A9272 HCPCS code: Wound suction, disposable, includes dressing, all accessories and components, any type, each
A9272 is the HCPCS Level II code for wound suction, disposable, includes dressing, all accessories and components, any type, each. Its Medicare coverage code is D (Special coverage instructions apply): Medicare covers it when its national or local coverage criteria are met.
Code details
| Field | Value |
|---|---|
| Section | A codes — Transportation, medical/surgical supplies and miscellaneous |
| Coverage code | D — Special coverage instructions apply |
| Pricing indicator | 00 — Not separately priced by Medicare |
| BETOS category | D1A — Medical/surgical supplies |
| Added | 2012-01-01 |
| Last action effective | 2024-01-01 |
Medicare policy articles for this code
- A52511: Negative Pressure Wound Therapy Pumps - Policy Article (CGS Administrators, LLC (DME MAC) Noridian Healthcare Solutions, LLC (DME MAC)) — mentions this code in its coding guidance
- A52519: Suction Pumps - Policy Article (CGS Administrators, LLC (DME MAC) Noridian Healthcare Solutions, LLC (DME MAC)) — mentions this code in its coding guidance
Covered diagnoses (8 ICD-10-CM codes)
The diagnoses most often listed as covered in the policy articles above:
| ICD-10-CM | Diagnosis | Articles listing it |
|---|---|---|
| J95.00 | Unspecified tracheostomy complication | 1 |
| J95.01 | Hemorrhage from tracheostomy stoma | 1 |
| J95.02 | Infection of tracheostomy stoma | 1 |
| J95.03 | Malfunction of tracheostomy stoma | 1 |
| J95.04 | Tracheo-esophageal fistula following tracheostomy | 1 |
| J95.09 | Other tracheostomy complication | 1 |
| Z43.0 | Encounter for attention to tracheostomy | 1 |
| Z93.0 | Tracheostomy status | 1 |
What changed for A9272
- 2012-01-01: A9272 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 A9272?
A9272 is the HCPCS Level II code for wound suction, disposable, includes dressing, all accessories and components, any type, each. Short descriptor: "Disp wound suct, drsg/access".
Does Medicare cover A9272?
Coverage code D — Special coverage instructions apply. Medicare covers it when its national or local coverage criteria are met.
Which diagnoses support coverage for A9272?
Medicare policy articles that cite A9272 list 8 covered ICD-10-CM diagnosis codes across 2 articles. The most cited include J95.00 (Unspecified tracheostomy complication), J95.01 (Hemorrhage from tracheostomy stoma), J95.02 (Infection of tracheostomy stoma). A listed diagnosis is necessary but not sufficient; the policy's other criteria still apply.
Related A92 codes
- A9268 — Programmer for transient, orally ingested capsule
- A9269 — Programable, transient, orally ingested capsule, for use with external programmer, per month
- A9270 — Non-covered item or service
- A9273 — Cold or hot fluid bottle, ice cap or collar, heat and/or cold wrap, any type
- A9274 — External ambulatory insulin delivery system, disposable, each, includes all supplies and accessories
- A9275 — Home glucose disposable monitor, includes test strips
- A9276 — Sensor; invasive (e.g., subcutaneous), disposable, for use with non-durable medical equipment interstitial continuous glucose monitoring system, one unit = 1 day supply
- A9277 — Transmitter; external, for use with non-durable medical equipment interstitial continuous glucose monitoring system
- A9278 — Receiver (monitor); external, for use with non-durable medical equipment interstitial continuous glucose monitoring system
- A9279 — Monitoring feature/device, stand-alone or integrated, any type, includes all accessories, components and electronics, not otherwise classified
- A9280 — Alert or alarm device, not otherwise classified
- A9281 — Reaching/grabbing device, any type, any length, each
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Next steps
- Run a reimbursement report for a device billed under A9272
- Watch A9272 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for A9272
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.