HCPCS Level II 1984 code changes

Added effective January 1, 1984 (108)

• A0110 — Non-emergency transportation and bus, intra or inter state carrier
• A0160 — Non-emergency transportation: per mile - case worker or social worker
• A0190 — Non-emergency transportation: ancillary: meals-recipient
• A0210 — Non-emergency transportation: ancillary: meals-escort
• A4355 — Irrigation tubing set for continuous bladder irrigation through a three-way indwelling foley catheter, each
• A4556 — Electrodes, (e.g., apnea monitor), per pair
• A4557 — Lead wires, (e.g., apnea monitor), per pair
• A4590 — Special casting material (e.g., fiberglass)
• B4152 — Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit
• B4154 — Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit
• B4168 — Parenteral nutrition solution; amino acid, 3.5%, (500 ml = 1 unit) - home mix
• B4172 — Parenteral nutrition solution; amino acid, 5.5% through 7%, (500 ml = 1 unit) - home mix
• B4216 — Parenteral nutrition; additives (vitamins, trace elements, heparin, electrolytes), home mix, per day
• B4220 — Parenteral nutrition supply kit; premix, per day
• E0840 — Traction frame, attached to headboard, cervical traction
• J0210 — Injection, methyldopate hcl, up to 250 mg
• J0280 — Injection, aminophyllin, up to 250 mg
• J0290 — Injection, ampicillin sodium, 500 mg
• J0520 — Injection, bethanechol chloride, myotonachol or urecholine, up to 5 mg
• J0780 — Injection, prochlorperazine, up to 10 mg
• J1240 — Injection, dimenhydrinate, up to 50 mg
• J1460 — Injection, gamma globulin, intramuscular, 1 cc
• J1560 — Injection, gamma globulin, intramuscular, over 10 cc
• J1580 — Injection, garamycin, gentamicin, up to 80 mg
• J2930 — Injection, methylprednisolone sodium succinate, up to 125 mg
• J7040 — Infusion, normal saline solution, sterile (500 ml = 1 unit)
• J7042 — 5% dextrose/normal saline (500 ml = 1 unit)
• J9000 — Injection, doxorubicin hydrochloride, 10 mg
• J9020 — Injection, asparaginase, not otherwise specified, 10,000 units
• J9040 — Injection, bleomycin sulfate, 15 units
• J9050 — Injection, carmustine, 100 mg
• J9060 — Injection, cisplatin, powder or solution, 10 mg
• J9070 — Cyclophosphamide, 100 mg
• J9120 — Injection, dactinomycin, 0.5 mg
• J9190 — Injection, fluorouracil, 500 mg
• J9200 — Injection, floxuridine, 500 mg
• J9260 — Injection, methotrexate sodium, 50 mg
• J9270 — Injection, plicamycin, 2.5 mg
• J9340 — Injection, thiotepa, 15 mg
• L0130 — Cervical, flexible, thermoplastic collar, molded to patient
• L0180 — Cervical, multiple post collar, occipital/mandibular supports, adjustable
• L0200 — Cervical, multiple post collar, occipital/mandibular supports, adjustable cervical bars, and thoracic extension
• L0700 — Cervical-thoracic-lumbar-sacral-orthoses (ctlso), anterior-posterior-lateral control, molded to patient model, (minerva type)
• L0710 — Ctlso, anterior-posterior-lateral-control, molded to patient model, with interface material, (minerva type)
• L2090 — Hip knee ankle foot orthosis, torsion control, unilateral torsion cable, ball bearing hip joint, pelvic band/ belt, custom fabricated
• L3001 — Foot, insert, removable, molded to patient model, spenco, each
• L3002 — Foot, insert, removable, molded to patient model, plastazote or equal, each
• L3003 — Foot, insert, removable, molded to patient model, silicone gel, each
• L3070 — Foot, arch support, non-removable attached to shoe, longitudinal, each
• L3080 — Foot, arch support, non-removable attached to shoe, metatarsal, each
• L3090 — Foot, arch support, non-removable attached to shoe, longitudinal/metatarsal, each
• L3150 — Foot, abduction rotation bar, without shoes
• L3170 — Foot, plastic, silicone or equal, heel stabilizer, prefabricated, off-the-shelf, each
• L3201 — Orthopedic shoe, oxford with supinator or pronator, infant
• L3202 — Orthopedic shoe, oxford with supinator or pronator, child
• L3203 — Orthopedic shoe, oxford with supinator or pronator, junior
• L3204 — Orthopedic shoe, hightop with supinator or pronator, infant
• L3206 — Orthopedic shoe, hightop with supinator or pronator, child
• L3207 — Orthopedic shoe, hightop with supinator or pronator, junior
• L3208 — Surgical boot, each, infant
• L3209 — Surgical boot, each, child
• L3211 — Surgical boot, each, junior
• L3212 — Benesch boot, pair, infant
• L3213 — Benesch boot, pair, child
• L3214 — Benesch boot, pair, junior
• L3215 — Orthopedic footwear, ladies shoe, oxford, each
• L3216 — Orthopedic footwear, ladies shoe, depth inlay, each
• L3217 — Orthopedic footwear, ladies shoe, hightop, depth inlay, each
• L3219 — Orthopedic footwear, mens shoe, oxford, each
• L3221 — Orthopedic footwear, mens shoe, depth inlay, each
• L3222 — Orthopedic footwear, mens shoe, hightop, depth inlay, each
• L3230 — Orthopedic footwear, custom shoe, depth inlay, each
• L3250 — Orthopedic footwear, custom molded shoe, removable inner mold, prosthetic shoe, each
• L3251 — Foot, shoe molded to patient model, silicone shoe, each
• L3252 — Foot, shoe molded to patient model, plastazote (or similar), custom fabricated, each
• L3253 — Foot, molded shoe plastazote (or similar) custom fitted, each
• L3254 — Non-standard size or width
• L3255 — Non-standard size or length
• L3260 — Surgical boot/shoe, each
• L3265 — Plastazote sandal, each
• L3360 — Sole wedge, outside sole
• L3370 — Sole wedge, between sole
• L3400 — Metatarsal bar wedge, rocker
• L3410 — Metatarsal bar wedge, between sole
• L3420 — Full sole and heel wedge, between sole
• L3440 — Heel, counter, leather reinforced
• L3450 — Heel, sach cushion type
• L3455 — Heel, new leather, standard
• L3460 — Heel, new rubber, standard
• L3465 — Heel, thomas with wedge
• L3470 — Heel, thomas extended to ball
• L3480 — Heel, pad and depression for spur
• L3485 — Heel, pad, removable for spur
• L3720 — Elbow orthosis, double upright with forearm/arm cuffs, free motion, custom fabricated
• L3901 — Wrist hand finger orthosis, dynamic flexor hinge, reciprocal wrist extension/ flexion, finger flexion/extension, cable driven, custom fabricated
• L3982 — Upper extremity fracture orthosis, radius/ulnar, prefabricated, includes fitting and adjustment
• L4130 — Replace pretibial shell
• L5678 — Additions to lower extremity, below knee, joint covers, pair
• L6350 — Interscapular thoracic, molded socket, shoulder bulkhead, humeral section, internal locking elbow, forearm
• L6550 — Shoulder disarticulation, molded socket, endoskeletal system, including soft prosthetic tissue shaping
• L6570 — Interscapular thoracic, molded socket, endoskeletal system, including soft prosthetic tissue shaping
• R0076 — Transportation of portable ekg to facility or location, per patient
• V2410 — Variable asphericity lens, single vision, full field, glass or plastic, per lens
• V2430 — Variable asphericity lens, bifocal, full field, glass or plastic, per lens
• V2499 — Variable sphericity lens, other type
• V2520 — Contact lens, hydrophilic, spherical, per lens
• V5010 — Assessment for hearing aid
• V5020 — Conformity evaluation