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 2026Q3-Jul. 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 2026Q3.
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
Questions about A9180
What is HCPCS code A9180?
A9180 is a HCPCS Level II code for pediculosis (lice infestation) treatment, topical, for administration by patient/caretaker. It sits in the Transportation, Medical & Surgical Supplies, Administrative section.
Does Medicare cover A9180?
The CMS HCPCS file marks A9180 as "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.
How is A9180 paid under the physician fee schedule?
A9180 carries PFS status code I. Not valid for Medicare purposes. Medicare uses another code.