A8004 HCPCS code: Soft interface for helmet, replacement only
A8004 is the HCPCS Level II code for soft interface for helmet, replacement only. Its Medicare coverage code is C (Carrier judgment): Coverage is decided by the Medicare contractor (MAC) case by case.
Code details
| Field | Value |
|---|---|
| Section | A codes — Transportation, medical/surgical supplies and miscellaneous |
| Coverage code | C — Carrier judgment |
| Pricing indicator | 32 — DMEPOS: inexpensive or routinely purchased item |
| BETOS category | D1E — Other durable medical equipment |
| Added | 2007-01-01 |
| Last action effective | 2007-01-01 |
What changed for A8004
- 2007-01-01: A8004 added to HCPCS Level II
- Next scheduled CMS quarterly update (HCPCS and DMEPOS fee schedule): 2027-01-01
Frequently asked questions
What is HCPCS code A8004?
A8004 is the HCPCS Level II code for soft interface for helmet, replacement only. Short descriptor: "Repl soft interface, helmet".
Does Medicare cover A8004?
Coverage code C — Carrier judgment. Coverage is decided by the Medicare contractor (MAC) case by case.
Related A80 codes
- A8000 — Helmet, protective, soft, prefabricated, includes all components and accessories ($21.86–$262.20)
- A8001 — Helmet, protective, hard, prefabricated, includes all components and accessories ($21.86–$262.20)
- A8002 — Helmet, protective, soft, custom fabricated, includes all components and accessories
- A8003 — Helmet, protective, hard, custom fabricated, includes all components and accessories
- A8005 — Powered, cable driven grip assist glove, hand, finger, includes microprocessor, pressure sensors, all components and accessories, custom fitted
- A8006 — Powered, cable driven grip assist glove, hand, finger, includes pressure sensors, glove replacement only
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Next steps
- Run a reimbursement report for a device billed under A8004
- Watch A8004 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for A8004
Sources: CMS HCPCS Level II release October 2026; CMS DMEPOS fee schedule; CMS NCCI MUE tables; CMS Medicare utilization (physician and DME supplier files); CMS Medicare Coverage Database articles. Fees are Medicare allowables, not commercial rates. Not billing or legal advice.