CPT/HCPCS Section
HCPCS A: Transportation and Medical Supplies
93 procedure codes with Medicare Physician Fee Schedule payment data. Click a code for Facility vs Non-Facility rates, allowed amounts and utilization.
A0425Ground mileage, per statute mile$8→A0426Ambulance service, advanced life support, non-emergency transport, level 1 (als 1)$259→A0427Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)$412→A0428Ambulance service, basic life support, non-emergency transport, (bls)$206→A0429Ambulance service, basic life support, emergency transport (bls-emergency)$352→A0430Ambulance service, conventional air services, transport, one way (fixed wing)$4133→A0431Ambulance service, conventional air services, transport, one way (rotary wing)$4467→A0432Paramedic intercept (pi), rural area, transport furnished by a volunteer ambulance company which is prohibited by state law from billing third party payers$370→A0433Advanced life support, level 2 (als 2)$595→A0434Specialty care transport (sct)$729→A0435Fixed wing air mileage, per statute mile$12→A0436Rotary wing air mileage, per statute mile$31→A2001Innovamatrix ac, per square centimeter$888→A2002Mirragen advanced wound matrix, per square centimeter$235→A2005Microlyte matrix, per square centimeter$187→A2007Restrata, per square centimeter$109→A2014Omeza collagen matrix, per 100 mg$62→A2015Phoenix wound matrix, per square centimeter$1209→A2019Kerecis omega3 marigen shield, per square centimeter$593→A2021Neomatrix, per square centimeter$1042→A2022Innovaburn or innovamatrix xl, per square centimeter$999→A2024Resolve matrix or xenopatch, per square centimeter$1464→A2025Miro3d, per cubic centimeter$179→A4220Refill kit for implantable infusion pump$12→A4331Extension drainage tubing, any type, any length, with connector/adaptor, for use with urinary leg bag or urostomy pouch, each$3→A4333Urinary catheter anchoring device, adhesive skin attachment, each$2→A4334Urinary catheter anchoring device, leg strap, each$5→A4353Intermittent urinary catheter, with insertion supplies$7→A4561Pessary, reusable, rubber, any type$20→A4562Pessary, reusable, non rubber, any type$50→A4563Rectal control system for vaginal insertion, for long term use, includes pump and all supplies and accessories, any type each$1179→A4565Slings$7→A4641Radiopharmaceutical, diagnostic, not otherwise classified$200→A4648Tissue marker, implantable, any type, each$215→A4649Surgical supply; miscellaneous$309→A7048Vacuum drainage collection unit and tubing kit, including all supplies needed for collection unit change, for use with implanted catheter, each$45→A9500Technetium tc-99m sestamibi, diagnostic, per study dose$88→A9502Technetium tc-99m tetrofosmin, diagnostic, per study dose$145→A9503Technetium tc-99m medronate, diagnostic, per study dose, up to 30 millicuries$31→A9505Thallium tl-201 thallous chloride, diagnostic, per millicurie$32→A9509Iodine i-123 sodium iodide, diagnostic, per millicurie$243→A9510Technetium tc-99m disofenin, diagnostic, per study dose, up to 15 millicuries$40→A9512Technetium tc-99m pertechnetate, diagnostic, per millicurie$13→A9513Lutetium lu 177, dotatate, therapeutic, 1 millicurie$250→A9516Iodine i-123 sodium iodide, diagnostic, per 100 microcuries, up to 999 microcuries$56→A9517Iodine i-131 sodium iodide capsule(s), therapeutic, per millicurie$34→A9520Technetium tc-99m tilmanocept, diagnostic, up to 0.5 millicuries$498→A9521Technetium tc-99m exametazime, diagnostic, per study dose, up to 25 millicuries$1367→A9526Nitrogen n-13 ammonia, diagnostic, per study dose, up to 40 millicuries$844→A9528Iodine i-131 sodium iodide capsule(s), diagnostic, per millicurie$89→A9531Iodine i-131 sodium iodide, diagnostic, per microcurie (up to 100 microcuries)$26→A9537Technetium tc-99m mebrofenin, diagnostic, per study dose, up to 15 millicuries$34→A9538Technetium tc-99m pyrophosphate, diagnostic, per study dose, up to 25 millicuries$47→A9539Technetium tc-99m pentetate, diagnostic, per study dose, up to 25 millicuries$62→A9540Technetium tc-99m macroaggregated albumin, diagnostic, per study dose, up to 10 millicuries$75→A9541Technetium tc-99m sulfur colloid, diagnostic, per study dose, up to 20 millicuries$129→A9548Indium in-111 pentetate, diagnostic, per 0.5 millicurie$1034→A9552Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries$187→A9555Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries$420→A9556Gallium ga-67 citrate, diagnostic, per millicurie$89→A9557Technetium tc-99m bicisate, diagnostic, per study dose, up to 25 millicuries$321→A9558Xenon xe-133 gas, diagnostic, per 10 millicuries$199→A9560Technetium tc-99m labeled red blood cells, diagnostic, per study dose, up to 30 millicuries$92→A9561Technetium tc-99m oxidronate, diagnostic, per study dose, up to 30 millicuries$38→A9562Technetium tc-99m mertiatide, diagnostic, per study dose, up to 15 millicuries$489→A9567Technetium tc-99m pentetate, diagnostic, aerosol, per study dose, up to 75 millicuries$113→A9569Technetium tc-99m exametazime labeled autologous white blood cells, diagnostic, per study dose$1608→A9570Indium in-111 labeled autologous white blood cells, diagnostic, per study dose$2215→A9572Indium in-111 pentetreotide, diagnostic, per study dose, up to 6 millicuries$5022→A9573Injection, gadopiclenol, 1 ml$4→A9575Injection, gadoterate meglumine, 0.1 ml$0→A9576Injection, gadoteridol, (prohance multipack), per ml$1→A9577Injection, gadobenate dimeglumine (multihance), per ml$1→A9578Injection, gadobenate dimeglumine (multihance multipack), per ml$1→A9579Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml$1→A9581Injection, gadoxetate disodium, 1 ml$11→A9582Iodine i-123 iobenguane, diagnostic, per study dose, up to 15 millicuries$3860→A9584Iodine 1-123 ioflupane, diagnostic, per study dose, up to 5 millicuries$2069→A9585Injection, gadobutrol, 0.1 ml$0→A9586Florbetapir f18, diagnostic, per study dose, up to 10 millicuries$2515→A9587Gallium ga-68, dotatate, diagnostic, 0.1 millicurie$73→A9588Fluciclovine f-18, diagnostic, 1 millicurie$544→A9589Instillation, hexaminolevulinate hydrochloride, 100 mg$1053→A9591Fluoroestradiol f 18, diagnostic, 1 millicurie$724→A9592Copper cu-64, dotatate, diagnostic, 1 millicurie$1008→A9595Piflufolastat f-18, diagnostic, 1 millicurie$256→A9596Gallium ga-68 gozetotide, diagnostic, (illuccix), 1 millicurie$823→A9602Fluorodopa f-18, diagnostic, per millicurie$505→A9606Radium ra-223 dichloride, therapeutic, per microcurie$138→A9607Lutetium lu 177 vipivotide tetraxetan, therapeutic, 1 millicurie$187→A9608Flotufolastat f 18, diagnostic, 1 millicurie$647→A9698Non-radioactive contrast imaging material, not otherwise classified, per study$18→A9800Gallium ga-68 gozetotide, diagnostic, (locametz), 1 millicurie$842→