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HCPCS A-codes — Medical & surgical supplies, ambulance

A-codes cover medical and surgical supplies billed to the DME MACs — diabetic testing supplies, CPAP interfaces, ostomy, wound care, and incontinence products. Most are inexpensive but high-volume, so quantity limits and resupply cadences drive denials.

852 active codes in the April 2026 HCPCS file. PA = on Medicare's required prior-authorization list · Fee schedule = April 2026 DMEPOS amounts published.

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CodeDescriptionFlags
A0021 Ambulance service, outside state per mile, transport (medicaid only)
A0080 Non-emergency transportation, per mile - vehicle provided by volunteer (individual or organization), with no vested interest
A0090 Non-emergency transportation, per mile - vehicle provided by individual (family member, self, neighbor) with vested interest
A0100 Non-emergency transportation; taxi
A0110 Non-emergency transportation and bus, intra or inter state carrier
A0120 Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems
A0130 Non-emergency transportation: wheelchair van
A0140 Non-emergency transportation and air travel (private or commercial) intra or inter state
A0160 Non-emergency transportation: per mile - case worker or social worker
A0170 Transportation ancillary: parking fees, tolls, other
A0180 Non-emergency transportation: ancillary: lodging-recipient
A0190 Non-emergency transportation: ancillary: meals-recipient
A0200 Non-emergency transportation: ancillary: lodging escort
A0210 Non-emergency transportation: ancillary: meals-escort
A0225 Ambulance service, neonatal transport, base rate, emergency transport, one way
A0380 Bls mileage (per mile)
A0382 Bls routine disposable supplies
A0384 Bls specialized service disposable supplies; defibrillation (used by als ambulances and bls ambulances in jurisdictions where defibrillation is permitted in bls ambulances)
A0390 Als mileage (per mile)
A0392 Als specialized service disposable supplies; defibrillation (to be used only in jurisdictions where defibrillation cannot be performed in bls ambulances)
A0394 Als specialized service disposable supplies; iv drug therapy
A0396 Als specialized service disposable supplies; esophageal intubation
A0398 Als routine disposable supplies
A0420 Ambulance waiting time (als or bls), one half (1/2) hour increments
A0422 Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation
A0424 Extra ambulance attendant, ground (als or bls) or air (fixed or rotary winged); (requires medical review)
A0425 Ground mileage, per statute mile
A0426 Ambulance service, advanced life support, non-emergency transport, level 1 (als 1)
A0427 Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)
A0428 Ambulance service, basic life support, non-emergency transport, (bls)
A0429 Ambulance service, basic life support, emergency transport (bls-emergency)
A0430 Ambulance service, conventional air services, transport, one way (fixed wing)
A0431 Ambulance service, conventional air services, transport, one way (rotary wing)
A0432 Paramedic intercept (pi), rural area, transport furnished by a volunteer ambulance company which is prohibited by state law from billing third party payers
A0433 Advanced life support, level 2 (als 2)
A0434 Specialty care transport (sct)
A0435 Fixed wing air mileage, per statute mile
A0436 Rotary wing air mileage, per statute mile
A0888 Noncovered ambulance mileage, per mile (e.g., for miles traveled beyond closest appropriate facility)
A0998 Ambulance response and treatment, no transport
A0999 Unlisted ambulance service
A2001 Innovamatrix ac, per square centimeter (add-on, list separately in addition to primary procedure)
A2002 Mirragen advanced wound matrix, per square centimeter (add-on, list separately in addition to primary procedure)
A2004 Xcellistem, 1 mg
A2005 Microlyte matrix, per square centimeter (add-on, list separately in addition to primary procedure)
A2006 Novosorb synpath dermal matrix, per square centimeter (add-on, list separately in addition to primary procedure)
A2007 Restrata, per square centimeter (add-on, list separately in addition to primary procedure)
A2008 Theragenesis, per square centimeter (add-on, list separately in addition to primary procedure)
A2009 Symphony, per square centimeter (add-on, list separately in addition to primary procedure)
A2010 Apis, per square centimeter (add-on, list separately in addition to primary procedure)
A2011 Supra sdrm, per square centimeter (add-on, list separately in addition to primary procedure)
A2012 Suprathel, per square centimeter (add-on, list separately in addition to primary procedure)
A2013 Innovamatrix fs, per square centimeter (add-on, list separately in addition to primary procedure)
A2014 Omeza collagen matrix or omeza complete matrix, per 100 mg
A2015 Phoenix wound matrix, per square centimeter (add-on, list separately in addition to primary procedure)
A2016 Permeaderm b, per square centimeter (add-on, list separately in addition to primary procedure)
A2017 Permeaderm glove, each
A2018 Permeaderm c, per square centimeter (add-on, list separately in addition to primary procedure)
A2019 Kerecis omega3 marigen shield, per square centimeter (add-on, list separately in addition to primary procedure)
A2020 Ac5 advanced wound system (ac5)
A2021 Neomatrix, per square centimeter (add-on, list separately in addition to primary procedure)
A2022 Innovaburn or innovamatrix xl, per square centimeter (add-on, list separately in addition to primary procedure)
A2023 Innovamatrix pd, 1 mg
A2024 Resolve matrix or xenopatch, per square centimeter (add-on, list separately in addition to primary procedure)
A2025 Miro3d, per cubic centimeter (add-on, list separately in addition to primary procedure)
A2026 Restrata minimatrix, 5 mg
A2027 Matriderm, per square centimeter (add-on, list separately in addition to primary procedure)
A2028 Micromatrix flex, per mg
A2029 Mirotract wound matrix sheet, per cubic centimeter (add-on, list separately in addition to primary procedure)
A2030 Miro3d fibers, per milligram
A2031 Mirodry wound matrix, per square centimeter (add-on, list separately in addition to primary procedure)
A2032 Myriad matrix, per square centimeter (add-on, list separately in addition to primary procedure)
A2033 Myriad morcells, 4 milligrams
A2034 Foundation drs solo, per square centimeter (add-on, list separately in addition to primary procedure)
A2035 Corplex p or theracor p or allacor p, per milligram
A2036 Cohealyx collagen dermal matrix, per square centimeter (add-on, list separately in addition to primary procedure)
A2037 G4derm plus/suprello, per milliliter
A2038 Marigen pacto, per square centimeter (add-on, list separately in addition to primary procedure)
A2039 Innovamatrix fd, per square centimeter (add-on, list separately in addition to primary procedure)
A2040 Microlyte painguard, per square centimeter
A2041 Foundation drs+ duo, per square centimeter
A2042 Foundation drs+ solo, per square centimeter
A2043 Biobrane, per square centimeter
A2044 Biobrane glove, each
A2045 Novashield or novogen wound matrix, per square centimeter
A4100 Non-sheet form skin substitute, fda cleared as a device, not otherwise specified (list in addition to primary procedure)
A4206 Syringe with needle, sterile, 1 cc or less, each
A4207 Syringe with needle, sterile 2 cc, each
A4208 Syringe with needle, sterile 3 cc, each
A4209 Syringe with needle, sterile 5 cc or greater, each
A4210 Needle-free injection device, each
A4211 Supplies for self-administered injections
A4212 Non-coring needle or stylet with or without catheter
A4213 Syringe, sterile, 20 cc or greater, each
A4215 Needle, sterile, any size, each
A4216 Sterile water, saline and/or dextrose, diluent/flush, 10 ml Fee schedule
A4217 Sterile water/saline, 500 ml Fee schedule
A4218 Sterile saline or water, metered dose dispenser, 10 ml
A4220 Refill kit for implantable infusion pump
A4221 Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) Fee schedule
A4222 Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) Fee schedule
A4223 Infusion supplies not used with external infusion pump, per cassette or bag (list drugs separately)
A4224 Supplies for maintenance of insulin infusion catheter, per week Fee schedule
A4225 Supplies for external insulin infusion pump, syringe type cartridge, sterile, each Fee schedule
A4226 Supplies for maintenance of insulin infusion pump with dosage rate adjustment using therapeutic continuous glucose sensing, per week
A4230 Infusion set for external insulin pump, non needle cannula type
A4231 Infusion set for external insulin pump, needle type
A4232 Syringe with needle for external insulin pump, sterile, 3 cc
A4233 Replacement battery, alkaline (other than j cell), for use with medically necessary home blood glucose monitor owned by patient, each Fee schedule
A4234 Replacement battery, alkaline, j cell, for use with medically necessary home blood glucose monitor owned by patient, each Fee schedule
A4235 Replacement battery, lithium, for use with medically necessary home blood glucose monitor owned by patient, each Fee schedule
A4236 Replacement battery, silver oxide, for use with medically necessary home blood glucose monitor owned by patient, each Fee schedule
A4238 Supply allowance for adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service Fee schedule
A4239 Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service Fee schedule
A4244 Alcohol or peroxide, per pint
A4245 Alcohol wipes, per box
A4246 Betadine or phisohex solution, per pint
A4247 Betadine or iodine swabs/wipes, per box
A4248 Chlorhexidine containing antiseptic, 1 ml
A4250 Urine test or reagent strips or tablets (100 tablets or strips)

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