A9180: Pediculosis (lice infestation) treatment, topical, for administration by patient/caretaker
A9180 is a HCPCS Level II code for pediculosis (lice infestation) treatment, topical, for administration by patient/caretaker. It belongs to the Transportation, Medical & Surgical Supplies, Administrative section. Medicare does not pay it: see the coverage note below before you bill it.
Medicare coverage: Not payable by Medicare
Medicare does not pay this code. It may still be valid for another payer, but a Medicare claim carrying it will not be reimbursed.
From the coverage field of the CMS Alpha-Numeric HCPCS File, release 2026Q4-Oct. This states Medicare’s position on the code, not on your particular claim.
Physician fee schedule statusI
Not valid for Medicare purposes. Medicare uses another code.
Global period: XXX
Want the dollar amount for your locality? The fee calculator applies your GPCI and the current conversion factor.
Medically Unlikely Edits: units per day
The most units of A9180 Medicare will pay on one date of service. Bill more on a single line and it is denied. The limit is not the same in every setting, so the row that matters is the one matching the claim you are building.
- practitioner
- 0, never payable MAI 3: Date of Service Edit: Clinical · CMS Policy
- outpatient
- 0, never payable MAI 3: Date of Service Edit: Clinical · CMS Policy
The adjudication indicator decides whether exceeding the limit is worth appealing at all: MAI 1 is a line edit you can support with documentation, MAI 3 is a date-of-service edit that is also appealable, and MAI 2 is absolute, no documentation overrides it. CMS MUE 2026Q4.
The CMS record for A9180
- Long descriptor
- Pediculosis (lice infestation) treatment, topical, for administration by patient/caretaker
- Short descriptor
- Lice treatment, topical
- Added
- January 1, 2005
- 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 A9180
HCPCS has no hierarchy: related items simply sit next to each other in the numbering. If A9180 is not quite right, the correct code is very often within a few positions of it.
- 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
- A9156Oral mucoadhesive, any type (liquid, gel, paste, etc.), per 1 ml
- 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
- A9276Sensor; invasive (e.g., subcutaneous), disposable, for use with non-durable medical equipment interstitial continuous glucose monitoring system, one unit = 1 day supply