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HCPCS A9152: Single Oral Vitamin/Mineral/Trace Element, Per Dose

HCPCS Level II code A9152 designates a single oral dose of a vitamin, mineral, or trace element when no more specific code applies. Nationally relevant for outpatient and ambulatory settings, this code captures discrete single-dose micronutrient supplies dispensed in clinics, pharmacies, and other non-inpatient locations. It matters for standardized billing of individual oral supplements and for tracking utilization of micronutrient therapies across care settings.

Key payers addressed in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise overview of the code’s clinical scope and service context, typical sites of service, payer coverage considerations, and commonly applied modifiers. The publication outlines billing benchmarks and coding guidance where available, highlights policy considerations relevant to national payers, and provides clinical context for when a single-dose oral micronutrient might be reported.

Data not available in the input is noted where applicable. The material is intended to inform coding, billing teams, and policy analysts about HCPCS Level II code A9152 and its role in outpatient micronutrient billing.

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Billing Code Overview

HCPCS Level II code A9152 represents a single vitamin/mineral/trace element, oral, per dose, not otherwise specified. This code is used to bill for the provision of an individual oral micronutrient dose when no more specific HCPCS Level II code applies.

Service type: Oral single-dose vitamin/mineral/trace element administration
Typical site of service: Outpatient retail or clinic settings, including pharmacies and ambulatory care sites where single-dose oral supplements are dispensed or administered

Data not available in the input.

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HCPCS A9152: Single Oral Vitamin/Mineral/Trace Element, Per Dose

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Billing Code Overview

Service type: Oral single-dose vitamin/mineral/trace element administration
Typical site of service: Outpatient retail or clinic settings, including pharmacies and ambulatory care sites where single-dose oral supplements are dispensed or administered

Data not available in the input.

Clinical & Coding Specifications

Clinical Context

A middle-aged adult presents to an outpatient infusion clinic or ambulatory surgery center after recent hospitalization for malabsorption and dietary insufficiency. The patient is ordered a single oral trace element supplement dose to correct a documented deficiency (for example, zinc or iron) while receiving concurrent enteral medications. The clinical workflow: clinician documents the indication and necessity in the medical record, pharmacist or nursing reviews medication history and allergies, verifies the specific single vitamin/mineral/trace element product and dose, prepares and labels the oral dose, and administers or dispenses per physician or dietitian instructions. Nursing documents administration, lot number, and patient response. Billing staff assigns HCPCS Level II code A9152 for the single oral vitamin/mineral/trace element per dose when submitting claims; appropriate ICD-10 diagnosis codes supporting medical necessity are appended to the claim. Typical sites of service include hospital outpatient departments, ambulatory surgery centers, infusion centers, and skilled nursing facilities.

Coding Specifications

Modifier	Description	When to Use
`22`	Increased procedural services	Use when work required is substantially greater than typically required for this service (documentation required).
`23`	Unusual anesthesia	Use when an anesthesia service is medically necessary but not normally required for the procedure; seldom used with oral supplement but applicable if unusual circumstance demands anesthesia.
`52`	Reduced services	Use when service performed is partially reduced or eliminated at physician’s discretion.
`53`	Discontinued procedure	Use when procedure is started but discontinued due to extenuating circumstances.
`54`	Surgical care only	Use when billing only for the surgical portion; rarely applicable but included for completeness where facility billing splits care.
`55`	Postoperative management only	Use when billing only for postoperative care portion; rarely applicable for single-dose oral supplement.
`56`	Preoperative management only	Use when billing only for preoperative management portion.
`62`	Two surgeons	Use when two surgeons work together as primary surgeons; unlikely for this service but applicable if part of a larger procedure.
`AS`	Physician assistant, nurse practitioner, or clinical nurse specialist services for assistant at surgery	Use when an advanced practice clinician performs assistant-at-surgery services related to the encounter.
`CO`	Cast room service	Use for services provided in the cast room; typically not used for oral supplements but retained where relevant.
`CQ`	Service furnished by a resident without attending physician present	Use when resident provides service without attending physician presence, per payer policy.
`FX`	Primary surgeon	Use to identify the primary surgeon in multi-surgeon situations.
`FY`	Reporting fiscal intermediary-defined situations	Use per payer-specific rules where applicable.
`NU`	New equipment	Use if billing indicates use of new equipment; rarely applicable to oral single-dose supplies.

Taxonomy Code	Specialty	Notes
`208000000X`	Family Medicine	Commonly manages nutritional deficiencies and prescribes single oral supplements.
`207Q00000X`	Internal Medicine	Frequently evaluates and treats micronutrient deficiencies in outpatient settings.
`208M00000X`	Pediatrics	Prescribes single-dose oral vitamins/minerals for pediatric deficiencies.
`363L00000X`	Pharmacist	Prepares, verifies, and dispenses oral single-dose supplements in clinic or facility pharmacy.
`251B00000X`	Dietitian/Nutritionist	Assesses nutritional needs and recommends single-dose micronutrient therapy.

Related Diagnoses

ICD-10 Code	Description	Clinical Relevance
`E55.9`	Vitamin D deficiency, unspecified	Common indication for single-dose oral vitamin supplementation to correct deficiency.
`E53.8`	Deficiency of other B group vitamins and choline	May prompt single-dose or short-course oral B vitamin therapy.
`E61.1`	Iron deficiency	Single oral iron dose may be ordered as part of treatment for iron deficiency or during testing protocols.
`E63.8`	Nutritional deficiencies, unspecified	General coding for unspecified micronutrient deficiencies treated with single-dose supplements.
`K90.0`	Celiac disease	Malabsorption conditions like celiac disease often require micronutrient supplementation, including single-dose oral trace elements.

Related CPT Codes

CPT Code	Description	Relationship to This Procedure
`99213`	Office or other outpatient visit for the evaluation and management of an established patient, typically 15 minutes	Often used when clinician evaluates deficiency and prescribes the single-dose oral supplement during an outpatient visit.
`96372`	Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); subcutaneous or intramuscular	Used when parenteral supplementation is chosen instead of oral dosing and may occur in the same visit as oral therapy decisions.
`96361`	Intravenous infusion, hydration; initial, 31 minutes to 1 hour	Relevant if patient receives concurrent infusion therapy in the infusion center along with oral supplement administration.
`90471`	Immunization administration (single) by intramuscular, intranasal, or oral route	Used when documenting administration of an oral product when payer requires vaccine-administration style coding; occasionally relevant depending on facility billing practices.
`99070`	Supplies and materials (except spectacles), provided by physician or other qualified health care professional	Used to bill separately for supplies related to administration or dispensing of the single-dose oral supplement when payer policy allows.

Related Codes

HCPCS-A9150-NON-PRESCRIPTION-DRUGS

HCPCS Level II A9150: Non-Prescription Drugs

HCPCS-A9153-MULTIVITAMIN-ORAL-PER-DOSE

HCPCS A9153: Multiple Vitamins, Oral, Per Dose

HCPCS-A9154-ARTIFICIAL-SALIVA-1ML

HCPCS Level II A9154: Artificial Saliva, 1 ml

HCPCS-A9155-ARTIFICIAL-SALIVA-30ML

HCPCS A9155: Artificial Saliva, 30 ml

HCPCS-A9156-ORAL-MUCOADHESIVE-PER-1ML

HCPCS A9156: Oral Mucoadhesive, Per 1 ml

HCPCS-A9180-PEDICULOSIS-TOPICAL-TREATMENT-PATIENT-ADMINISTRATION

HCPCS Level II A9180: Pediculosis Topical Treatment for Patient/Caretaker

HCPCS-A9268-PROGRAMMER-TRANSIENT-INGESTED-CAPSULE

HCPCS A9268: Programmer for Transient Orally Ingested Capsule

HCPCS-A9269-PROGRAMMABLE-TRANSIENT-ORAL-CAPSULE

HCPCS A9269: Programmable Transient Orally Ingested Capsule, Monthly

HCPCS-A9270-NON-COVERED-ITEM-OR-SERVICE

HCPCS Level II A9270: Non-covered Item or Service

HCPCS-A9272-DISPOSABLE-WOUND-SUCTION-DEVICE-KIT

HCPCS A9272: Disposable Wound Suction Device Kit, Per Item

Showing 1–10 of 138

References

1.CPT® Codes and Descriptions. AAPC. Retrieved Jul 29, 2026.
2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Jul 29, 2026.
3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Jul 29, 2026.

Published by

Trek Health powers OpenPayer with a leading commercial payer intelligence platform, seamlessly converting fragmented payer data into actionable insights for provider organizations.

Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

Clinical & Coding Specifications

Clinical Context

Coding Specifications

Modifier	Description	When to Use
`22`	Increased procedural services	Use when work required is substantially greater than typically required for this service (documentation required).
`23`	Unusual anesthesia	Use when an anesthesia service is medically necessary but not normally required for the procedure; seldom used with oral supplement but applicable if unusual circumstance demands anesthesia.
`52`	Reduced services	Use when service performed is partially reduced or eliminated at physician’s discretion.
`53`	Discontinued procedure	Use when procedure is started but discontinued due to extenuating circumstances.
`54`	Surgical care only	Use when billing only for the surgical portion; rarely applicable but included for completeness where facility billing splits care.
`55`	Postoperative management only	Use when billing only for postoperative care portion; rarely applicable for single-dose oral supplement.
`56`	Preoperative management only	Use when billing only for preoperative management portion.
`62`	Two surgeons	Use when two surgeons work together as primary surgeons; unlikely for this service but applicable if part of a larger procedure.
`AS`	Physician assistant, nurse practitioner, or clinical nurse specialist services for assistant at surgery	Use when an advanced practice clinician performs assistant-at-surgery services related to the encounter.
`CO`	Cast room service	Use for services provided in the cast room; typically not used for oral supplements but retained where relevant.
`CQ`	Service furnished by a resident without attending physician present	Use when resident provides service without attending physician presence, per payer policy.
`FX`	Primary surgeon	Use to identify the primary surgeon in multi-surgeon situations.
`FY`	Reporting fiscal intermediary-defined situations	Use per payer-specific rules where applicable.
`NU`	New equipment	Use if billing indicates use of new equipment; rarely applicable to oral single-dose supplies.

Taxonomy Code	Specialty	Notes
`208000000X`	Family Medicine	Commonly manages nutritional deficiencies and prescribes single oral supplements.
`207Q00000X`	Internal Medicine	Frequently evaluates and treats micronutrient deficiencies in outpatient settings.
`208M00000X`	Pediatrics	Prescribes single-dose oral vitamins/minerals for pediatric deficiencies.
`363L00000X`	Pharmacist	Prepares, verifies, and dispenses oral single-dose supplements in clinic or facility pharmacy.
`251B00000X`	Dietitian/Nutritionist	Assesses nutritional needs and recommends single-dose micronutrient therapy.

Related Diagnoses

ICD-10 Code	Description	Clinical Relevance
`E55.9`	Vitamin D deficiency, unspecified	Common indication for single-dose oral vitamin supplementation to correct deficiency.
`E53.8`	Deficiency of other B group vitamins and choline	May prompt single-dose or short-course oral B vitamin therapy.
`E61.1`	Iron deficiency	Single oral iron dose may be ordered as part of treatment for iron deficiency or during testing protocols.
`E63.8`	Nutritional deficiencies, unspecified	General coding for unspecified micronutrient deficiencies treated with single-dose supplements.
`K90.0`	Celiac disease	Malabsorption conditions like celiac disease often require micronutrient supplementation, including single-dose oral trace elements.

Related CPT Codes

CPT Code	Description	Relationship to This Procedure
`99213`	Office or other outpatient visit for the evaluation and management of an established patient, typically 15 minutes	Often used when clinician evaluates deficiency and prescribes the single-dose oral supplement during an outpatient visit.
`96372`	Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); subcutaneous or intramuscular	Used when parenteral supplementation is chosen instead of oral dosing and may occur in the same visit as oral therapy decisions.
`96361`	Intravenous infusion, hydration; initial, 31 minutes to 1 hour	Relevant if patient receives concurrent infusion therapy in the infusion center along with oral supplement administration.
`90471`	Immunization administration (single) by intramuscular, intranasal, or oral route	Used when documenting administration of an oral product when payer requires vaccine-administration style coding; occasionally relevant depending on facility billing practices.
`99070`	Supplies and materials (except spectacles), provided by physician or other qualified health care professional	Used to bill separately for supplies related to administration or dispensing of the single-dose oral supplement when payer policy allows.

Related Codes

HCPCS-A9150-NON-PRESCRIPTION-DRUGS

HCPCS Level II A9150: Non-Prescription Drugs

HCPCS-A9153-MULTIVITAMIN-ORAL-PER-DOSE

HCPCS A9153: Multiple Vitamins, Oral, Per Dose

HCPCS-A9154-ARTIFICIAL-SALIVA-1ML

HCPCS Level II A9154: Artificial Saliva, 1 ml

HCPCS-A9155-ARTIFICIAL-SALIVA-30ML

HCPCS A9155: Artificial Saliva, 30 ml

HCPCS-A9156-ORAL-MUCOADHESIVE-PER-1ML

HCPCS A9156: Oral Mucoadhesive, Per 1 ml

HCPCS-A9180-PEDICULOSIS-TOPICAL-TREATMENT-PATIENT-ADMINISTRATION

HCPCS Level II A9180: Pediculosis Topical Treatment for Patient/Caretaker

HCPCS-A9268-PROGRAMMER-TRANSIENT-INGESTED-CAPSULE

HCPCS A9268: Programmer for Transient Orally Ingested Capsule

HCPCS-A9269-PROGRAMMABLE-TRANSIENT-ORAL-CAPSULE

HCPCS A9269: Programmable Transient Orally Ingested Capsule, Monthly

HCPCS-A9270-NON-COVERED-ITEM-OR-SERVICE

HCPCS Level II A9270: Non-covered Item or Service

HCPCS-A9272-DISPOSABLE-WOUND-SUCTION-DEVICE-KIT

HCPCS A9272: Disposable Wound Suction Device Kit, Per Item

Showing 1–10 of 138

References

1.CPT® Codes and Descriptions. AAPC. Retrieved Jul 29, 2026.
2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Jul 29, 2026.
3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Jul 29, 2026.

Published by

Trek Health powers OpenPayer with a leading commercial payer intelligence platform, seamlessly converting fragmented payer data into actionable insights for provider organizations.

OpenPayer

HCPCS A9152: Single Oral Vitamin/Mineral/Trace Element, Per Dose

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Billing Code Overview

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HCPCS A9152: Single Oral Vitamin/Mineral/Trace Element, Per Dose

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Billing Code Overview

Clinical & Coding Specifications

Clinical Context

Coding Specifications

Related Diagnoses

Related CPT Codes

Related Codes

References

Clinical & Coding Specifications

Clinical Context

Coding Specifications

Related Diagnoses

Related CPT Codes

Related Codes

References