION |
|---|---|
| A4287 | Disposable collection and storage bag for breast milk, any size, any type, each |
| A4457 | Enema tube, with or without adapter, any type, replacement only, each |
| A4468 | Exsufflation belt, includes all supplies and accessories |
| A4540 | Distal transcutaneous electrical nerve stimulator, stimulates peripheral nerves of the upper arm |
| A4541 | Monthly supplies for use of device coded at e0733 |
| A4542 | Supplies and accessories for external upper limb tremor stimulator of the peripheral nerves of the wrist |
| A6520 | Gradient compression garment, glove, padded, for nighttime use, each |
| A6521 | Gradient compression garment, glove, padded, for nighttime use, custom, each |
| A6522 | Gradient compression garment, arm, padded, for nighttime use, each |
| A6523 | Gradient compression garment, arm, padded, for nighttime use, custom, each |
| A6524 | Gradient compression garment, lower leg and foot, padded, for nighttime use, each |
| A6525 | Gradient compression garment, lower leg and foot, padded, for nighttime use, custom, each |
| A6526 | Gradient compression garment, full leg and foot, padded, for nighttime use, each |
| A6527 | Gradient compression garment, full leg and foot, padded, for nighttime use, custom, each |
| A6528 | Gradient compression garment, bra, for nighttime use, each |
| A6529 | Gradient compression garment, bra, for nighttime use, custom, each |
| A6552 | Gradient compression stocking, below knee, 30-40 mmhg, each |
| A6553 | Gradient compression stocking, below knee, 30-40 mmhg, custom, each |
| A6554 | Gradient compression stocking, below knee, 40 mmhg or greater, each |
| A6555 | Gradient compression stocking, below knee, 40 mmhg or greater, custom, each |
| A6556 | Gradient compression stocking, thigh length, 18-30 mmhg, custom, each |
| A6557 | Gradient compression stocking, thigh length, 30-40 mmhg, custom, each |
| A6558 | Gradient compression stocking, thigh length, 40 mmhg or greater, custom, each |
| A6559 | Gradient compression stocking, full length/chap style, 18-30 mmhg, custom, each |
| A6560 | Gradient compression stocking, full length/chap style, 30-40 mmhg, custom, each |
| A6561 | Gradient compression stocking, full length/chap style, 40 mmhg or greater, custom, each |
| A6562 | Gradient compression stocking, waist length, 18-30 mmhg, custom, each |
| A6563 | Gradient compression stocking, waist length, 30-40 mmhg, custom, each |
| A6564 | Gradient compression stocking, waist length, 40 mmhg or greater, custom, each |
| A6565 | Gradient compression gauntlet, custom, each |
| A6566 | Gradient compression garment, neck/head, each |
| A6567 | Gradient compression garment, neck/head, custom, each |
| A6568 | Gradient compression garment, torso and shoulder, each |
| A6569 | Gradient compression garment, torso/shoulder, custom, each |
| A6570 | Gradient compression garment, genital region, each |
| A6571 | Gradient compression garment, genital region, custom, each |
| A6572 | Gradient compression garment, toe caps, each |
| A6573 | Gradient compression garment, toe caps, custom, each |
| A6574 | Gradient compression arm sleeve and glove combination, custom, each |
| A6575 | Gradient compression arm sleeve and glove combination, each |
| A6576 | Gradient compression arm sleeve, custom, medium weight, each |
| A6577 | Gradient compression arm sleeve, custom, heavy weight, each |
| A6578 | Gradient compression arm sleeve, each |
| A6579 | Gradient compression glove, custom, medium weight, each |
| A6580 | Gradient compression glove, custom, heavy weight, each |
| A6581 | Gradient compression glove, each |
| A6582 | Gradient compression gauntlet, each |
| A6583 | Gradient compression wrap with adjustable straps, below knee, 30-50 mmhg, each |
| A6584 | Gradient compression wrap with adjustable straps, not otherwise specified |
| A6585 | Gradient pressure wrap with adjustable straps, above knee, each |
| A6586 | Gradient pressure wrap with adjustable straps, full leg, each |
| A6587 | Gradient pressure wrap with adjustable straps, foot, each |
| A6588 | Gradient pressure wrap with adjustable straps, arm, each |
| A6589 | Gradient pressure wrap with adjustable straps, bra, each |
| A6593 | Accessory for gradient compression garment or wrap with adjustable straps, not-otherwise specified |
| A6594 | Gradient compression bandaging supply, bandage liner, lower extremity, any size or length, each |
| A6595 | Gradient compression bandaging supply, bandage liner, upper extremity, any size or length, each |
| A6596 | Gradient compression bandaging supply, conforming gauze, per linear yard, any width, each |
| A6597 | Gradient compression bandage roll, elastic long stretch, linear yard, any width, each |
| A6598 | Gradient compression bandage roll, elastic medium stretch, per linear yard, any width, each |
| A6599 | Gradient compression bandage roll, inelastic short stretch, per linear yard, any width, each |
| A6600 | Gradient compression bandaging supply, high density foam sheet, per 250 square centimeters, each |
| A6601 | Gradient compression bandaging supply, high density foam pad, any size or shape, each |
| A6602 | Gradient compression bandaging supply, high density foam roll for bandage, per linear yard, any width, each |
| A6603 | Gradient compression bandaging supply, low density channel foam sheet, per 250 square centimeters, each |
| A6604 | Gradient compression bandaging supply, low density flat foam sheet, per 250 square centimeters, each |
| A6605 | Gradient compression bandaging supply, padded foam, per linear yard, any width, each |
| A6606 | Gradient compression bandaging supply, padded textile, per linear yard, any width, each |
| A6607 | Gradient compression bandaging supply, tubular protective absorption layer, per linear yard, any width, each |
| A6608 | Gradient compression bandaging supply, tubular protective absorption padded layer, per linear yard, any width, each |
| A6609 | Gradient compression bandaging supply, not otherwise specified |
| A6610 | Gradient compression stocking, below knee, 18-30 mmhg, custom, each |
| A7023 | Mechanical allergen particle barrier/inhalation filter, cream, nasal, topical |
| E0492 | Power source and control electronics unit for oral device/appliance for neuromuscular electrical stimulation of the tongue muscle, controlled by phone application |
| E0493 | Oral device/appliance for neuromuscular electrical stimulation of the tongue muscle, used in conjunction with the power source and control electronics unit, controlled by phone application, 90-day supply |
| E0530 | Electronic positional obstructive sleep apnea treatment, with sensor, includes all components and accessories, any type |
| E0678 | Non-pneumatic sequential compression garment, full leg |
| E0679 | Non-pneumatic sequential compression garment, half leg |
| E0680 | Non-pneumatic compression controller with sequential calibrated gradient pressure |
| E0681 | Non-pneumatic compression controller without calibrated gradient pressure |
| E0682 | Non-pneumatic sequential compression garment, full arm |
| E0732 | Cranial electrotherapy stimulation (ces) system, any type |
| E0733 | Transcutaneous electrical nerve stimulator for electrical stimulation of the trigeminal nerve |
| E0734 | External upper limb tremor stimulator of the peripheral nerves of the wrist |
| E0735 | Non-invasive vagus nerve stimulator |
| E1301 | Whirlpool tub, walk-in, portable |
| E2001 | Suction pump, home model, portable or stationary, electric, any type, for use with external urine management system |
| E3000 | Speech volume modulation system, any type, including all components and accessories |
| L3161 | Foot, adductus positioning device, adjustable |
| L5615 | Addition, endoskeletal knee-shin system, 4 bar linkage or multiaxial, fluid swing and stance phase control |
| L5926 | Addition to lower extremity prosthesis, endoskeletal, knee disarticulation, above knee, hip disarticulation, positional rotation unit, any type |
| Q0516 | Pharmacy supplying fee for hiv pre-exposure prophylaxis fda approved prescription drug, per 30-days |
| Q0517 | Pharmacy supplying fee for hiv pre-exposure prophylaxis fda approved prescription drug, per 60-days |
| Q0518 | Pharmacy supplying fee for hiv pre-exposure prophylaxis fda approved prescription drug, per 90-days |
Description Update
The long description of the HCPCS code has been updated as of January 1, 2024
| HCPC | DESCRIPTION |
|---|---|
| A6531 | Gradient compression stocking, below knee, 30-40 mmhg, used as a surgical dressing, each |
| A6532 | Gradient compression stocking, below knee, 40-50 mmhg, used as a surgical dressing, each |
| A6545 | Gradient compression wrap, non-elastic, below knee, 30-50 mmhg, used as a surgical dressing, each |
| Q2052 | Services, supplies, and accessories used in the home for the administration of intravenous immune globulin (ivig) |
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