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)
Last Updated Dec 12 , 2023