Medical Billing Code Search
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9172 results found
| J7605 | Arformoterol non-comp unit | Description: Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms |
| J7606 | Formoterol fumarate, inh | Description: Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms |
| J7607 | Levalbuterol comp con | Description: Levalbuterol, inhalation solution, compounded product, administered through dme, concentrated form, 0.5 mg |
| J7608 | Acetylcysteine non-comp unit | Description: Acetylcysteine, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per gram |
| J7609 | Albuterol comp unit | Description: Albuterol, inhalation solution, compounded product, administered through dme, unit dose, 1 mg |
| J7610 | Albuterol comp con | Description: Albuterol, inhalation solution, compounded product, administered through dme, concentrated form, 1 mg |
| J7611 | Albuterol non-comp con | Description: Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg |
| J7612 | Levalbuterol non-comp con | Description: Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 0.5 mg |
| J7613 | Albuterol non-comp unit | Description: Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
| J7614 | Levalbuterol non-comp unit | Description: Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg |
| J7615 | Levalbuterol comp unit | Description: Levalbuterol, inhalation solution, compounded product, administered through dme, unit dose, 0.5 mg |
| J7620 | Albuterol ipratrop non-comp | Description: Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
| J7622 | Beclomethasone comp unit | Description: Beclomethasone, inhalation solution, compounded product, administered through dme, unit dose form, per milligram |
| J7624 | Betamethasone comp unit | Description: Betamethasone, inhalation solution, compounded product, administered through dme, unit dose form, per milligram |
| J7626 | Budesonide non-comp unit | Description: Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg |
| J7627 | Budesonide comp unit | Description: Budesonide, inhalation solution, compounded product, administered through dme, unit dose form, up to 0.5 mg |
| J7628 | Bitolterol mesylate comp con | Description: Bitolterol mesylate, inhalation solution, compounded product, administered through dme, concentrated form, per milligram |
| J7629 | Bitolterol mesylate comp unt | Description: Bitolterol mesylate, inhalation solution, compounded product, administered through dme, unit dose form, per milligram |
| J7631 | Cromolyn sodium noncomp unit | Description: Cromolyn sodium, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per 10 milligrams |
| J7632 | Cromolyn sodium comp unit | Description: Cromolyn sodium, inhalation solution, compounded product, administered through dme, unit dose form, per 10 milligrams |
| J7633 | Budesonide non-comp con | Description: Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, per 0.25 milligram |
| J7634 | Budesonide comp con | Description: Budesonide, inhalation solution, compounded product, administered through dme, concentrated form, per 0.25 milligram |
| J7635 | Atropine comp con | Description: Atropine, inhalation solution, compounded product, administered through dme, concentrated form, per milligram |
| J7636 | Atropine comp unit | Description: Atropine, inhalation solution, compounded product, administered through dme, unit dose form, per milligram |
| J7637 | Dexamethasone comp con | Description: Dexamethasone, inhalation solution, compounded product, administered through dme, concentrated form, per milligram |
| J7638 | Dexamethasone comp unit | Description: Dexamethasone, inhalation solution, compounded product, administered through dme, unit dose form, per milligram |
| J7639 | Dornase alfa non-comp unit | Description: Dornase alfa, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram |
| J7640 | Formoterol comp unit | Description: Formoterol, inhalation solution, compounded product, administered through dme, unit dose form, 12 micrograms |
| J7641 | Flunisolide comp unit | Description: Flunisolide, inhalation solution, compounded product, administered through dme, unit dose, per milligram |
| J7642 | Glycopyrrolate comp con | Description: Glycopyrrolate, inhalation solution, compounded product, administered through dme, concentrated form, per milligram |
| J7643 | Glycopyrrolate comp unit | Description: Glycopyrrolate, inhalation solution, compounded product, administered through dme, unit dose form, per milligram |
| J7644 | Ipratropium bromide non-comp | Description: Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram |
| J7645 | Ipratropium bromide comp | Description: Ipratropium bromide, inhalation solution, compounded product, administered through dme, unit dose form, per milligram |
| J7647 | Isoetharine comp con | Description: Isoetharine hcl, inhalation solution, compounded product, administered through dme, concentrated form, per milligram |
| J7648 | Isoetharine non-comp con | Description: Isoetharine hcl, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, per milligram |
| J7649 | Isoetharine non-comp unit | Description: Isoetharine hcl, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram |
| J7650 | Isoetharine comp unit | Description: Isoetharine hcl, inhalation solution, compounded product, administered through dme, unit dose form, per milligram |
| J7657 | Isoproterenol comp con | Description: Isoproterenol hcl, inhalation solution, compounded product, administered through dme, concentrated form, per milligram |
| J7658 | Isoproterenol non-comp con | Description: Isoproterenol hcl, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, per milligram |
| J7659 | Isoproterenol non-comp unit | Description: Isoproterenol hcl, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram |
| J7660 | Isoproterenol comp unit | Description: Isoproterenol hcl, inhalation solution, compounded product, administered through dme, unit dose form, per milligram |
| J7665 | Mannitol for inhaler | Description: Mannitol, administered through an inhaler, 5 mg |
| J7667 | Metaproterenol comp con | Description: Metaproterenol sulfate, inhalation solution, compounded product, concentrated form, per 10 milligrams |
| J7668 | Metaproterenol non-comp con | Description: Metaproterenol sulfate, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, per 10 milligrams |
| J7669 | Metaproterenol non-comp unit | Description: Metaproterenol sulfate, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per 10 milligrams |
| J7670 | Metaproterenol comp unit | Description: Metaproterenol sulfate, inhalation solution, compounded product, administered through dme, unit dose form, per 10 milligrams |
| J7674 | Methacholine chloride, neb | Description: Methacholine chloride administered as inhalation solution through a nebulizer, per 1 mg |
| J7676 | Pentamidine comp unit dose | Description: Pentamidine isethionate, inhalation solution, compounded product, administered through dme, unit dose form, per 300 mg |
| J7677 | Revefenacin inh non-com 1mcg | Description: Revefenacin inhalation solution, fda-approved final product, non-compounded, administered through dme, 1 microgram |
| J7680 | Terbutaline sulf comp con | Description: Terbutaline sulfate, inhalation solution, compounded product, administered through dme, concentrated form, per milligram |
| J7681 | Terbutaline sulf comp unit | Description: Terbutaline sulfate, inhalation solution, compounded product, administered through dme, unit dose form, per milligram |
| J7682 | Tobramycin non-comp unit | Description: Tobramycin, inhalation solution, fda-approved final product, non-compounded, unit dose form, administered through dme, per 300 milligrams |
| J7683 | Triamcinolone comp con | Description: Triamcinolone, inhalation solution, compounded product, administered through dme, concentrated form, per milligram |
| J7684 | Triamcinolone comp unit | Description: Triamcinolone, inhalation solution, compounded product, administered through dme, unit dose form, per milligram |
| J7685 | Tobramycin comp unit | Description: Tobramycin, inhalation solution, compounded product, administered through dme, unit dose form, per 300 milligrams |
| J7686 | Treprostinil, non-comp unit | Description: Treprostinil, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, 1.74 mg |
| J7699 | Inhalation solution for dme | Description: Noc drugs, inhalation solution administered through dme |
| J7799 | Non-inhalation drug for dme | Description: Noc drugs, other than inhalation drugs, administered through dme |
| J7999 | Compounded drug, noc | Description: Compounded drug, not otherwise classified |
| J8498 | Antiemetic rectal/supp nos | Description: Antiemetic drug, rectal/suppository, not otherwise specified |
| J8499 | Oral prescrip drug non chemo | Description: Prescription drug, oral, non chemotherapeutic, nos |
| J8501 | Oral aprepitant | Description: Aprepitant, oral, 5 mg |
| J8510 | Oral busulfan | Description: Busulfan; oral, 2 mg |
| J8515 | Cabergoline, oral 0.25mg | Description: Cabergoline, oral, 0.25 mg |
| J8520 | Capecitabine, oral, 150 mg | Description: Capecitabine, oral, 150 mg |
| J8521 | Capecitabine, oral, 500 mg | Description: Capecitabine, oral, 500 mg |
| J8522 | Capecitabine, oral, 50 mg | Description: Capecitabine, oral, 50 mg |
| J8530 | Cyclophosphamide oral 25 mg | Description: Cyclophosphamide; oral, 25 mg |
| J8540 | Oral dexamethasone | Description: Dexamethasone, oral, 0.25 mg |
| J8541 | Oral, hemady, 0.25 mg | Description: Dexamethasone (hemady), oral, 0.25 mg |
| J8560 | Etoposide oral 50 mg | Description: Etoposide; oral, 50 mg |
| J8565 | Gefitinib oral | Description: Gefitinib, oral, 250 mg |
| J8597 | Antiemetic drug oral nos | Description: Antiemetic drug, oral, not otherwise specified |
| J8600 | Melphalan oral 2 mg | Description: Melphalan; oral, 2 mg |
| J8610 | Methotrexate oral 2.5 mg | Description: Methotrexate; oral, 2.5 mg |
| J8611 | Oral methotrexate (jylamvo) | Description: Methotrexate (jylamvo), oral, 2.5 mg |
| J8612 | Oral methotrexate (xatmep) | Description: Methotrexate (xatmep), oral, 2.5 mg |
| J8655 | Oral netupitant, palonosetro | Description: Netupitant 300 mg and palonosetron 0.5 mg, oral |
| J8670 | Rolapitant, oral, 1mg | Description: Rolapitant, oral, 1 mg |
| J8700 | Temozolomide | Description: Temozolomide, oral, 5 mg |
| J8705 | Topotecan oral | Description: Topotecan, oral, 0.25 mg |
| J8999 | Oral prescription drug chemo | Description: Prescription drug, oral, chemotherapeutic, nos |
| J9000 | Doxorubicin hcl injection | Description: Injection, doxorubicin hydrochloride, 10 mg |
| J9010 | Alemtuzumab injection | Description: Injection, alemtuzumab, 10 mg |
| J9011 | Datopotamab deruxtecan, 1 mg | Description: Injection, datopotamab deruxtecan-dlnk, 1 mg |
| J9015 | Aldesleukin injection | Description: Injection, aldesleukin, per single use vial |
| J9017 | Arsenic trioxide injection | Description: Injection, arsenic trioxide, 1 mg |
| J9021 | Inj, aspara, rylaze, 0.1 mg | Description: Injection, asparaginase, recombinant, (rylaze), 0.1 mg |
| J9022 | Inj, atezolizumab,10 mg | Description: Injection, atezolizumab, 10 mg |
| J9023 | Injection, avelumab, 10 mg | Description: Injection, avelumab, 10 mg |
| J9024 | Inj atezolizumb 5mg hya-tqjs | Description: Injection, atezolizumab, 5 mg and hyaluronidase-tqjs |
| J9025 | Azacitidine injection | Description: Injection, azacitidine, 1 mg |
| J9026 | Inj, tarlatamab-dlle, 1 mg | Description: Injection, tarlatamab-dlle, 1 mg |
| J9027 | Clofarabine injection | Description: Injection, clofarabine, 1 mg |
| J9028 | Inj, nogapendekin pmln, 1mcg | Description: Injection, nogapendekin alfa inbakicept-pmln, for intravesical use, 1 microgram |
| J9029 | Instill adstiladrin, tx dose | Description: Intravesical instillation, nadofaragene firadenovec-vncg, per therapeutic dose |
| J9031 | Bcg live intravesical vac | Description: Bcg (intravesical) per instillation |
| J9032 | Injection, belinostat, 10mg | Description: Injection, belinostat, 10 mg |
| J9033 | Inj, bendamustine hcl, 1mg | Description: Injection, bendamustine hydrochloride, 1 mg |
| J9034 | Inj., bendeka 1 mg | Description: Injection, bendamustine hcl (bendeka), 1 mg |
| J9035 | Bevacizumab injection | Description: Injection, bevacizumab, 10 mg |
| J9036 | Inj. belrapzo/bendamustine | Description: Injection, bendamustine hydrochloride, (belrapzo/bendamustine), 1 mg |
| J9037 | Inj belantamab mafodot blmf | Description: Injection, belantamab mafodotin-blmf, 0.5 mg |
| J9038 | Inj axatilimab-csfr 0.1 mg | Description: Injection, axatilimab-csfr, 0.1 mg |
| J9039 | Injection, blinatumomab | Description: Injection, blinatumomab, 1 microgram |
| J9040 | Bleomycin sulfate injection | Description: Injection, bleomycin sulfate, 15 units |
| J9041 | Injection, bortezomib, 0.1mg | Description: Injection, bortezomib, 0.1 mg |
| J9042 | Brentuximab vedotin inj | Description: Injection, brentuximab vedotin, 1 mg |
| J9043 | Cabazitaxel injection | Description: Injection, cabazitaxel, 1 mg |
| J9044 | Inj, bortezomib, nos, 0.1 mg | Description: Injection, bortezomib, not otherwise specified, 0.1 mg |
| J9045 | Carboplatin injection | Description: Injection, carboplatin, 50 mg |
| J9046 | Inj, bortezomib, dr. reddy's | Description: Injection, bortezomib (dr. reddy's), not therapeutically equivalent to j9041, 0.1 mg |
| J9047 | Injection, carfilzomib, 1 mg | Description: Injection, carfilzomib, 1 mg |
| J9048 | Inj, bortezomib freseniuskab | Description: Injection, bortezomib (fresenius kabi), not therapeutically equivalent to j9041, 0.1 mg |
| J9049 | Inj, bortezomib, hospira | Description: Injection, bortezomib (hospira), not therapeutically equivalent to j9041, 0.1 mg |
| J9050 | Carmustine injection | Description: Injection, carmustine, 100 mg |
| J9051 | Inj, bortezomib (maia) | Description: Injection, bortezomib (maia), not therapeutically equivalent to j9041, 0.1 mg |
| J9052 | Inj, carmustine (accord) | Description: Injection, carmustine (accord), not therapeutically equivalent to j9050, 100 mg |
| J9054 | Inj bortezomib boruzu 0.1 mg | Description: Injection, bortezomib (boruzu), 0.1 mg |
| J9055 | Cetuximab injection | Description: Injection, cetuximab, 10 mg |
| J9056 | Inj, vivimusta, 1 mg | Description: Injection, bendamustine hydrochloride (vivimusta), 1 mg |
| J9057 | Inj., copanlisib, 1 mg | Description: Injection, copanlisib, 1 mg |
| J9058 | Inj apotex/bendamustine 1 mg | Description: Injection, bendamustine hydrochloride (apotex), 1 mg |
| J9059 | Inj bendamustine, baxter 1mg | Description: Injection, bendamustine hydrochloride (baxter), 1 mg |
| J9060 | Cisplatin 10 mg injection | Description: Injection, cisplatin, powder or solution, 10 mg |
| J9061 | Inj, amivantamab-vmjw | Description: Injection, amivantamab-vmjw, 2 mg |
| J9063 | Inj, elahere, 1 mg | Description: Injection, mirvetuximab soravtansine-gynx, 1 mg |
| J9064 | Inj, cabazitaxel (sandoz) | Description: Injection, cabazitaxel (sandoz), not therapeutically equivalent to j9043, 1 mg |
| J9065 | Inj cladribine per 1 mg | Description: Injection, cladribine, per 1 mg |
| J9070 | Cyclophosphamide 100 mg inj | Description: Cyclophosphamide, 100 mg |
| J9071 | Inj cyclophosphamd auromedic | Description: Injection, cyclophosphamide (auromedics), 5 mg |
| J9072 | Inj cyclophos frindovyx 5 mg | Description: Injection, cyclophosphamide (frindovyx), 5 mg |
| J9073 | Inj cyclophos dr reddys 5 mg | Description: Injection, cyclophosphamide (dr. reddy's), 5 mg |
| J9074 | Inj, cyclophosphamd, sandoz | Description: Injection, cyclophosphamide (sandoz), 5 mg |
| J9075 | Inj, cyclophosphamide, nos | Description: Injection, cyclophosphamide, not otherwise specified, 5 mg |
| J9076 | Inj, cyclophos (baxter) 5mg | Description: Injection, cyclophosphamide (baxter), 5 mg |
| J9100 | Cytarabine hcl 100 mg inj | Description: Injection, cytarabine, 100 mg |
| J9118 | Inj. calaspargase pegol-mknl | Description: Injection, calaspargase pegol-mknl, 10 units |
| J9119 | Inj., cemiplimab-rwlc, 1 mg | Description: Injection, cemiplimab-rwlc, 1 mg |
| J9120 | Dactinomycin injection | Description: Injection, dactinomycin, 0.5 mg |
| J9130 | Dacarbazine 100 mg inj | Description: Dacarbazine, 100 mg |
| J9144 | Daratumumab, hyaluronidase | Description: Injection, daratumumab, 10 mg and hyaluronidase-fihj |
| J9145 | Injection, daratumumab 10 mg | Description: Injection, daratumumab, 10 mg |
| J9150 | Daunorubicin injection | Description: Injection, daunorubicin, 10 mg |
| J9153 | Inj daunorubicin, cytarabine | Description: Injection, liposomal, 1 mg daunorubicin and 2.27 mg cytarabine |
| J9155 | Degarelix injection | Description: Injection, degarelix, 1 mg |
| J9160 | Denileukin diftitox inj | Description: Injection, denileukin diftitox, 300 micrograms |
| J9161 | Inj denileuk difti-cxdl 1mcg | Description: Injection, denileukin diftitox-cxdl, 1 mcg |
| J9171 | Docetaxel injection | Description: Injection, docetaxel, 1 mg |
| J9172 | Docetaxel (docivyx), 1 mg | Description: Injection, docetaxel (docivyx), 1 mg |
| J9173 | Inj., durvalumab, 10 mg | Description: Injection, durvalumab, 10 mg |
| J9174 | Inj, docetaxel (beizray) 1mg | Description: Injection, docetaxel (beizray), 1 mg |
| J9175 | Elliotts b solution per ml | Description: Injection, elliotts' b solution, 1 ml |
| J9176 | Injection, elotuzumab, 1mg | Description: Injection, elotuzumab, 1 mg |
| J9177 | Inj enfort vedo-ejfv 0.25mg | Description: Injection, enfortumab vedotin-ejfv, 0.25 mg |
| J9178 | Inj, epirubicin hcl, 2 mg | Description: Injection, epirubicin hcl, 2 mg |
| J9179 | Eribulin mesylate injection | Description: Injection, eribulin mesylate, 0.1 mg |
| J9181 | Etoposide injection | Description: Injection, etoposide, 10 mg |
| J9185 | Fludarabine phosphate inj | Description: Injection, fludarabine phosphate, 50 mg |
| J9190 | Fluorouracil injection | Description: Injection, fluorouracil, 500 mg |
| J9196 | Inj gemcitabine hcl (accord) | Description: Injection, gemcitabine hydrochloride (accord), not therapeutically equivalent to j9201, 200 mg |
| J9198 | Inj. infugem, 100 mg | Description: Injection, gemcitabine hydrochloride, (infugem), 100 mg |
| J9199 | Injection, infugem, 200 mg | Description: Injection, gemcitabine hydrochloride (infugem), 200 mg |
| J9200 | Floxuridine injection | Description: Injection, floxuridine, 500 mg |
| J9201 | In gemcitabine hcl nos 200mg | Description: Injection, gemcitabine hydrochloride, not otherwise specified, 200 mg |
| J9202 | Goserelin acetate implant | Description: Goserelin acetate implant, per 3.6 mg |
| J9203 | Gemtuzumab ozogamicin 0.1 mg | Description: Injection, gemtuzumab ozogamicin, 0.1 mg |
| J9204 | Inj mogamulizumab-kpkc, 1 mg | Description: Injection, mogamulizumab-kpkc, 1 mg |
| J9205 | Inj irinotecan liposome 1 mg | Description: Injection, irinotecan liposome, 1 mg |
| J9206 | Irinotecan injection | Description: Injection, irinotecan, 20 mg |
| J9207 | Ixabepilone injection | Description: Injection, ixabepilone, 1 mg |
| J9208 | Ifosfamide injection | Description: Injection, ifosfamide, 1 gram |
| J9209 | Mesna injection | Description: Injection, mesna, 200 mg |
| J9210 | Inj., emapalumab-lzsg, 1 mg | Description: Injection, emapalumab-lzsg, 1 mg |
| J9211 | Idarubicin hcl injection | Description: Injection, idarubicin hydrochloride, 5 mg |
| J9213 | Interferon alfa-2a inj | Description: Injection, interferon, alfa-2a, recombinant, 3 million units |
| J9214 | Interferon alfa-2b inj | Description: Injection, interferon, alfa-2b, recombinant, 1 million units |
| J9215 | Interferon alfa-n3 inj | Description: Injection, interferon, alfa-n3, (human leukocyte derived), 250,000 iu |
| J9216 | Interferon gamma 1-b inj | Description: Injection, interferon, gamma 1-b, 3 million units |
| J9217 | Leuprolide acetate suspnsion | Description: Leuprolide acetate (for depot suspension), 7.5 mg |
| J9218 | Leuprolide acetate injeciton | Description: Leuprolide acetate, per 1 mg |
| J9219 | Leuprolide acetate implant | Description: Leuprolide acetate implant, 65 mg |
| J9220 | Indigotindisulfonate sod 1mg | Description: Injection, indigotindisulfonate sodium, 1 mg |
| J9223 | Inj. lurbinectedin, 0.1 mg | Description: Injection, lurbinectedin, 0.1 mg |
| J9225 | Vantas implant | Description: Histrelin implant (vantas), 50 mg |
| J9226 | Supprelin la implant | Description: Histrelin implant (supprelin la), 50 mg |
| J9227 | Inj. isatuximab-irfc 10 mg | Description: Injection, isatuximab-irfc, 10 mg |
| J9228 | Ipilimumab injection | Description: Injection, ipilimumab, 1 mg |
| J9229 | Inj inotuzumab ozogam 0.1 mg | Description: Injection, inotuzumab ozogamicin, 0.1 mg |
| J9230 | Mechlorethamine hcl inj | Description: Injection, mechlorethamine hydrochloride, (nitrogen mustard), 10 mg |
| J9245 | Inj melpha hydroch nos 50 mg | Description: Injection, melphalan hydrochloride, not otherwise specified, 50 mg |
| J9246 | Inj., evomela, 1 mg | Description: Injection, melphalan (evomela), 1 mg |
| J9247 | Inj, melphalan flufenami 1mg | Description: Injection, melphalan flufenamide, 1mg |
| J9248 | Inj melphalan (hepzato) 1 mg | Description: Injection, melphalan (hepzato), 1 mg |
| J9249 | Inj, melphalan (apotex) 1 mg | Description: Injection, melphalan (apotex), 1 mg |
| J9250 | Methotrexate sodium inj | Description: Methotrexate sodium, 5 mg |
| J9255 | Inj, methotrexate (accord) | Description: Injection, methotrexate (accord), not therapeutically equivalent to j9260, 50 mg |
| J9258 | Paclitaxel (teva) | Description: Injection, paclitaxel protein-bound particles (teva), not therapeutically equivalent to j9264, 1 mg |
| J9259 | Paclitaxel (american regent) | Description: Injection, paclitaxel protein-bound particles (american regent), not therapeutically equivalent to j9264, 1 mg |
| J9260 | Inj methotrexate sodium 50mg | Description: Injection, methotrexate sodium, 50 mg |
| J9261 | Nelarabine injection | Description: Injection, nelarabine, 50 mg |
| J9262 | Inj, omacetaxine mep, 0.01mg | Description: Injection, omacetaxine mepesuccinate, 0.01 mg |
| J9263 | Oxaliplatin | Description: Injection, oxaliplatin, 0.5 mg |
| J9264 | Paclitaxel protein bound | Description: Injection, paclitaxel protein-bound particles, 1 mg |
| J9265 | Paclitaxel injection | Description: Injection, paclitaxel, 30 mg |
| J9266 | Pegaspargase injection | Description: Injection, pegaspargase, per single dose vial |
| J9267 | Paclitaxel injection | Description: Injection, paclitaxel, 1 mg |
| J9268 | Pentostatin injection | Description: Injection, pentostatin, 10 mg |
| J9269 | Inj. tagraxofusp-erzs 10 mcg | Description: Injection, tagraxofusp-erzs, 10 micrograms |
| J9271 | Inj pembrolizumab | Description: Injection, pembrolizumab, 1 mg |
| J9272 | Inj, dostarlimab-gxly, 10 mg | Description: Injection, dostarlimab-gxly, 10 mg |
| J9273 | Inj tisotu vedotin-tftv, 1mg | Description: Injection, tisotumab vedotin-tftv, 1 mg |
| J9274 | Inj, tebentafusp-tebn, 1 mcg | Description: Injection, tebentafusp-tebn, 1 microgram |
| J9275 | Inj cosibelimab-ipdl, 2 mg | Description: Injection, cosibelimab-ipdl, 2 mg |
| J9276 | Inj zanidatamab-hrii, 2 mg | Description: Injection, zanidatamab-hrii, 2 mg |
| J9280 | Mitomycin injection | Description: Injection, mitomycin, 5 mg |
| J9281 | Mitomycin instillation | Description: Mitomycin pyelocalyceal instillation, 1 mg |
| J9285 | Inj, olaratumab, 10 mg | Description: Injection, olaratumab, 10 mg |
| J9286 | Inj glofitamab gxbm, 2.5 mg | Description: Injection, glofitamab-gxbm, 2.5 mg |
| J9289 | Inj nivolumab 2 mg hyaluron | Description: Injection, nivolumab, 2 mg and hyaluronidase-nvhy |
| J9292 | Inj, pemetrexed dipotassium | Description: Injection, pemetrexed dipotassium, 10 mg |
| J9293 | Mitoxantrone hydrochl / 5 mg | Description: Injection, mitoxantrone hydrochloride, per 5 mg |
| J9294 | Inj pemetrexed, hospira 10mg | Description: Injection, pemetrexed (hospira), not therapeutically equivalent to j9305, 10 mg |
| J9295 | Injection, necitumumab, 1 mg | Description: Injection, necitumumab, 1 mg |
| J9296 | Inj pemetrexed (accord) 10mg | Description: Injection, pemetrexed (accord), not therapeutically equivalent to j9305, 10 mg |
| J9297 | Inj pemetrexed (sandoz) 10mg | Description: Injection, pemetrexed (sandoz), not therapeutically equivalent to j9305, 10 mg |
| J9298 | Inj nivol relatlimab 3mg/1mg | Description: Injection, nivolumab and relatlimab-rmbw, 3 mg/1 mg |
| J9299 | Injection, nivolumab | Description: Injection, nivolumab, 1 mg |
| J9300 | Gemtuzumab ozogamicin inj | Description: Injection, gemtuzumab ozogamicin, 5 mg |
| J9301 | Obinutuzumab inj | Description: Injection, obinutuzumab, 10 mg |
| J9302 | Ofatumumab injection | Description: Injection, ofatumumab, 10 mg |
| J9303 | Panitumumab injection | Description: Injection, panitumumab, 10 mg |
| J9304 | Inj. pemetrexed, 10 mg | Description: Injection, pemetrexed (pemfexy), 10 mg |
| J9305 | Inj. pemetrexed nos 10mg | Description: Injection, pemetrexed, not otherwise specified, 10 mg |
| J9306 | Injection, pertuzumab, 1 mg | Description: Injection, pertuzumab, 1 mg |
| J9307 | Pralatrexate injection | Description: Injection, pralatrexate, 1 mg |
| J9308 | Injection, ramucirumab | Description: Injection, ramucirumab, 5 mg |
| J9309 | Inj, polatuzumab vedotin 1mg | Description: Injection, polatuzumab vedotin-piiq, 1 mg |
| J9310 | Rituximab injection | Description: Injection, rituximab, 100 mg |
| J9311 | Inj rituximab, hyaluronidase | Description: Injection, rituximab 10 mg and hyaluronidase |
| J9312 | Inj., rituximab, 10 mg | Description: Injection, rituximab, 10 mg |
| J9313 | Inj., lumoxiti, 0.01 mg | Description: Injection, moxetumomab pasudotox-tdfk, 0.01 mg |
| J9314 | Inj pemetrexed (teva) 10mg | Description: Injection, pemetrexed (teva), not therapeutically equivalent to j9305, 10 mg |
| J9315 | Romidepsin injection | Description: Injection, romidepsin, 1 mg |
| J9316 | Pertuzu, trastuzu, 10 mg | Description: Injection, pertuzumab, trastuzumab, and hyaluronidase-zzxf, per 10 mg |
| J9317 | Sacituzumab govitecan-hziy | Description: Injection, sacituzumab govitecan-hziy, 2.5 mg |
| J9318 | Inj romidepsin non-lyo 0.1mg | Description: Injection, romidepsin, non-lyophilized, 0.1 mg |
| J9319 | Inj romidepsin lyophil 0.1mg | Description: Injection, romidepsin, lyophilized, 0.1 mg |
| J9320 | Streptozocin injection | Description: Injection, streptozocin, 1 gram |
| J9321 | Inj epcoritamab-bysp 0.16 mg | Description: Injection, epcoritamab-bysp, 0.16 mg |
| J9322 | Inj pemetrexed (bluepoint) | Description: Injection, pemetrexed (bluepoint), not therapeutically equivalent to j9305, 10 mg |
| J9323 | Inj pemetrexed ditromethamin | Description: Injection, pemetrexed ditromethamine, 10 mg |
| J9324 | Inj, pemrydi rtu, 10 mg | Description: Injection, pemetrexed (pemrydi rtu), 10 mg |
| J9325 | Inj talimogene laherparepvec | Description: Injection, talimogene laherparepvec, per 1 million plaque forming units |
| J9328 | Temozolomide injection | Description: Injection, temozolomide, 1 mg |
| J9329 | Inj, tislelizumab-jsgr | Description: Injection, tislelizumab-jsgr, 1mg |
| J9330 | Temsirolimus injection | Description: Injection, temsirolimus, 1 mg |
| J9331 | Inj sirolimus prot part 1 mg | Description: Injection, sirolimus protein-bound particles, 1 mg |
| J9332 | Inj efgartigimod 2mg | Description: Injection, efgartigimod alfa-fcab, 2mg |
| J9333 | Inj rozanolixizum-noli 1 mg | Description: Injection, rozanolixizumab-noli, 1 mg |
| J9334 | Inj efgart-alfa 2mg hya-qvfc | Description: Injection, efgartigimod alfa, 2 mg and hyaluronidase-qvfc |
| J9340 | Thiotepa injection | Description: Injection, thiotepa, 15 mg |
| J9341 | Inj thiotepa (tepylute) 1 mg | Description: Injection, thiotepa (tepylute), 1 mg |
| J9342 | Inj thiotepa nos 1 mg | Description: Injection, thiotepa, not otherwise specified, 1 mg |
| J9345 | Inj, retifanlimab-dlwr, 1 mg | Description: Injection, retifanlimab-dlwr, 1 mg |
| J9347 | Inj, tremelimumab-actl, 1 mg | Description: Injection, tremelimumab-actl, 1 mg |
| J9348 | Inj. naxitamab-gqgk, 1 mg | Description: Injection, naxitamab-gqgk, 1 mg |
| J9349 | Inj., tafasitamab-cxix | Description: Injection, tafasitamab-cxix, 2 mg |
| J9350 | Inj mosunetuzumab-axgb, 1 mg | Description: Injection, mosunetuzumab-axgb, 1 mg |
| J9351 | Topotecan injection | Description: Injection, topotecan, 0.1 mg |
| J9352 | Injection trabectedin 0.1mg | Description: Injection, trabectedin, 0.1 mg |
| J9353 | Inj. margetuximab-cmkb, 5 mg | Description: Injection, margetuximab-cmkb, 5 mg |
| J9354 | Inj, ado-trastuzumab emt 1mg | Description: Injection, ado-trastuzumab emtansine, 1 mg |
| J9355 | Inj trastuzumab excl biosimi | Description: Injection, trastuzumab, excludes biosimilar, 10 mg |
| J9356 | Inj. herceptin hylecta, 10mg | Description: Injection, trastuzumab, 10 mg and hyaluronidase-oysk |
| J9357 | Valrubicin injection | Description: Injection, valrubicin, intravesical, 200 mg |
| J9358 | Inj fam-trastu deru-nxki 1mg | Description: Injection, fam-trastuzumab deruxtecan-nxki, 1 mg |
| J9359 | Inj lon tesirin-lpyl 0.075mg | Description: Injection, loncastuximab tesirine-lpyl, 0.075 mg |
| J9360 | Vinblastine sulfate inj | Description: Injection, vinblastine sulfate, 1 mg |
| J9361 | Inj, efbemalenograstim alfa- | Description: Injection, efbemalenograstim alfa-vuxw, 0.5 mg |
| J9370 | Vincristine sulfate 1 mg inj | Description: Vincristine sulfate, 1 mg |
| J9371 | Inj, vincristine sul lip 1mg | Description: Injection, vincristine sulfate liposome, 1 mg |
| J9376 | Inj pozelimab-bbfg, 1 mg | Description: Injection, pozelimab-bbfg, 1 mg |
| J9380 | Inj teclistamab cqyv 0.5 mg | Description: Injection, teclistamab-cqyv, 0.5 mg |
| J9381 | Inj teplizumab mzwv 5 mcg | Description: Injection, teplizumab-mzwv, 5 mcg |
| J9382 | Inj zenocutuzumab-zbco 1 mg | Description: Injection, zenocutuzumab-zbco, 1 mg |
| J9390 | Vinorelbine tartrate inj | Description: Injection, vinorelbine tartrate, 10 mg |
| J9393 | Inj, fulvestrant (teva) | Description: Injection, fulvestrant (teva), not therapeutically equivalent to j9395, 25 mg |
| J9394 | Inj, fulvestrant (fresenius) | Description: Injection, fulvestrant (fresenius kabi) not therapeutically equivalent to j9395, 25 mg |
| J9395 | Injection, fulvestrant | Description: Injection, fulvestrant, 25 mg |
| J9400 | Inj, ziv-aflibercept, 1mg | Description: Injection, ziv-aflibercept, 1 mg |
| J9600 | Porfimer sodium injection | Description: Injection, porfimer sodium, 75 mg |
| J9999 | Chemotherapy drug | Description: Not otherwise classified, antineoplastic drugs |
| K0001 | Standard wheelchair | Description: Standard wheelchair |
| K0002 | Stnd hemi (low seat) whlchr | Description: Standard hemi (low seat) wheelchair |
| K0003 | Lightweight wheelchair | Description: Lightweight wheelchair |
| K0004 | High strength ltwt whlchr | Description: High strength, lightweight wheelchair |
| K0005 | Ultralightweight wheelchair | Description: Ultralightweight wheelchair |
| K0006 | Heavy duty wheelchair | Description: Heavy duty wheelchair |
| K0007 | Extra heavy duty wheelchair | Description: Extra heavy duty wheelchair |
| K0008 | Cstm manual wheelchair/base | Description: Custom manual wheelchair/base |
| K0009 | Other manual wheelchair/base | Description: Other manual wheelchair/base |
| K0010 | Stnd wt frame power whlchr | Description: Standard - weight frame motorized/power wheelchair |
| K0011 | Stnd wt pwr whlchr w control | Description: Standard - weight frame motorized/power wheelchair with programmable control parameters for speed adjustment, tremor dampening, acceleration control and braking |
| K0012 | Ltwt portbl power whlchr | Description: Lightweight portable motorized/power wheelchair |
| K0013 | Custom power whlchr base | Description: Custom motorized/power wheelchair base |
| K0014 | Other power whlchr base | Description: Other motorized/power wheelchair base |
| K0015 | Detach non-adj ht armrst rep | Description: Detachable, non-adjustable height armrest, replacement only, each |
| K0017 | Detach adjust armrest base | Description: Detachable, adjustable height armrest, base, replacement only, each |
| K0018 | Detach adjust armrst upper | Description: Detachable, adjustable height armrest, upper portion, replacement only, each |
| K0019 | Arm pad repl, each | Description: Arm pad, replacement only, each |
| K0020 | Fixed adjust armrest pair | Description: Fixed, adjustable height armrest, pair |
| K0037 | Hi mount flip-up footrest ea | Description: High mount flip-up footrest, each |
| K0038 | Leg strap each | Description: Leg strap, each |
| K0039 | Leg strap h style each | Description: Leg strap, h style, each |
| K0040 | Adjustable angle footplate | Description: Adjustable angle footplate, each |
| K0041 | Large size footplate each | Description: Large size footplate, each |
| K0042 | Standard size ftplate rep ea | Description: Standard size footplate, replacement only, each |
| K0043 | Ftrst lowr exten tube rep ea | Description: Footrest, lower extension tube, replacement only, each |
| K0044 | Ftrst upr hanger brac rep ea | Description: Footrest, upper hanger bracket, replacement only, each |
| K0045 | Ftrst compl assembly repl ea | Description: Footrest, complete assembly, replacement only, each |
| K0046 | Elev lgrst lwr exten repl ea | Description: Elevating legrest, lower extension tube, replacement only, each |
| K0047 | Elev legrst upr hangr rep ea | Description: Elevating legrest, upper hanger bracket, replacement only, each |
| K0050 | Ratchet assembly replacement | Description: Ratchet assembly, replacement only |
| K0051 | Cam rel asm ft/legrst rep ea | Description: Cam release assembly, footrest or legrest, replacement only, each |
| K0052 | Swingaway detach ftrest repl | Description: Swingaway, detachable footrests, replacement only, each |
| K0053 | Elevate footrest articulate | Description: Elevating footrests, articulating (telescoping), each |
| K0056 | Seat ht <17 or >=21 ltwt wc | Description: Seat height less than 17' or equal to or greater than 21' for a high strength, lightweight, or ultralightweight wheelchair |
| K0065 | Spoke protectors | Description: Spoke protectors, each |
| K0069 | Rr whl compl sol tire rep ea | Description: Rear wheel assembly, complete, with solid tire, spokes or molded, replacement only, each |
| K0070 | Rr whl compl pne tire rep ea | Description: Rear wheel assembly, complete, with pneumatic tire, spokes or molded, replacement only, each |
| K0071 | Fr cstr comp pne tire rep ea | Description: Front caster assembly, complete, with pneumatic tire, replacement only, each |
| K0072 | Fr cstr semi-pne tire rep ea | Description: Front caster assembly, complete, with semi-pneumatic tire, replacement only, each |
| K0073 | Caster pin lock each | Description: Caster pin lock, each |
| K0077 | Fr cstr asmb sol tire rep ea | Description: Front caster assembly, complete, with solid tire, replacement only, each |
| K0098 | Drive belt for pwc, repl | Description: Drive belt for power wheelchair, replacement only |
| K0105 | Iv hanger | Description: Iv hanger, each |
| K0108 | W/c component-accessory nos | Description: Wheelchair component or accessory, not otherwise specified |
| K0195 | Elevating whlchair leg rests | Description: Elevating leg rests, pair (for use with capped rental wheelchair base) |
| K0455 | Pump uninterrupted infusion | Description: Infusion pump used for uninterrupted parenteral administration of medication, (e.g., epoprostenol or treprostinol) |
| K0462 | Temporary replacement eqpmnt | Description: Temporary replacement for patient owned equipment being repaired, any type |
| K0552 | Sup/ext non-ins inf pump syr | Description: Supplies for external non-insulin drug infusion pump, syringe type cartridge, sterile, each |
| K0553 | Ther cgm supply allowance | Description: Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service |
| K0554 | Ther cgm receiver/monitor | Description: Receiver (monitor), dedicated, for use with therapeutic glucose continuous monitor system |
| K0601 | Repl batt silver oxide 1.5 v | Description: Replacement battery for external infusion pump owned by patient, silver oxide, 1.5 volt, each |
| K0602 | Repl batt silver oxide 3 v | Description: Replacement battery for external infusion pump owned by patient, silver oxide, 3 volt, each |
| K0603 | Repl batt alkaline 1.5 v | Description: Replacement battery for external infusion pump owned by patient, alkaline, 1.5 volt, each |
| K0604 | Repl batt lithium 3.6 v | Description: Replacement battery for external infusion pump owned by patient, lithium, 3.6 volt, each |
| K0605 | Repl batt lithium 4.5 v | Description: Replacement battery for external infusion pump owned by patient, lithium, 4.5 volt, each |
| K0606 | Aed garment w elec analysis | Description: Automatic external defibrillator, with integrated electrocardiogram analysis, garment type |
| K0607 | Repl batt for aed | Description: Replacement battery for automated external defibrillator, garment type only, each |
| K0608 | Repl garment for aed | Description: Replacement garment for use with automated external defibrillator, each |
| K0609 | Repl electrode for aed | Description: Replacement electrodes for use with automated external defibrillator, garment type only, each |
| K0669 | Seat/back cus no dmepdac ver | Description: Wheelchair accessory, wheelchair seat or back cushion, does not meet specific code criteria or no written coding verification from dme pdac |
| K0672 | Removable soft interface le | Description: Addition to lower extremity orthosis, removable soft interface, all components, replacement only, each |
| K0730 | Ctrl dose inh drug deliv sys | Description: Controlled dose inhalation drug delivery system |
| K0733 | 12-24hr sealed lead acid | Description: Power wheelchair accessory, 12 to 24 amp hour sealed lead acid battery, each (e.g., gel cell, absorbed glassmat) |
| K0738 | Portable gas oxygen system | Description: Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing |
| K0739 | Repair/svc dme non-oxygen eq | Description: Repair or nonroutine service for durable medical equipment other than oxygen equipment requiring the skill of a technician, labor component, per 15 minutes |
| K0740 | Repair/svc oxygen equipment | Description: Repair or nonroutine service for oxygen equipment requiring the skill of a technician, labor component, per 15 minutes |
| K0743 | Portable home suction pump | Description: Suction pump, home model, portable, for use on wounds |
| K0744 | Absorp drg <= 16 suc pump | Description: Absorptive wound dressing for use with suction pump, home model, portable, pad size 16 square inches or less |
| K0745 | Absorp drg >16<=48 suc pump | Description: Absorptive wound dressing for use with suction pump, home model, portable, pad size more than 16 square inches but less than or equal to 48 square inches |
| K0746 | Absorp drg >48 suc pump | Description: Absorptive wound dressing for use with suction pump, home model, portable, pad size greater than 48 square inches |
| K0800 | Pov group 1 std up to 300lbs | Description: Power operated vehicle, group 1 standard, patient weight capacity up to and including 300 pounds |
| K0801 | Pov group 1 hd 301-450 lbs | Description: Power operated vehicle, group 1 heavy duty, patient weight capacity 301 to 450 pounds |
| K0802 | Pov group 1 vhd 451-600 lbs | Description: Power operated vehicle, group 1 very heavy duty, patient weight capacity 451 to 600 pounds |
| K0806 | Pov group 2 std up to 300lbs | Description: Power operated vehicle, group 2 standard, patient weight capacity up to and including 300 pounds |
| K0807 | Pov group 2 hd 301-450 lbs | Description: Power operated vehicle, group 2 heavy duty, patient weight capacity 301 to 450 pounds |
| K0808 | Pov group 2 vhd 451-600 lbs | Description: Power operated vehicle, group 2 very heavy duty, patient weight capacity 451 to 600 pounds |
| K0812 | Power operated vehicle noc | Description: Power operated vehicle, not otherwise classified |
| K0813 | Pwc gp 1 std port seat/back | Description: Power wheelchair, group 1 standard, portable, sling/solid seat and back, patient weight capacity up to and including 300 pounds |
| K0814 | Pwc gp 1 std port cap chair | Description: Power wheelchair, group 1 standard, portable, captains chair, patient weight capacity up to and including 300 pounds |
| K0815 | Pwc gp 1 std seat/back | Description: Power wheelchair, group 1 standard, sling/solid seat and back, patient weight capacity up to and including 300 pounds |
| K0816 | Pwc gp 1 std cap chair | Description: Power wheelchair, group 1 standard, captains chair, patient weight capacity up to and including 300 pounds |
| K0820 | Pwc gp 2 std port seat/back | Description: Power wheelchair, group 2 standard, portable, sling/solid seat/back, patient weight capacity up to and including 300 pounds |
| K0821 | Pwc gp 2 std port cap chair | Description: Power wheelchair, group 2 standard, portable, captains chair, patient weight capacity up to and including 300 pounds |
| K0822 | Pwc gp 2 std seat/back | Description: Power wheelchair, group 2 standard, sling/solid seat/back, patient weight capacity up to and including 300 pounds |
| K0823 | Pwc gp 2 std cap chair | Description: Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds |
| K0824 | Pwc gp 2 hd seat/back | Description: Power wheelchair, group 2 heavy duty, sling/solid seat/back, patient weight capacity 301 to 450 pounds |
| K0825 | Pwc gp 2 hd cap chair | Description: Power wheelchair, group 2 heavy duty, captains chair, patient weight capacity 301 to 450 pounds |
| K0826 | Pwc gp 2 vhd seat/back | Description: Power wheelchair, group 2 very heavy duty, sling/solid seat/back, patient weight capacity 451 to 600 pounds |
| K0827 | Pwc gp vhd cap chair | Description: Power wheelchair, group 2 very heavy duty, captains chair, patient weight capacity 451 to 600 pounds |
| K0828 | Pwc gp 2 xtra hd seat/back | Description: Power wheelchair, group 2 extra heavy duty, sling/solid seat/back, patient weight capacity 601 pounds or more |
| K0829 | Pwc gp 2 xtra hd cap chair | Description: Power wheelchair, group 2 extra heavy duty, captains chair, patient weight 601 pounds or more |
| K0830 | Pwc gp2 std seat elevate s/b | Description: Power wheelchair, group 2 standard, seat elevator, sling/solid seat/back, patient weight capacity up to and including 300 pounds |
| K0831 | Pwc gp2 std seat elevate cap | Description: Power wheelchair, group 2 standard, seat elevator, captains chair, patient weight capacity up to and including 300 pounds |
| K0835 | Pwc gp2 std sing pow opt s/b | Description: Power wheelchair, group 2 standard, single power option, sling/solid seat/back, patient weight capacity up to and including 300 pounds |
| K0836 | Pwc gp2 std sing pow opt cap | Description: Power wheelchair, group 2 standard, single power option, captains chair, patient weight capacity up to and including 300 pounds |
| K0837 | Pwc gp 2 hd sing pow opt s/b | Description: Power wheelchair, group 2 heavy duty, single power option, sling/solid seat/back, patient weight capacity 301 to 450 pounds |
| K0838 | Pwc gp 2 hd sing pow opt cap | Description: Power wheelchair, group 2 heavy duty, single power option, captains chair, patient weight capacity 301 to 450 pounds |
| K0839 | Pwc gp2 vhd sing pow opt s/b | Description: Power wheelchair, group 2 very heavy duty, single power option, sling/solid seat/back, patient weight capacity 451 to 600 pounds |
| K0840 | Pwc gp2 xhd sing pow opt s/b | Description: Power wheelchair, group 2 extra heavy duty, single power option, sling/solid seat/back, patient weight capacity 601 pounds or more |
| K0841 | Pwc gp2 std mult pow opt s/b | Description: Power wheelchair, group 2 standard, multiple power option, sling/solid seat/back, patient weight capacity up to and including 300 pounds |
| K0842 | Pwc gp2 std mult pow opt cap | Description: Power wheelchair, group 2 standard, multiple power option, captains chair, patient weight capacity up to and including 300 pounds |
| K0843 | Pwc gp2 hd mult pow opt s/b | Description: Power wheelchair, group 2 heavy duty, multiple power option, sling/solid seat/back, patient weight capacity 301 to 450 pounds |
| K0848 | Pwc gp 3 std seat/back | Description: Power wheelchair, group 3 standard, sling/solid seat/back, patient weight capacity up to and including 300 pounds |
| K0849 | Pwc gp 3 std cap chair | Description: Power wheelchair, group 3 standard, captains chair, patient weight capacity up to and including 300 pounds |
| K0850 | Pwc gp 3 hd seat/back | Description: Power wheelchair, group 3 heavy duty, sling/solid seat/back, patient weight capacity 301 to 450 pounds |
| K0851 | Pwc gp 3 hd cap chair | Description: Power wheelchair, group 3 heavy duty, captains chair, patient weight capacity 301 to 450 pounds |
| K0852 | Pwc gp 3 vhd seat/back | Description: Power wheelchair, group 3 very heavy duty, sling/solid seat/back, patient weight capacity 451 to 600 pounds |
| K0853 | Pwc gp 3 vhd cap chair | Description: Power wheelchair, group 3 very heavy duty, captains chair, patient weight capacity 451 to 600 pounds |
| K0854 | Pwc gp 3 xhd seat/back | Description: Power wheelchair, group 3 extra heavy duty, sling/solid seat/back, patient weight capacity 601 pounds or more |
| K0855 | Pwc gp 3 xhd cap chair | Description: Power wheelchair, group 3 extra heavy duty, captains chair, patient weight capacity 601 pounds or more |
| K0856 | Pwc gp3 std sing pow opt s/b | Description: Power wheelchair, group 3 standard, single power option, sling/solid seat/back, patient weight capacity up to and including 300 pounds |
| K0857 | Pwc gp3 std sing pow opt cap | Description: Power wheelchair, group 3 standard, single power option, captains chair, patient weight capacity up to and including 300 pounds |
| K0858 | Pwc gp3 hd sing pow opt s/b | Description: Power wheelchair, group 3 heavy duty, single power option, sling/solid seat/back, patient weight 301 to 450 pounds |
| K0859 | Pwc gp3 hd sing pow opt cap | Description: Power wheelchair, group 3 heavy duty, single power option, captains chair, patient weight capacity 301 to 450 pounds |
| K0860 | Pwc gp3 vhd sing pow opt s/b | Description: Power wheelchair, group 3 very heavy duty, single power option, sling/solid seat/back, patient weight capacity 451 to 600 pounds |
| K0861 | Pwc gp3 std mult pow opt s/b | Description: Power wheelchair, group 3 standard, multiple power option, sling/solid seat/back, patient weight capacity up to and including 300 pounds |
| K0862 | Pwc gp3 hd mult pow opt s/b | Description: Power wheelchair, group 3 heavy duty, multiple power option, sling/solid seat/back, patient weight capacity 301 to 450 pounds |
| K0863 | Pwc gp3 vhd mult pow opt s/b | Description: Power wheelchair, group 3 very heavy duty, multiple power option, sling/solid seat/back, patient weight capacity 451 to 600 pounds |
| K0864 | Pwc gp3 xhd mult pow opt s/b | Description: Power wheelchair, group 3 extra heavy duty, multiple power option, sling/solid seat/back, patient weight capacity 601 pounds or more |
| K0868 | Pwc gp 4 std seat/back | Description: Power wheelchair, group 4 standard, sling/solid seat/back, patient weight capacity up to and including 300 pounds |
| K0869 | Pwc gp 4 std cap chair | Description: Power wheelchair, group 4 standard, captains chair, patient weight capacity up to and including 300 pounds |
| K0870 | Pwc gp 4 hd seat/back | Description: Power wheelchair, group 4 heavy duty, sling/solid seat/back, patient weight capacity 301 to 450 pounds |
| K0871 | Pwc gp 4 vhd seat/back | Description: Power wheelchair, group 4 very heavy duty, sling/solid seat/back, patient weight capacity 451 to 600 pounds |
| K0877 | Pwc gp4 std sing pow opt s/b | Description: Power wheelchair, group 4 standard, single power option, sling/solid seat/back, patient weight capacity up to and including 300 pounds |
| K0878 | Pwc gp4 std sing pow opt cap | Description: Power wheelchair, group 4 standard, single power option, captains chair, patient weight capacity up to and including 300 pounds |
| K0879 | Pwc gp4 hd sing pow opt s/b | Description: Power wheelchair, group 4 heavy duty, single power option, sling/solid seat/back, patient weight capacity 301 to 450 pounds |
| K0880 | Pwc gp4 vhd sing pow opt s/b | Description: Power wheelchair, group 4 very heavy duty, single power option, sling/solid seat/back, patient weight 451 to 600 pounds |
| K0884 | Pwc gp4 std mult pow opt s/b | Description: Power wheelchair, group 4 standard, multiple power option, sling/solid seat/back, patient weight capacity up to and including 300 pounds |
| K0885 | Pwc gp4 std mult pow opt cap | Description: Power wheelchair, group 4 standard, multiple power option, captains chair, patient weight capacity up to and including 300 pounds |
| K0886 | Pwc gp4 hd mult pow s/b | Description: Power wheelchair, group 4 heavy duty, multiple power option, sling/solid seat/back, patient weight capacity 301 to 450 pounds |
| K0890 | Pwc gp5 ped sing pow opt s/b | Description: Power wheelchair, group 5 pediatric, single power option, sling/solid seat/back, patient weight capacity up to and including 125 pounds |
| K0891 | Pwc gp5 ped mult pow opt s/b | Description: Power wheelchair, group 5 pediatric, multiple power option, sling/solid seat/back, patient weight capacity up to and including 125 pounds |
| K0898 | Power wheelchair noc | Description: Power wheelchair, not otherwise classified |
| K0899 | Pow mobil dev no dmepdac | Description: Power mobility device, not coded by dme pdac or does not meet criteria |
| K0900 | Cstm dme other than wheelchr | Description: Customized durable medical equipment, other than wheelchair |
| K0901 | Ko single upright pre ots | Description: Knee orthosis (ko), single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated, off-the-shelf |
| K0902 | Ko double upright pre ots | Description: Knee orthosis (ko), double upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated, off-the-shelf |
| K0903 | Mult den insert dir carv/cam | Description: For diabetics only, multiple density insert, made by direct carving with cam technology from a rectified cad model created from a digitized scan of the patient, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer (or higher), includes arch filler and other shaping material, custom fabricated, each |
| K1001 | Electronic posa treatment | Description: Electronic positional obstructive sleep apnea treatment, with sensor, includes all components and accessories, any type |
| K1002 | Ces system | Description: Cranial electrotherapy stimulation (ces) system, any type |
| K1003 | Whirlpool tub walkin portabl | Description: Whirlpool tub, walk-in, portable |
| K1004 | Lo freq us diathermy device | Description: Low frequency ultrasonic diathermy treatment device for home use |
| K1005 | Disp col sto bag breast milk | Description: Disposable collection and storage bag for breast milk, any size, any type, each |
| K1006 | Suct pum ext urine mgmt sys | Description: Suction pump, home model, portable or stationary, electric, any type, for use with external urine management system |
| K1007 | Bil hkaf pc s/d micro sensor | Description: Bilateral hip, knee, ankle, foot device, powered, includes pelvic component, single or double upright(s), knee joints any type, with or without ankle joints any type, includes all components and accessories, motors, microprocessors, sensors |
| K1009 | Speech volume modulation sys | Description: Speech volume modulation system, any type, including all components and accessories |
| K1010 | Intraurethral drainag device | Description: Indwelling intraurethral drainage device with valve, patient inserted, replacement only, each |
| K1011 | Acti intraurethral drainage | Description: Activation device for intraurethral drainage device with valve, replacement only, each |
| K1012 | Charger base station intraur | Description: Charger and base station for intraurethral activation device, replacement only |
| K1013 | Enema tube any type repl | Description: Enema tube, with or without adapter, any type, replacement only, each |
| K1014 | Ak 4 bar link hydl swg/stanc | Description: Addition, endoskeletal knee-shin system, 4 bar linkage or multiaxial, fluid swing and stance phase control |
| K1015 | Foot, adductus position, adj | Description: Foot, adductus positioning device, adjustable |
| K1016 | Trans elec nerv for trigemin | Description: Transcutaneous electrical nerve stimulator for electrical stimulation of the trigeminal nerve |
| K1017 | Monthly supp use with k1016 | Description: Monthly supplies for use of device coded at k1016 |
| K1018 | Ext up limb tremor stim wris | Description: External upper limb tremor stimulator of the peripheral nerves of the wrist |
| K1019 | Supp ext up limb tremor stim | Description: Supplies and accessories for external upper limb tremor stimulator of the peripheral nerves of the wrist |
| K1020 | Non-invasive vagus nerv stim | Description: Non-invasive vagus nerve stimulator |
| K1021 | Exsuff belt incl all sup acc | Description: Exsufflation belt, includes all supplies and accessories |
| K1022 | Endoskel posit rotat unit | Description: Addition to lower extremity prosthesis, endoskeletal, knee disarticulation, above knee, hip disarticulation, positional rotation unit, any type |
| K1023 | Trans elec nerv periph nerv | Description: Distal transcutaneous electrical nerve stimulator, stimulates peripheral nerves of the upper arm |
| K1024 | Non pneum comp control cal | Description: Non-pneumatic compression controller with sequential calibrated gradient pressure |
| K1025 | Non pneum compress full arm | Description: Non-pneumatic sequential compression garment, full arm |
| K1026 | Mech allergen parti barrier | Description: Mechanical allergen particle barrier/inhalation filter, cream, nasal, topical |
| K1027 | Oral dev without fix mech | Description: Oral device/appliance used to reduce upper airway collapsibility, without fixed mechanical hinge, custom fabricated, includes fitting and adjustment |
| K1028 | Control unit nm stim w phone | Description: Power source and control electronics unit for oral device/appliance for neuromuscular electrical stimulation of the tongue muscle, controlled by phone application |
| K1029 | Oral dv/app neuromus mouthpi | Description: Oral device/appliance for neuromuscular electrical stimulation of the tongue muscle, used in conjunction with the power source and control electronics unit, controlled by phone application, 90-day supply |
| K1030 | Ext recharge bat replacement | Description: External recharging system for battery (internal) for use with implanted cardiac contractility modulation generator, replacement only |
| K1031 | Non pneu comp control w/o ca | Description: Non-pneumatic compression controller without calibrated gradient pressure |
| K1032 | Non pneum seq comp full leg | Description: Non-pneumatic sequential compression garment, full leg |
| K1033 | Non pneum seq comp half leg | Description: Non-pneumatic sequential compression garment, half leg |
| K1034 | Covid test self-admn/collect | Description: Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count |
| K1035 | Mol diag reader self-admn | Description: Molecular diagnostic test reader, nonprescription self-administered and self-collected use, fda approved, authorized or cleared |
| K1036 | Supplies for ultra diatherm | Description: Supplies and accessories (e.g., transducer) for low frequency ultrasonic diathermy treatment device, per month |
| K1037 | Docking station for oral dev | Description: Docking station for use with oral device/appliance used to reduce upper airway collapsibility |
| L0112 | Cranial cervical orthosis | Description: Cranial cervical orthosis, congenital torticollis type, with or without soft interface material, adjustable range of motion joint, custom fabricated |
| L0113 | Cranial cervical torticollis | Description: Cranial cervical orthosis, torticollis type, with or without joint, with or without soft interface material, prefabricated, includes fitting and adjustment |
| L0120 | Cerv flex n/adj foam pre ots | Description: Cervical, flexible, non-adjustable, prefabricated, off-the-shelf (foam collar) |
| L0130 | Flex thermoplastic collar mo | Description: Cervical, flexible, thermoplastic collar, molded to patient |
| L0140 | Cervical semi-rigid adjustab | Description: Cervical, semi-rigid, adjustable (plastic collar) |
| L0150 | Cerv semi-rig adj molded chn | Description: Cervical, semi-rigid, adjustable molded chin cup (plastic collar with mandibular/occipital piece) |
| L0160 | Cerv sr wire occ/man pre ots | Description: Cervical, semi-rigid, wire frame occipital/mandibular support, prefabricated, off-the-shelf |
| L0170 | Cervical collar molded to pt | Description: Cervical, collar, molded to patient model |
| L0172 | Cerv col sr foam 2pc pre ots | Description: Cervical, collar, semi-rigid thermoplastic foam, two-piece, prefabricated, off-the-shelf |
| L0174 | Cerv sr 2pc thor ext pre ots | Description: Cervical, collar, semi-rigid, thermoplastic foam, two piece with thoracic extension, prefabricated, off-the-shelf |
| L0180 | Cer post col occ/man sup adj | Description: Cervical, multiple post collar, occipital/mandibular supports, adjustable |
| L0190 | Cerv collar supp adj cerv ba | Description: Cervical, multiple post collar, occipital/mandibular supports, adjustable cervical bars (somi, guilford, taylor types) |
| L0200 | Cerv col supp adj bar & thor | Description: Cervical, multiple post collar, occipital/mandibular supports, adjustable cervical bars, and thoracic extension |
| L0220 | Thor rib belt custom fabrica | Description: Thoracic, rib belt, custom fabricated |
| L0450 | Tlso flex trunk/thor pre ots | Description: Tlso, flexible, provides trunk support, upper thoracic region, produces intracavitary pressure to reduce load on the intervertebral disks with rigid stays or panel(s), includes shoulder straps and closures, prefabricated, off-the-shelf |
| L0452 | Tlso flex custom fab thoraci | Description: Tlso, flexible, provides trunk support, upper thoracic region, produces intracavitary pressure to reduce load on the intervertebral disks with rigid stays or panel(s), includes shoulder straps and closures, custom fabricated |
| L0454 | Tlso trnk sj-t9 pre cst | Description: Tlso flexible, provides trunk support, extends from sacrococcygeal junction to above t-9 vertebra, restricts gross trunk motion in the sagittal plane, produces intracavitary pressure to reduce load on the intervertebral disks with rigid stays or panel(s), includes shoulder straps and closures, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise |
| L0455 | Tlso flex trnk sj-t9 pre ots | Description: Tlso, flexible, provides trunk support, extends from sacrococcygeal junction to above t-9 vertebra, restricts gross trunk motion in the sagittal plane, produces intracavitary pressure to reduce load on the intervertebral disks with rigid stays or panel(s), includes shoulder straps and closures, prefabricated, off-the-shelf |
| L0456 | Tlso flex trnk sj-ss pre cst | Description: Tlso, flexible, provides trunk support, thoracic region, rigid posterior panel and soft anterior apron, extends from the sacrococcygeal junction and terminates just inferior to the scapular spine, restricts gross trunk motion in the sagittal plane, produces intracavitary pressure to reduce load on the intervertebral disks, includes straps and closures, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise |
| L0457 | Tlso flex trnk sj-ss pre ots | Description: Tlso, flexible, provides trunk support, thoracic region, rigid posterior panel and soft anterior apron, extends from the sacrococcygeal junction and terminates just inferior to the scapular spine, restricts gross trunk motion in the sagittal plane, produces intracavitary pressure to reduce load on the intervertebral disks, includes straps and closures, prefabricated, off-the-shelf |
| L0458 | Tlso 2mod symphis-xipho pre | Description: Tlso, triplanar control, modular segmented spinal system, two rigid plastic shells, posterior extends from the sacrococcygeal junction and terminates just inferior to the scapular spine, anterior extends from the symphysis pubis to the xiphoid, soft liner, restricts gross trunk motion in the sagittal, coronal, and transverse planes, lateral strength is provided by overlapping plastic and stabilizing closures, includes straps and closures, prefabricated, includes fitting and adjustment |
| L0460 | Tlso 2 shl symphys-stern cst | Description: Tlso, triplanar control, modular segmented spinal system, two rigid plastic shells, posterior extends from the sacrococcygeal junction and terminates just inferior to the scapular spine, anterior extends from the symphysis pubis to the sternal notch, soft liner, restricts gross trunk motion in the sagittal, coronal, and transverse planes, lateral strength is provided by overlapping plastic and stabilizing closures, includes straps and closures, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise |
| L0462 | Tlso 3mod sacro-scap pre | Description: Tlso, triplanar control, modular segmented spinal system, three rigid plastic shells, posterior extends from the sacrococcygeal junction and terminates just inferior to the scapular spine, anterior extends from the symphysis pubis to the sternal notch, soft liner, restricts gross trunk motion in the sagittal, coronal, and transverse planes, lateral strength is provided by overlapping plastic and stabilizing closures, includes straps and closures, prefabricated, includes fitting and adjustment |
| L0464 | Tlso 4mod sacro-scap pre | Description: Tlso, triplanar control, modular segmented spinal system, four rigid plastic shells, posterior extends from sacrococcygeal junction and terminates just inferior to scapular spine, anterior extends from symphysis pubis to the sternal notch, soft liner, restricts gross trunk motion in sagittal, coronal, and transverse planes, lateral strength is provided by overlapping plastic and stabilizing closures, includes straps and closures, prefabricated, includes fitting and adjustment |
| L0466 | Tlso r fram soft ant pre cst | Description: Tlso, sagittal control, rigid posterior frame and flexible soft anterior apron with straps, closures and padding, restricts gross trunk motion in sagittal plane, produces intracavitary pressure to reduce load on intervertebral disks, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise |
| L0467 | Tlso r fram soft pre ots | Description: Tlso, sagittal control, rigid posterior frame and flexible soft anterior apron with straps, closures and padding, restricts gross trunk motion in sagittal plane, produces intracavitary pressure to reduce load on intervertebral disks, prefabricated, off-the-shelf |
| L0468 | Tlso rig fram pelvic pre cst | Description: Tlso, sagittal-coronal control, rigid posterior frame and flexible soft anterior apron with straps, closures and padding, extends from sacrococcygeal junction over scapulae, lateral strength provided by pelvic, thoracic, and lateral frame pieces, restricts gross trunk motion in sagittal, and coronal planes, produces intracavitary pressure to reduce load on intervertebral disks, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise |
| L0469 | Tlso rig fram pelvic pre ots | Description: Tlso, sagittal-coronal control, rigid posterior frame and flexible soft anterior apron with straps, closures and padding, extends from sacrococcygeal junction over scapulae, lateral strength provided by pelvic, thoracic, and lateral frame pieces, restricts gross trunk motion in sagittal and coronal planes, produces intracavitary pressure to reduce load on intervertebral disks, prefabricated, off-the-shelf |
| L0470 | Tlso rigid frame pre subclav | Description: Tlso, triplanar control, rigid posterior frame and flexible soft anterior apron with straps, closures and padding, extends from sacrococcygeal junction to scapula, lateral strength provided by pelvic, thoracic, and lateral frame pieces, rotational strength provided by subclavicular extensions, restricts gross trunk motion in sagittal, coronal, and transverse planes, provides intracavitary pressure to reduce load on the intervertebral disks, includes fitting and shaping the frame, prefabricated, includes fitting and adjustment |
| L0472 | Tlso rigid frame hyperex pre | Description: Tlso, triplanar control, hyperextension, rigid anterior and lateral frame extends from symphysis pubis to sternal notch with two anterior components (one pubic and one sternal), posterior and lateral pads with straps and closures, limits spinal flexion, restricts gross trunk motion in sagittal, coronal, and transverse planes, includes fitting and shaping the frame, prefabricated, includes fitting and adjustment |
| L0480 | Tlso rigid plastic custom fa | Description: Tlso, triplanar control, one piece rigid plastic shell without interface liner, with multiple straps and closures, posterior extends from sacrococcygeal junction and terminates just inferior to scapular spine, anterior extends from symphysis pubis to sternal notch, anterior or posterior opening, restricts gross trunk motion in sagittal, coronal, and transverse planes, includes a carved plaster or cad-cam model, custom fabricated |
| L0482 | Tlso rigid lined custom fab | Description: Tlso, triplanar control, one piece rigid plastic shell with interface liner, multiple straps and closures, posterior extends from sacrococcygeal junction and terminates just inferior to scapular spine, anterior extends from symphysis pubis to sternal notch, anterior or posterior opening, restricts gross trunk motion in sagittal, coronal, and transverse planes, includes a carved plaster or cad-cam model, custom fabricated |
