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Last Modified: 10/20/2021 Location: FL, PR, USVI Business: Part B

2021 jurisdiction list for DMEPOS HCPCS codes -- revised

The CMS annually updates a spreadsheet that contains a list of HCPCS codes for durable medical equipment prosthetics, orthotic, and supplies (DMEPOS) for DME MAC and Part B MAC jurisdictions to reflect codes that are either added or discontinued (deleted) each year.
Note: Deleted codes are valid for dates of service on or before the date of deletion.
Note: Updated codes are in bold.
Note: The jurisdiction list includes codes that are not payable by Medicare. Please consult the Medicare contractor in whose jurisdiction a claim would be filed in order to determine coverage under Medicare.
Note: All HCPCS codes listed have DME or joint MAC Jurisdiction

HCPCS
Description
Jurisdiction
A4206 - A4209
Medical, Surgical, and Self- Administered Injection Supplies
Part B MAC if incident to a physician's service (not separately payable). If other, DME MAC.
A4210
Needle Free Injection Device
DME MAC
A4211
Medical, Surgical, and Self- Administered Injection Supplies
Part B MAC if incident to a physician's service (not separately payable). If other, DME MAC.
A4212
Non Coring Needle or Stylet with or without Catheter
Part B MAC
A4213 - A4215
Medical, Surgical, and Self-Administered Injection Supplies
Part B MAC if incident to a physician's service (not separately payable). If other, DME MAC.
A4216 - A4218
Saline
Part B MAC if incident to a physician's service (not separately payable). If other, DME MAC.
A4220
Refill Kit for Implantable Pump
Part B MAC
A4221 - A4236
Self-Administered Injection and Diabetic Supplies
DME MAC
A4244 - A4250
Medical, Surgical, and Self-Administered Injection Supplies
Part B MAC if incident to a physician's service (not separately payable). If other, DME MAC.
A4252 - A4259
Diabetic Supplies
DME MAC
A4261
Cervical Cap for Contraceptive Use
Part B MAC
A4262 - A4263
Lacrimal Duct Implants
Part B MAC
A4264
Contraceptive Implant
Part B MAC
A4265
Paraffin
Part B MAC if incident to a physician's service (not separately payable). If other, DME MAC.
A4266 - A4269
Contraceptives
Part B MAC
A4270
Endoscope Sheath
Part B MAC
A4280
Accessory for Breast Prosthesis
DME MAC
A4281 - A4286
Accessory for Breast Pump
DME MAC
A4290
Sacral Nerve Stimulation Test Lead
Part B MAC
A4300 - A4301
Implantable Catheter
Part B MAC
A4305 - A4306
Disposable Drug Delivery System
Part B MAC if incident to a physician's service (not separately payable). If other, DME MAC.
A4310 - A4358
Incontinence Supplies/Urinary Supplies
If provided in the physician's office for a temporary condition, the item is incident to the physician's service & billed to the Part B MAC.
If provided in the physician's office or other place of service for a permanent condition, the item is a prosthetic device & billed to the DME MAC.
A4360 - A4435
Urinary Supplies
If provided in the physician's office for a temporary condition, the item is incident to the physician's service & billed to the Part B MAC.
If provided in the physician's office or other place of service for a permanent condition, the item is a prosthetic device & billed to the DME MAC.
A4450 - A4452
Tape; Adhesive Remover
Part B MAC if incident to a physician's service (not separately payable), or if supply for implanted prosthetic device. If other, DME MAC.
A4453
Enema Catheter
DME MAC *** Effective 10/1/21
A4455 – A4456
Tape; Adhesive Remover
Part B MAC if incident to a physician's service (not separately payable), or if supply for implanted prosthetic device. If other, DME MAC.
A4458 - A4459
Enema Bag/System
DME MAC
A4461 - A4463
Surgical Dressing Holders
Part B MAC if incident to a physician's service (not separately payable). If other, DME MAC.
A4465 - A4467
Non-elastic Binder and Garment, Strap, Covering
DME MAC
A4470
Gravlee Jet Washer
Part B MAC
A4480
Vabra Aspirator
Part B MAC
A4481
Tracheostomy Supply
Part B MAC if incident to a physician's service (not separately payable). If other, DME MAC.
A4483
Moisture Exchanger
DME MAC
A4490 - A4510
Surgical Stockings
DME MAC
A4520
Diapers
DME MAC
A4550
Surgical Trays
Part B MAC
A4553 - A4554
Underpads
DME MAC
A4555 - A4558
Electrodes; Lead Wires; Conductive Paste
Part B MAC if incident to a physician's service (not separately payable). If other, DME MAC.
A4559
Coupling Gel
Part B MAC if incident to a physician's service (not separately payable). If other, DME MAC.
A4561 - A4563
Pessary; Vaginal Insert
Part B MAC
A4565-A4566
Sling
Part B MAC
A4570
Splint
Part B MAC
A4575
Topical Hyperbaric Oxygen Chamber, Disposable
DME MAC
A4580 - A4590
Casting Supplies & Material
Part B MAC
A4595
TENS Supplies
Part B MAC if incident to a physician's service (not separately payable). If other, DME MAC.
A4600
Sleeve for Intermittent Limb Compression Device
DME MAC
A4601 - A4602
Lithium Replacement Batteries
DME MAC
A4604
Tubing for Positive Airway Pressure Device
DME MAC
A4605
Tracheal Suction Catheter
DME MAC
A4606
Oxygen Probe for Oximeter
DME MAC
A4608
Transtracheal Oxygen Catheter
DME MAC
A4611 - A4613
Oxygen Equipment Batteries and Supplies
DME MAC
A4614
Peak Flow Rate Meter
Part B MAC if incident to a physician's service (not separately payable). If other, DME MAC.
A4615 - A4629
Oxygen & Tracheostomy Supplies
Part B MAC if incident to a physician's service (not separately payable). If other, DME MAC.
A4630 - A4640
DME Supplies
DME MAC
A4641 - A4642
Imaging Agent; Contrast Material
Part B MAC
A4648
Tissue Marker, Implanted
Part B MAC
A4649
Miscellaneous Surgical Supplies
Part B MAC if incident to a physician's service (not separately payable), or if supply for implanted prosthetic device or implanted DME. If other, DME MAC.
A4650
Implantable Radiation Dosimeter
Part B MAC
A4651 - A4932
Supplies for ESRD
DME MAC (not separately payable)
A5051 - A5093
Additional Ostomy Supplies
If provided in the physician's office for a temporary condition, the item is incident to the physician's service & billed to the Part B MAC. If provided in the physician's office or other place of service for a permanent condition, the item is a prosthetic device & billed to the DME MAC.
A5102 - A5200
Additional Incontinence and Ostomy Supplies
If provided in the physician's office for a temporary condition, the item is incident to the physician's service & billed to the Part B MAC.
If provided in the physician's office or other place of service for a permanent condition, the item is a prosthetic device & billed to the DME MAC.
A5500 - A5514
Therapeutic Shoes
DME MAC
A6000
Non-Contact Wound Warming Cover
DME MAC
A6010-A6024
Surgical Dressing
Part B MAC if incident to a physician's service (not separately payable) or if supply for implanted prosthetic device or implanted DME. If other, DME MAC.
A6025
Silicone Gel Sheet
Part B MAC if incident to a physician's service (not separately payable) or if supply for implanted prosthetic device or implanted DME. If other, DME MAC.
A6154 - A6411
Surgical Dressing
Part B MAC if incident to a physician's service (not separately payable) or if supply for implanted prosthetic device or implanted DME. If other, DME MAC.
A6412
Eye Patch
Part B MAC if incident to a physician's service (not separately payable) or if supply for implanted prosthetic device or implanted DME. If other, DME MAC.
A6413
Adhesive Bandage
Part B MAC if incident to a physician's service (not separately payable) or if supply for implanted prosthetic device or implanted DME. If other, DME MAC.
A6441 - A6457
Surgical Dressings
Part B MAC if incident to a physician's service (not separately payable), or if supply for implanted prosthetic device or implanted DME. If other, DME MAC.
A6460-A6461
Surgical Dressing
Part B MAC
A6501-A6512
Surgical Dressing
Part B MAC if incident to a physician's service (not separately payable) or if supply for implanted prosthetic device or implanted DME. If other,
DME MAC.
A6513
Compression Burn Mask
DME MAC
A6530 - A6549
Compression Gradient Stockings
DME MAC
A6550
Supplies for Negative Pressure Wound Therapy Electrical Pump
DME MAC
A7000 - A7002
Accessories for Suction Pumps
DME MAC
A7003 - A7039
Accessories for Nebulizers, Aspirators and Ventilators
DME MAC
A7040 - A7041
Chest Drainage Supplies
Part B MAC
A7044 - A7047
Respiratory Accessories
DME MAC
A7048
Vacuum Drainage Supply
Part B MAC
A7501 - A7527
Tracheostomy Supplies
DME MAC
A8000 - A8004
Protective Helmets
DME MAC
A9150
Non-Prescription Drugs
Part B MAC
A9152 - A9153
Vitamins
Part B MAC
A9155
Artificial Saliva
Part B MAC
A9180
Lice Infestation Treatment
Part B MAC
A9270
Noncovered Items or Services
DME MAC
A9272
Disposable Wound Suction Pump
DME MAC
A9273
Hot Water Bottles, Ice Caps or Collars, and Heat and/or Cold Wraps
DME MAC
A9274 - A9278
Glucose Monitoring
DME MAC
A9279
Monitoring Feature/Device
DME MAC
A9280
Alarm Device
DME MAC
A9281
Reaching/Grabbing Device
DME MAC
A9282
Wig
DME MAC
A9283
Foot Off Loading Device
DME MAC
A9284 - A9286
Non-electric Spirometer, Inversion Devices and Hygienic Items
DME MAC
A9300
Exercise Equipment
DME MAC
A9500 - A9700
Supplies for Radiology Procedures
Part B MAC
A9900
Miscellaneous DME Supply or Accessory
Part B MAC if used with implanted DME. If other, DME MAC.
A9901
Delivery
DME MAC
A9999
Miscellaneous DME Supply or Accessory
Part B MAC if used with implanted DME. If other, DME MAC.
B4034 - B9999
Enteral and Parenteral Therapy
DME MAC
D0120 - D9999
Dental Procedures
Part B MAC
E0100 - E0105
Canes
DME MAC
E0110 - E0118
Crutches
DME MAC
E0130 - E0159
Walkers
DME MAC
E0160 - E0175
Commodes
DME MAC
E0181 - E0199
Decubitus Care Equipment
DME MAC
E0200 - E0239
Heat/Cold Applications
DME MAC
E0240 - E0248
Bath and Toilet Aids
DME MAC
E0249
Pad for Heating Unit
DME MAC
E0250 - E0304
Hospital Beds
DME MAC
E0305 - E0326
Hospital Bed Accessories
DME MAC
E0328 - E0329
Pediatric Hospital Beds
DME MAC
E0350 - E0352
Electronic Bowel Irrigation System
DME MAC
E0370
Heel Pad
DME MAC
E0371 - E0373
Decubitus Care Equipment
DME MAC
E0424 - E0484
Oxygen and Related Respiratory Equipment
DME MAC
E0485 - E0486
Oral Device to Reduce Airway Collapsibility
DME MAC
E0487
Electric Spirometer
DME MAC
E0500
IPPB Machine
DME MAC
E0550 - E0585
Compressors/Nebulizers
DME MAC
E0600
Suction Pump
DME MAC
E0601
CPAP Device
DME MAC
E0602 - E0604
Breast Pump
DME MAC
E0605
Vaporizer
DME MAC
E0606
Drainage Board
DME MAC
E0607
Home Blood Glucose Monitor
DME MAC
E0610 - E0615
Pacemaker Monitor
DME MAC
E0616
Implantable Cardiac Event Recorder
Part B MAC
E0617
External Defibrillator
DME MAC
E0618 - E0619
Apnea Monitor
DME MAC
E0620
Skin Piercing Device
DME MAC
E0621 - E0636
Patient Lifts
DME MAC
E0637 - E0642
Standing Devices/Lifts
DME MAC
E0650 - E0676
Pneumatic Compressor and Appliances
DME MAC
E0691 - E0694
Ultraviolet Light Therapy Systems
DME MAC
E0700
Safety Equipment
DME MAC
E0705
Transfer Board
DME MAC
E0710
Restraints
DME MAC
E0720 - E0745
Electrical Nerve Stimulators
DME MAC
E0746
EMG Device
Part B MAC
E0747 - E0748
Osteogenic Stimulators
DME MAC
E0749
Implantable Osteogenic Stimulators
Part B MAC
E0755 - E0770
Stimulation Devices
DME MAC
E0776
IV Pole
DME MAC
E0779 - E0780
External Infusion Pumps
DME MAC
E0781
Ambulatory Infusion Pump
DME MAC
E0782 - E0783
Infusion Pumps, Implantable
Part B MAC
E0784
Infusion Pumps, Insulin
DME MAC
E0785 - E0786
Implantable Infusion Pump Catheter
Part B MAC
E0787
Infusion pump, insulin
DME MAC
E0791
Parenteral Infusion Pump
DME MAC
E0830
Ambulatory Traction Device
DME MAC
E0840 - E0900
Traction Equipment
DME MAC
E0910 - E0930
Trapeze/Fracture Frame
DME MAC
E0935 - E0936
Passive Motion Exercise Device
DME MAC
E0940
Trapeze Equipment
DME MAC
E0941
Traction Equipment
DME MAC
E0942 - E0945
Orthopedic Devices
DME MAC
E0946 - E0948
Fracture Frame
DME MAC
E0950 - E1298
Wheelchairs
DME MAC
E1300 - E1310
Whirlpool Equipment
DME MAC
E1352 - E1392
Additional Oxygen Related Equipment
DME MAC
E1399
Miscellaneous DME
Part B MAC if implanted DME. If other, DME MAC.
E1405 - E1406
Additional Oxygen Equipment
DME MAC
E1500 - E1699
Artificial Kidney Machines and Accessories
DME MAC (not separately payable)
E1700 - E1702
TMJ Device and Supplies
DME MAC
E1800 - E1841
Dynamic Flexion Devices
DME MAC
E1902
Communication Board
DME MAC
E2000
Gastric Suction Pump
DME MAC
E2100 - E2101
Blood Glucose Monitors with Special Features
DME MAC
E2120
Pulse Generator for Tympanic Treatment of Inner Ear
DME MAC
E2201 - E2398
Wheelchair Accessories
DME MAC
E2402
Negative Pressure Wound Therapy Pump
DME MAC
E2500 - E2599
Speech Generating Device
DME MAC
E2601 - E2633
Wheelchair Cushions and Accessories
DME MAC
E8000 - E8002
Gait Trainers
DME MAC
G0008 - G0067
Misc. Professional Services
Part B MAC
G0068 - G0070
Infusion Drug Professional Service
Part B MAC
G0071 - G0329
Misc. Professional Services
Part B MAC
G0333
Dispensing Fee
DME MAC
G0337 - G0364
Misc. Professional Services
Part B MAC
G0372
Misc. Professional Services
Part B MAC
G0378 - G0490 G0491 - G9987
Misc. Professional Services
Part B MAC
J0120 - J1094
Injection
Part B MAC if incident to a physician's service or used in an implanted infusion pump. If other, DME MAC.
J1095 - J1097
Ophthalmic Drug
Part B MAC
J1100 - J2786
Injection
Part B MAC if incident to a physician's service or used in an implanted infusion pump. If other, DME MAC.
J2787
Ophthalmic Drug
Part B MAC
J2788 - J3570
Injection
Part B MAC if incident to a physician's service or used in an implanted infusion pump. If other, DME MAC.
J3590 - J3591
Unclassified Biologicals
Part B MAC
J7030 - J7131
Miscellaneous Drugs and Solutions
Part B MAC if incident to a physician's service or used in an implanted infusion pump. If other, DME MAC.
J1769
Clotting Factors
Part B MAC
J7170 - J7179
Clotting Factors
Part B MAC
J7180 - J7195
Antihemophilic Factor
Part B MAC
J7196 - J7197
Antithrombin III
Part B MAC
J7198
Anti-inhibitor; per I.U.
Part B MAC
J7199 - J7211
Other Hemophilia Clotting Factors
Part B MAC
J7212
Clotting Factors
Part B MAC
J7296 - J7307
Contraceptives
Part B MAC
J7308 - J7309
Aminolevulinic Acid HCL
Part B MAC
J7310
Ganciclovir, Long-Acting Implant
Part B MAC
J7311 - J7316
Ophthalmic Drugs
Part B MAC
J7318 - J7329
Hyaluronan
Part B MAC
J7330
Autologous Cultured Chondrocytes, Implant
Part B MAC
J7331-J7332
Hyaluronan
Part B MAC
J7333
Hyaluronan or derivative
Part B MAC (Terminate as of 4/1/2021)
J7336
Capsaicin
Part B MAC
J7340
Carbidopa/Levodopa
Part B MAC if incident to a physician's service or used in an implanted infusion pump. If other, DME MAC.
J7342 - J7345
Ciprofloxacin otic & Topical Aminolevulinic Acid
Part B MAC
J7351-J7352
Bimatoprost, intracameral/Afamelanotide implant
Part B MAC
J7401
Sinus Implant
Part B MAC (Terminate as of 4/1/2021)
J7402
Sinus
Part B MAC (Effective 4/1/2021)
J7500 - J7599
Immunosuppressive Drugs
Part B MAC if incident to a physician's service or used in an implanted infusion pump. If other, DME MAC.
J7604 - J7699
Inhalation Solutions
Part B MAC if incident to a physician's service. If other, DME MAC.
J7799 - J7999
NOC Drugs, Other than Inhalation Drugs
Part B MAC if incident to a physician's service or used in an implanted infusion pump. If other, DME MAC.
J8498
Anti-emetic Drug
DME MAC
J8499
Prescription Drug, Oral, Non-Chemotherapeutic
Part B MAC if incident to a physician's service. If other, DME MAC.
J8501 - J8999
Oral Anti-Cancer Drugs
DME MAC
J9000 - J9999
Chemotherapy Drugs
Part B MAC if incident to a physician's service or used in an implanted infusion pump. If other, DME MAC.
K0001 - K0108
Wheelchairs
DME MAC
K0195
Elevating Leg Rests
DME MAC
K0455
Infusion Pump used for Uninterrupted Administration of Epoprostenal
DME MAC
K0462
Loaner Equipment
DME MAC
K0552 - K0605
External Infusion Pump Supplies & Continuous Glucose Monitor
DME MAC
K0606 - K0609
Defibrillator Accessories
DME MAC
K0669
Wheelchair Cushion
DME MAC
K0672
Soft Interface for Orthosis
DME MAC
K0730
Inhalation Drug Delivery System
DME MAC
K0733
Power Wheelchair Accessory
DME MAC
K0738
Oxygen Equipment
DME MAC
K0739
Repair or Nonroutine Service for DME
Part B MAC if implanted DME. If other, DME MAC
K0740
Repair or Nonroutine Service for Oxygen Equipment
DME MAC
K0743 - K0746
Suction Pump and Dressings
DME MAC
K0800 - K0899
Power Mobility Devices
DME MAC
K0900
Custom DME, other than Wheelchair
DME MAC
K1001-K1004
Devices
DME MAC when the supplier considers the item DMEPOS.
Part B MAC if the supplier considers the item something other than DMEPOS (e.g., supplies furnished incident to the professional service of a physician).
K1005
Device Accessory
DME MAC when the supplier considers the item DMEPOS.
Part B MAC if the supplier considers the item something other than DMEPOS (e.g., supplies furnished incident to the professional service of a physician).
K1006-K1012
Devices
DME MAC when the supplier considers the item DMEPOS.
Part B MAC if the supplier considers the item something other than DMEPOS (e.g., supplies furnished incident to the professional service of a physician).
(K1010-K1012 will be terminated 4/1/2021)
K1013-K1020
Devices
DME MAC when the supplier considers the item DMEPOS.
Part B MAC if the supplier considers the item something other than DMEPOS (e.g., supplies furnished incident to the professional service of a physician).
(Effective 4/1/2021)
K1021
Accessory
DME MAC *** Effective 10/1/2021
K1022 – K1027
Devices
DME MAC when the supplier considers the item DMEPOS. Part B MAC if the supplier considers the item something other than DMEPOS (e.g., supplies furnished incident to the professional service of a physician) *** Effective 10/1/2021
L0112 - L4631
Orthotics & Devices
DME MAC
L5000 - L5999
Lower Limb Prosthetics
DME MAC
L6000 - L7499
Upper Limb Prosthetics
DME MAC
L7510 - L7520
Repair of Prosthetic Device
Part B MAC if repair of implanted prosthetic device. If other, DME MAC.
L7600 - L8485
Prosthetics
DME MAC
L8499
Unlisted Procedure for Miscellaneous Prosthetic Services
Part B MAC if implanted prosthetic device. If other, DME MAC.
L8500 - L8501
Artificial Larynx; Tracheostomy Speaking Valve
DME MAC
L8505
Artificial Larynx Accessory
DME MAC
L8507
Voice Prosthesis, Patient Inserted
DME MAC
L8509
Voice Prosthesis, Inserted by a Licensed Health Care Provider
Part B MAC for dates of service on or after 10/01/2010.
DME MAC for dates of service prior to 10/01/2010
L8510
Voice Prosthesis
DME MAC
L8511 - L8515
Voice Prosthesis
Part B MAC if used with tracheoesophageal voice prostheses inserted by a licensed health care provider. If other, DME MAC.
L8600 - L8699
Prosthetic Implants
Part B MAC
L8701 - L8702
Assist Device
DME MAC
L9900
Miscellaneous Orthotic or Prosthetic Component or Accessory
Part B MAC if used with implanted prosthetic device. If other, DME MAC.
M0075 - M1149
Medical Services
Part B MAC
P2028 - P9615
Laboratory Tests
Part B MAC
Q0035
Cardio-kymography
Part B MAC
Q0081
Infusion Therapy
Part B MAC
Q0083 - Q0085
Chemotherapy Administration
Part B MAC
Q0091
Smear Preparation
Part B MAC
Q0092
Portable X-ray Setup
Part B MAC
Q0111 - Q0115
Miscellaneous Lab Services
Part B MAC
Q0138 - Q0139
Ferumoxytol Injection
Part B MAC
Q0144
Azithromycin Dihydrate
Part B MAC if incident to a physician's service. If other, DME MAC.
Q0161 - Q0181
Anti-emetic
DME MAC
Q0239
COVID-19 monoclonal antibody administration
Part B MAC
Q0243
COVID-19 monoclonal antibody administration
Part B MAC
Q0245
COVID-19 monoclonal antibody administration
Part B MAC
(Effective 2/9/2021)
Q0477 - Q0509
Ventricular Assist Devices
Part B MAC
Q0510 - Q0514
Drug Dispensing Fees
DME MAC
Q0515
Sermorelin Acetate
Part B MAC
Q1004 - Q1005
New Technology IOL
Part B MAC
Q2004
Irrigation Solution
Part B MAC
Q2009
Fosphenytoin
Part B MAC
Q2017
Teniposide
Part B MAC
Q2026 - Q2028
Injectable Dermal Fillers
Part B MAC
Q2034 - Q2039
Influenza Vaccine
Part B MAC
Q2041 - Q2043
Cellular Immunotherapy
Part B MAC
Q2049 - Q2050
Doxorubicin
Part B MAC if incident to a physician's service or used in an implanted infusion pump. If other, DME MAC.
Q2052
IVIG Demonstration
DME MAC
Q3001
Supplies for Radiology Procedures
Part B MAC
Q3014
Telehealth Originating Site Facility Fee
Part B MAC
Q3027 - Q3028
Vaccines
Part B MAC
Q3031
Collagen Skin Test
Part B MAC
Q4001 - Q4051
Splints and Casts
Part B MAC
Q4074
Inhalation Drug
Part B MAC if incident to a physician's service. If other, DME MAC.
Q4081
Epoetin
Part B MAC
Q4082
Drug Subject to Competitive Acquisition Program
Part B MAC
Q4100 - Q4255
Skin Substitutes
Part B MAC
Q5001 - Q5010
Hospice Services
Part B MAC
Q5101 - Q5121
Injection
Part B MAC if incident to a physician's service or used in an implanted infusion pump. If other, DME MAC.
Q5122
Injection
Part B MAC
Q9001-Q9003
Assessment/Counseling individual/group VA
Part B MAC
Q9950 - Q9954
Imaging Agents
Part B MAC
Q9955 - Q9957
Microspheres
Part B MAC
Q9958 - Q9983
Imaging Agents & Radiology Supplies
Part B MAC
Q9991 - Q9992
Injection
Part B MAC if incident to a physician's service or used in an implanted infusion pump. If other, DME MAC.
R0070 - R0076
Diagnostic Radiology Services
Part B MAC
V2020 - V2025
Frames
DME MAC
V2100 - V2513
Lenses
DME MAC
V2520 - V2523
Hydrophilic Contact Lenses
Part B MAC if incident to a physician's service. If other, DME MAC.
V2524
Device
DME MAC when the supplier considers the item DMEPOS.
Part B MAC if the supplier considers the item something other than DMEPOS (e.g., supplies furnished incident to the professional service of a physician).
V2530 - V2531
Contact Lenses, Scleral
DME MAC
V2599
Contact Lens, Other Type
Part B MAC if incident to a physician's service. If other, DME MAC.
V2600 - V2615
Low Vision Aids
DME MAC
V2623 - V2629
Prosthetic Eyes
DME MAC
V2630 - V2632
Intraocular Lenses
Part B MAC
V2700 - V2780
Miscellaneous Vision Service
DME MAC
V2781
Progressive Lens
DME MAC
V2782 - V2784
Lenses
DME MAC
V2785
Processing--Corneal Tissue
Part B MAC
V2786
Lens
DME MAC
V2787 - V2788
Intraocular Lenses
Part B MAC
V2790
Amniotic Membrane
Part B MAC
V2797
Vision Supply
DME MAC
V2799
Miscellaneous Vision Service
Part B MAC if supply for an implanted prosthetic device. If other, DME MAC.
V5008 - V5299
Hearing Services
Part B MAC
V5336
Repair/Modification of Augmentative Communicative System or Device
DME MAC
V5362 - V5364
Speech Screening
Part B MAC
First Coast Service Options (First Coast) strives to ensure that the information available on our provider website is accurate, detailed, and current. Therefore, this is a dynamic site and its content changes daily. It is best to access the site to ensure you have the most current information rather than printing articles or forms that may become obsolete without notice.