A9156 — Oral mucoadhesive, any type (liquid, gel, paste, etc.), per 1 ml
A9156 is a HCPCS Level II code for oral mucoadhesive, any type (liquid, gel, paste, etc.), per 1 ml. It belongs to the Transportation, Medical & Surgical Supplies, Administrative section. Whether Medicare pays it depends on the coverage rule below.
Medicare coverage: Special coverage instructions apply
There are published conditions attached to this code. Check the applicable coverage policy before billing it: the code being valid is not the same as the service being covered.
From the coverage field of the CMS Alpha-Numeric HCPCS File, release 2026Q3-Jul. This states Medicare’s position on the code, not on your particular claim.
Physician fee schedule statusX
Statutory exclusion. The item or service is not within the statutory definition of 'physician services', so the fee schedule never pays it.
Global period: XXX
Want the dollar amount for your locality? The fee calculator applies your GPCI and the current conversion factor.
The CMS record for A9156
- Long descriptor
- Oral mucoadhesive, any type (liquid, gel, paste, etc.), per 1 ml
- Short descriptor
- Oral mucoadhesive per 1 ml
- Added
- October 1, 2023
- BETOS
- Z2
- Pricing indicator
- 00 — Not priced by Part B
The official wording. This is what the code means.
CMS's 28-character form, which is what shows up on a remittance advice.
When CMS introduced the code.
Berenson-Eggers Type of Service — CMS's own analytic grouping.
Service not separately priced by Part B — not covered, bundled into another service, or used by Part A only.
Codes adjacent to A9156
HCPCS has no hierarchy — related items simply sit next to each other in the numbering. If A9156 is not quite right, the correct code is very often within a few positions of it.
- A8004Soft interface for helmet, replacement only
- A8005Powered, cable driven grip assist glove, hand, finger, includes microprocessor, pressure sensors, all components and accessories, custom fitted
- A8006Powered, cable driven grip assist glove, hand, finger, includes pressure sensors, glove replacement only
- A9150Non-prescription drugs
- A9152Single vitamin/mineral/trace element, oral, per dose, not otherwise specified
- A9153Multiple vitamins, with or without minerals and trace elements, oral, per dose, not otherwise specified
- A9154Artificial saliva, 1 ml
- A9155Artificial saliva, 30 mlterminated
- A9180Pediculosis (lice infestation) treatment, topical, for administration by patient/caretaker
- A9268Programmer for transient, orally ingested capsule
- A9269Programable, transient, orally ingested capsule, for use with external programmer, per month
- A9270Non-covered item or service
- A9272Wound suction, disposable, includes dressing, all accessories and components, any type, each
- A9273Cold or hot fluid bottle, ice cap or collar, heat and/or cold wrap, any type
- A9274External ambulatory insulin delivery system, disposable, each, includes all supplies and accessories
- A9275Home glucose disposable monitor, includes test strips
Questions about A9156
What is HCPCS code A9156?
A9156 is a HCPCS Level II code for oral mucoadhesive, any type (liquid, gel, paste, etc.), per 1 ml. It sits in the Transportation, Medical & Surgical Supplies, Administrative section.
Does Medicare cover A9156?
The CMS HCPCS file marks A9156 as "Special coverage instructions apply". There are published conditions attached to this code. Check the applicable coverage policy before billing it: the code being valid is not the same as the service being covered.
How is A9156 paid under the physician fee schedule?
A9156 carries PFS status code X. Statutory exclusion. The item or service is not within the statutory definition of 'physician services', so the fee schedule never pays it.