Non-covered by Medicare statute
Every HCPCS Level II code whose Medicare coverage status is "Non-covered by Medicare statute".
Medicare coverageCMS code S153 codes
What this status means
This item or service is excluded from Medicare coverage by statute.
By series
These 153 codes span 7 series, split as below. Opening one shows that whole series, not just the codes listed here.
All codes 153
All code series- A4252Blood ketone test or strip
- A4261Cervical cap contraceptive
- A4457Enema tube any type repl
- A4468Exsuff belt incl all sup acc
- A4540Trans elec nerv periph nerv
- A4560Nmes disposable
- A4611Heavy duty battery
- A4612Battery cables
- A4613Battery charger
- A6413Adhesive bandage, first-aid
- A7023Mech allergen parti barrier
- A7049Epap nasal valve
- A9154Artificial saliva, 1 ml
- A9268Programmer orally ingest cap
- A9269Programable ingest capsule
- A9274Ext amb insulin delivery sys
- A9276Disposable sensor, cgm sys
- A9277External transmitter, cgm
- A9278External receiver, cgm sys
- A9279Monitoring feature/devicenoc
- A9280Alert device, noc
- A9281Reaching/grabbing device
- A9282Wig any type
- A9283Foot press off load supp dev
- A9286Any hygienic item, device
- E0150Combo walker-transport chair
- E0172Seat lift mechanism toilet
- E0492Control unit nm stim w phone
- E0493Oral dv/app neuromus mouthpi
- E0715Intravag pelvic floor kegel
- E0716Supp and acces intravag pelv
- E0737Transcut tibial stim by app
- E0765Nerve stimulator for tx n&v
- E1022Wheelchr transport secur
- E1023Wheelchr transit securement
- J7294Seg acet and eth estr yearly
- J7295Eth estr and eton monthly
- J7296Kyleena, 19.5 mg
- J7297Liletta, 52 mg
- J7298Mirena, 52 mg
- J7299Intraut copp cont (miudella)
- J7300Intra copp contra (paragard)
- J7301Skyla, 13.5 mg
- J7302Levonorgestrel iu 52 mg
- J7303Contraceptive vaginal ring
- J7304Contraceptive hormone patch
- K1004Lo freq us diathermy device
- K1013Enema tube any type repl
- K1021Exsuff belt incl all sup acc
- K1023Trans elec nerv periph nerv
- K1026Mech allergen parti barrier
- K1028Control unit nm stim w phone
- K1029Oral dv/app neuromus mouthpi
- K1036Supplies for ultra diatherm
- L3215Orthopedic ftwear ladies oxf
- L3216Orthoped ladies shoes dpth i
- L3217Ladies shoes hightop depth i
- L3219Orthopedic mens shoes oxford
- L3221Orthopedic mens shoes dpth i
- L3222Mens shoes hightop depth inl
- L7600Prosthetic donning sleeve
- L7900Male vacuum erection system
- L7902Tension ring, vac erect dev
- L8692Non-osseointegrated snd proc
- Q9984Kyleena, 19.5 mg
- V2787Astigmatism-correct function
- V2788Presbyopia-correct function
- V5010Assessment for hearing aid
- V5011Hearing aid fitting/checking
- V5014Hearing aid repair/modifying
- V5020Conformity evaluation
- V5030Body-worn hearing aid air
- V5040Body-worn hearing aid bone
- V5050Hearing aid monaural in ear
- V5060Behind ear hearing aid
- V5070Glasses air conduction
- V5080Glasses bone conduction
- V5090Hearing aid dispensing fee
- V5095Implant mid ear hearing pros
- V5100Body-worn bilat hearing aid
- V5110Hearing aid dispensing fee
- V5120Body-worn binaur hearing aid
- V5130In ear binaural hearing aid
- V5140Behind ear binaur hearing ai
- V5150Glasses binaural hearing aid
- V5160Dispensing fee binaural
- V5170Within ear cros hearing aid
- V5171Hearing aid monaural ite
- V5172Hearing aid monaural itc
- V5180Behind ear cros hearing aid
- V5181Hearing aid monaural bte
- V5190Hearing aid monaural glasses
- V5200Disp fee contralateral monau
- V5210In ear bicros hearing aid
- V5211Hearing aid binaural ite/ite
- V5212Hearing aid binaural ite/itc
- V5213Hearing aid binaural ite/bte
- V5214Hearing aid binaural itc/itc
- V5215Hearing aid binaural itc/bte
- V5220Behind ear bicros hearing ai
- V5221Hearing aid binaural bte/bte
- V5230Hearing aid binaural glasses
- V5240Disp fee contralateral binau
- V5241Dispensing fee, monaural
- V5242Hearing aid, monaural, cic
- V5243Hearing aid, monaural, itc
- V5244Hearing aid, prog, mon, cic
- V5245Hearing aid, prog, mon, itc
- V5246Hearing aid, prog, mon, ite
- V5247Hearing aid, prog, mon, bte
- V5248Hearing aid, binaural, cic
- V5249Hearing aid, binaural, itc
- V5250Hearing aid, prog, bin, cic
- V5251Hearing aid, prog, bin, itc
- V5252Hearing aid, prog, bin, ite
- V5253Hearing aid, prog, bin, bte
- V5254Hearing id, digit, mon, cic
- V5255Hearing aid, digit, mon, itc
- V5256Hearing aid, digit, mon, ite
- V5257Hearing aid, digit, mon, bte
- V5258Hearing aid, digit, bin, cic
- V5259Hearing aid, digit, bin, itc
- V5260Hearing aid, digit, bin, ite
- V5261Hearing aid, digit, bin, bte
- V5262Hearing aid, disp, monaural
- V5263Hearing aid, disp, binaural
- V5264Ear mold/insert
- V5265Ear mold/insert, disp
- V5266Battery for hearing device
- V5267Hearing aid sup/access/dev
- V5268Ald telephone amplifier
- V5269Alerting device, any type
- V5270Ald, tv amplifier, any type
- V5271Ald, tv caption decoder
- V5272Tdd
- V5273Ald for cochlear implant
- V5274Ald unspecified
- V5275Ear impression
- V5281Ald fm/dm system, monaural
- V5282Ald fm/dm system binaural
- V5283Ald neck, loop ind receiver
- V5284Ald fm/dm ear level receiver
- V5285Ald fm/dm aud input receiver
- V5286Ald blu tooth fm/dm receiver
- V5287Ald fm/dm receiver, nos
- V5288Ald fm/dm transmitter ald
- V5289Ald fm/dm adapt/boot couplin
- V5290Ald transmitter microphone
- V5298Hearing aid noc
- V5336Repair communication device
- V5362Speech screening
- V5363Language screening
- V5364Dysphagia screening
About this list
Coverage status comes from the Medicare coverage field in the CMS HCPCS release. It describes how Medicare treats the code, not whether a particular claim will be paid: that depends on the patient, the documentation and your payer's policy. The largest group here is the V series (Vision Services; Hearing Services).