A9155 HCPCS Level II Code: Artificial saliva, 30 ml
Medicare Coverage & Payment
- Medicare coverage: Carrier judgment (CMS coverage code C)
- Pricing indicator: 57
- BETOS: Z2 — Undefined codes
- Last CMS action effective: April 1, 2025
- Terminated: March 31, 2025
Source: CMS HCPCS Level II release. Coverage codes indicate how Medicare treats the code, not whether a specific claim will be paid; payer policy and documentation still govern.
Code Set: Removed from the code set — not valid on or after April 1, 2025.
Official Registry Overview & Definition
Artificial saliva, 30 ml is a HCPCS Level II code (A9155). CMS assigns coverage code C — Carrier judgment. CMS terminated this code effective March 31, 2025; it cannot be reported for later dates of service. Short description: Artificial saliva.
Change history
- 2025-04-01Removed from the code setArtificial saliva, 30 ml
- 2008-01-01Added to the code setArtificial saliva, 30 ml
Nearest Codes in This Family
Official HCPCS Level II classifications closest to A9155 in its code family, with their registry titles.
- A9150 — Non-prescription drugs
- A9152 — Single vitamin/mineral/trace element, oral, per dose, not otherwise specified
- A9153 — Multiple vitamins, with or without minerals and trace elements, oral, per dose, not otherwise specified
- A9154 — Artificial saliva, 1 ml
- A9156 — Oral mucoadhesive, any type (liquid, gel, paste, etc.), per 1 ml
- A9180 — Pediculosis (lice infestation) treatment, topical, for administration by patient/caretaker