Medical Billing Code Search
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9012 results found
| 0339U | Onc prst8 mrna hoxc6 & dlx1 | Description: Oncology (prostate), mRNA expression profiling of HOXC6 and DLX1, reverse transcription polymerase chain reaction (RT-PCR), first-void urine following digital rectal examination, algorithm reported as probability of high-grade cancer |
| 0340U | Onc pan ca alys mrd plasma | Description: Oncology (pan-cancer), analysis of minimal residual disease (MRD) from plasma, with assays personalized to each patient based on prior next-generation sequencing of the patient’s tumor and germline DNA, reported as absence or presence of MRD, with disease-burden correlation, if appropriate |
| 0341U | Ftl aneup dna seq cmpr alys | Description: Fetal aneuploidy DNA sequencing comparative analysis, fetal DNA from products of conception, reported as normal (euploidy), monosomy, trisomy, or partial deletion/duplication, mosaicism, and segmental aneuploid |
| 0342U | Onc pncrtc ca mult ia eclia | Description: Oncology (pancreatic cancer), multiplex immunoassay of C5, C4, cystatin C, factor B, osteoprotegerin (OPG), gelsolin, IGFBP3, CA125 and multiplex electrochemiluminescent immunoassay (ECLIA) for CA19-9, serum, diagnostic algorithm reported qualitatively as positive, negative, or borderline |
| 0343U | Onc prst8 xom aly 442 sncrna | Description: Oncology (prostate), exosome-based analysis of 442 small noncoding RNAs (sncRNAs) by quantitative reverse transcription polymerase chain reaction (RT-qPCR), urine, reported as molecular evidence of no-, low-, intermediate- or high-risk of prostate cancer |
| 0344U | Hep nafld semiq evl 28 lipid | Description: Hepatology (nonalcoholic fatty liver disease [NAFLD]), semiquantitative evaluation of 28 lipid markers by liquid chromatography with tandem mass spectrometry (LC-MS/MS), serum, reported as at-risk for nonalcoholic steatohepatitis (NASH) or not NASH |
| 0345U | Psyc genom alys pnl 15 gen | Description: Psychiatry (eg, depression, anxiety, attention deficit hyperactivity disorder [ADHD]), genomic analysis panel, variant analysis of 15 genes, including deletion/duplication analysis of CYP2D6 |
| 0346U | Beta amyl Aβ40 & Aβ42 lcms/ms | Description: Beta amyloid, Aβ40 and Aβ42 by liquid chromatography with tandem mass spectrometry (LC-MS/MS), ratio, plasma |
| 0347U | Rx metab/pcx dna 16 gen alys | Description: Drug metabolism or processing (multiple conditions), whole blood or buccal specimen, DNA analysis, 16 gene report, with variant analysis and reported phenotypes |
| 0348U | Rx metab/pcx dna 25 gen alys | Description: Drug metabolism or processing (multiple conditions), whole blood or buccal specimen, DNA analysis, 25 gene report, with variant analysis and reported phenotypes |
| 0349U | Rx metab/pcx dna 27gen rx ia | Description: Drug metabolism or processing (multiple conditions), whole blood or buccal specimen, DNA analysis, 27 gene report, with variant analysis, including reported phenotypes and impacted gene-drug interactions |
| 0350U | Rx metab/pcx dna 27 gen alys | Description: Drug metabolism or processing (multiple conditions), whole blood or buccal specimen, DNA analysis, 27 gene report, with variant analysis and reported phenotypes |
| 0351U | Nfct ds bct/viral trail ip10 | Description: Infectious disease (bacterial or viral), biochemical assays, tumor necrosis factor-related apoptosis-inducing ligand (TRAIL), interferon gamma-induced protein-10 (IP10), and C-reactive protein, serum, algorithm reported as likelihood of bacterial infection |
| 0352U | Nfct ds bv&vaginitis amp prb | Description: Infectious disease (bacterial vaginosis and vaginitis), multiplex amplified probe technique, for detection of bacterial vaginosis–associated bacteria (BVAB-2, Atopobium vaginae, and Megasphera type 1), algorithm reported as detected or not detected and separate detection of Candida species (C. albicans, C. tropicalis, C. parapsilosis, C. dubliniensis), Candida glabrata/Candida krusei, and trichomonas vaginalis, vaginal-fluid specimen, each result reported as detected or not detected |
| 0353U | Iadna chlmyd&gonorr amp prb | Description: Infectious agent detection by nucleic acid (DNA), Chlamydia trachomatis and Neisseria gonorrhoeae, multiplex amplified probe technique, urine, vaginal, pharyngeal, or rectal, each pathogen reported as detected or not detected |
| 0354U | Hpv hi rsk qual mrna E6/E7 | Description: Human papilloma virus (HPV), high-risk types (ie, 16, 18, 31, 33, 45, 52 and 58) qualitative mRNA expression of E6/E7 by quantitative polymerase chain reaction (qPCR) |
| 0355U | APOL1 RISK VARIANTS | Description: APOL1 (apolipoprotein L1) (eg, chronic kidney disease), risk variants (G1, G2) |
| 0356U | ONC OROP 17 DNA DDPCR ALG | Description: Oncology (oropharyngeal), evaluation of 17 DNA biomarkers using droplet digital PCR (ddPCR), cell-free DNA, algorithm reported as a prognostic risk score for cancer recurrence |
| 0357U | ONC MLNMA AI QUAN ALYS 142 | Description: Oncology (melanoma), artificial intelligence (AI)-enabled quantitative mass spectrometry analysis of 142 unique pairs of glycopeptide and product fragments, plasma, prognostic, and predictive algorithm reported as likely, unlikely, or uncertain benefit from immunotherapy agents |
| 0358U | NEURO ALYS β-AMYL 1-42&1-40 | Description: Neurology (mild cognitive impairment), analysis of β-amyloid 1-42 and 1-40, chemiluminescence enzyme immunoassay, cerebral spinal fluid, reported as positive, likely positive, or negative |
| 0359U | ONC PRST8 CA ALYS ALL PSA | Description: Oncology (prostate cancer), analysis of all prostate-specific antigen (PSA) structural isoforms by phase separation and immunoassay, plasma, algorithm reports risk of cancer |
| 0360U | ONC LUNG ELISA 7 AUTOANT ALG | Description: Oncology (lung), enzyme-linked immunosorbent assay (ELISA) of 7 autoantibodies (p53, NY-ESO-1, CAGE, GBU4-5, SOX2, MAGE A4, and HuD), plasma, algorithm reported as a categorical result for risk of malignancy |
| 0361U | NEURFLMNT LT CHN DIG IA QUAN | Description: U Neurofilament light chain, digital immunoassay, plasma, quantitative |
| 0362U | ONC PAP THYR CA RNA 82&10 | Description: Oncology (papillary thyroid cancer), gene-expression profiling via targeted hybrid capture–enrichment RNA sequencing of 82 content genes and 10 housekeeping genes, formalin-fixed paraffin embedded (FFPE) tissue, algorithm reported as one of three molecular subtypes |
| 0363U | ONC URTHL MRNA 5 GEN ALG | Description: Oncology (urothelial), mRNA, geneexpression profiling by real-time quantitative PCR of 5 genes (MDK, HOXA13, CDC2 [CDK1], IGFBP5, and CXCR2), utilizing urine, algorithm incorporates age, sex, smoking history, and macrohematuria frequency, reported as a risk score for having urothelial carcinoma |
| 0364U | ONC HL NEO GEN SEQ ALYS ALG | Description: Oncology (hematolymphoid neoplasm), genomic sequence analysis using multiplex (PCR) and next-generation sequencing with algorithm, quantification of dominant clonal sequence(s), reported as presence or absence of minimal residual disease (MRD) with quantitation of disease burden, when appropriate |
| 0365U | ONC BLDR 10 PRB BLDR CA | Description: Oncology (bladder), analysis of 10 protein biomarkers (A1AT, ANG, APOE, CA9, IL8, MMP9, MMP10, PAI1, SDC1 and VEGFA) by immunoassays, urine, algorithm reported as a probability of bladder cancer |
| 0366U | ONC BLDR 10 PRB RECR BLDR CA | Description: Oncology (bladder), analysis of 10 protein biomarkers (A1AT, ANG, APOE, CA9, IL8, MMP9, MMP10, PAI1, SDC1 and VEGFA) by immunoassays, urine, algorithm reported as a probability of recurrent bladder cancer |
| 0367U | ONC BLDR 10 FLWG TRURL RESCJ | Description: Oncology (bladder), analysis of 10 protein biomarkers (A1AT, ANG, APOE, CA9, IL8, MMP9, MMP10, PAI1, SDC1 and VEGFA) by immunoassays, urine, diagnostic algorithm reported as a risk score for probability of rapid recurrence of recurrent or persistent cancer following transurethral resection |
| 0368U | ONC CLRCT CA MUT&MTHYLTN MRK | Description: Oncology (colorectal cancer), evaluation for mutations of APC, BRAF, CTNNB1, KRAS, NRAS, PIK3CA, SMAD4, and TP53, and methylation markers (MYO1G, KCNQ5, C9ORF50, FLI1, CLIP4, ZNF132 and TWIST1), multiplex quantitative polymerase chain reaction (qPCR), circulating cell-free DNA (cfDNA), plasma, report of risk score for advanced adenoma or colorectal cancer |
| 0369U | IADNA GI PTHGN 31 ORG&21 ARG | Description: Infectious agent detection by nucleic acid (DNA and RNA), gastrointestinal pathogens, 31 bacterial, viral, and parasitic organisms and identification of 21 associated antibiotic-resistance genes, multiplex amplified probe technique |
| 0370U | IADNA SURG WND PTHGN 34&21 | Description: Infectious agent detection by nucleic acid (DNA and RNA), surgical wound pathogens, 34 microorganisms and identification of 21 associated antibioticresistance genes, multiplex amplified probe technique, wound swab |
| 0371U | IADNA GU PTHGN SEMIQ DNA16&1 | Description: Infectious agent detection by nucleic acid (DNA or RNA), genitourinary pathogen, semiquantitative identification, DNA from 16 bacterial organisms and 1 fungal organism, multiplex amplified probe technique via quantitative polymerase chain reaction (qPCR), urine |
| 0372U | NFCT DS GU PTHGN ARG DETCJ | Description: Infectious disease (genitourinary pathogens), antibiotic-resistance gene detection, multiplex amplified probe technique, urine, reported as an antimicrobial stewardship risk score |
| 0373U | IADNA RSP TR NFCT 17 8 13&16 | Description: Infectious agent detection by nucleic acid (DNA and RNA), respiratory tract infection, 17 bacteria, 8 fungus, 13 virus, and 16 antibiotic-resistance genes, multiplex amplified probe technique, upper or lower respiratory specimen |
| 0374U | IADNA GU PTHGN 21 ORG&21ARG | Description: Infectious agent detection by nucleic acid (DNA or RNA), genitourinary pathogens, identification of 21 bacterial and fungal organisms and identification of 21 associated antibiotic-resistance genes, multiplex amplified probe technique, urine |
| 0375U | ONC OVRN BCHM ASY 7 PRTN ALG | Description: Oncology (ovarian), biochemical assays of 7 proteins (follicle stimulating hormone, human epididymis protein 4, apolipoprotein A-1, transferrin, beta-2 macroglobulin, prealbumin [ie, transthyretin], and cancer antigen 125), algorithm reported as ovarian cancer risk score |
| 0376U | ONC PRST8 CA IMG ALYS 128 | Description: U Oncology (prostate cancer), image analysis of at least 128 histologic features and clinical factors, prognostic algorithm determining the risk of distant metastases, and prostate cancerspecific mortality, includes predictive algorithm to androgen deprivationtherapy response, if appropriate |
| 0377U | CV DS QUAN ADVSRM/PLSM LPRTN | Description: Cardiovascular disease, quantification of advanced serum or plasma lipoprotein profile, by nuclear magnetic resonance (NMR) spectrometry with report of a lipoprotein profile (including 23 variables) |
| 0378U | RFC1 REPEAT XPNSJ VRNT ALYS | Description: RFC1 (replication factor C subunit 1), repeat expansion variant analysis by traditional and repeat-primed PCR, blood, saliva, or buccal swab |
| 0379U | TGSAP SL OR NEO DNA523&RNA55 | Description: Targeted genomic sequence analysis panel, solid organ neoplasm, DNA (523 genes) and RNA (55 genes) by nextgeneration sequencing, interrogation for sequence variants, gene copy number amplifications, gene rearrangements, microsatellite instability, and tumor mutational burden |
| 0380U | RX METB ADVRS TRGT SQ ALY 20 | Description: Drug metabolism (adverse drug reactions and drug response), targeted sequence analysis, 20 gene variants and CYP2D6 deletion or duplication analysis with reported genotype and phenotype |
| 0381U | MAPLE SYRUP UR DS MNTR QUAN | Description: Maple syrup urine disease monitoring by patient-collected blood card sample, quantitative measurement of alloisoleucine, leucine, isoleucine, and valine, liquid chromatography with tandem mass spectrometry (LCMS/MS) |
| 0382U | HYPRPHENYLALNINMIA MNTR QUAN | Description: Hyperphenylalaninemia monitoring by patient-collected blood card sample, quantitative measurement of phenylalanine and tyrosine, liquid chromatography with tandem mass spectrometry (LC-MS/MS) |
| 0383U | TYROSINEMIA TYP I MNTR QUAN | Description: Tyrosinemia type I monitoring by patient-collected blood card sample, quantitative measurement of tyrosine, phenylalanine, methionine, succinylacetone, nitisinone, liquid chromatography with tandem mass spectrometry (LC-MS/MS) |
| 0384U | NEPH CKD RSK HI STG KDN DS | Description: Nephrology (chronic kidney disease), carboxymethyllysine, methylglyoxal hydroimidazolone, and carboxyethyl lysine by liquid chromatography with tandem mass spectrometry (LCMS/MS) and HbA1c and estimated glomerular filtration rate (GFR), with risk score reported for predictive progression to high-stage kidney disease |
| 0385U | NEPH CKD ALG RSK DBTC KDN DS | Description: U Nephrology (chronic kidney disease), apolipoprotein A4 (ApoA4), CD5 antigen-like (CD5L), and insulin-like growth factor binding protein 3 (IGFBP3) by enzyme-linked immunoassay (ELISA), plasma, algorithm combining results with HDL, estimated glomerular filtration rate (GFR) and clinical data reported as a risk score for developing diabetic kidney disease |
| 0386U | GI BARRETT ESOPH MTHYLTN ALY | Description: U Gastroenterology (Barrett’s esophagus), P16, RUNX3, HPP1, and FBN1 methylation analysis, prognostic and predictive algorithm reported as a risk score for progression to high-grade dysplasia or esophageal cancer |
| M1389 | Pt rsn no exm | Description: Documentation of patient reasons for no examination i.e., refusal of examination or lost to follow-up (documentation must include information that the clinician was unable to reach the patient by phone, mail or secure electronic mail - at least one method must be documented) |
| A0021 | Outside state ambulance serv | Description: Ambulance service, outside state per mile, transport (medicaid only) |
| A0080 | Noninterest escort in non er | Description: Non-emergency transportation, per mile - vehicle provided by volunteer (individual or organization), with no vested interest |
| A0090 | Interest escort in non er | Description: Non-emergency transportation, per mile - vehicle provided by individual (family member, self, neighbor) with vested interest |
| A0100 | Nonemergency transport taxi | Description: Non-emergency transportation; taxi |
| A0110 | Nonemergency transport bus | Description: Non-emergency transportation and bus, intra or inter state carrier |
| A0120 | Noner transport mini-bus | Description: Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems |
| A0130 | Noner transport wheelch van | Description: Non-emergency transportation: wheelchair van |
| A0140 | Nonemergency transport air | Description: Non-emergency transportation and air travel (private or commercial) intra or inter state |
| A0160 | Noner transport case worker | Description: Non-emergency transportation: per mile - case worker or social worker |
| A0170 | Transport parking fees/tolls | Description: Transportation ancillary: parking fees, tolls, other |
| A0180 | Noner transport lodgng recip | Description: Non-emergency transportation: ancillary: lodging-recipient |
| A0190 | Noner transport meals recip | Description: Non-emergency transportation: ancillary: meals-recipient |
| A0200 | Noner transport lodgng escrt | Description: Non-emergency transportation: ancillary: lodging escort |
| A0210 | Noner transport meals escort | Description: Non-emergency transportation: ancillary: meals-escort |
| A0225 | Neonatal emergency transport | Description: Ambulance service, neonatal transport, base rate, emergency transport, one way |
| A0380 | Basic life support mileage | Description: Bls mileage (per mile) |
| A0382 | Basic support routine suppls | Description: Bls routine disposable supplies |
| A0384 | Bls defibrillation supplies | Description: Bls specialized service disposable supplies; defibrillation (used by als ambulances and bls ambulances in jurisdictions where defibrillation is permitted in bls ambulances) |
| A0390 | Advanced life support mileag | Description: Als mileage (per mile) |
| A0392 | Als defibrillation supplies | Description: Als specialized service disposable supplies; defibrillation (to be used only in jurisdictions where defibrillation cannot be performed in bls ambulances) |
| A0394 | Als iv drug therapy supplies | Description: Als specialized service disposable supplies; iv drug therapy |
| A0396 | Als esophageal intub suppls | Description: Als specialized service disposable supplies; esophageal intubation |
| A0398 | Als routine disposble suppls | Description: Als routine disposable supplies |
| A0420 | Ambulance waiting 1/2 hr | Description: Ambulance waiting time (als or bls), one half (1/2) hour increments |
| A0422 | Ambulance 02 life sustaining | Description: Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
| A0424 | Extra ambulance attendant | Description: Extra ambulance attendant, ground (als or bls) or air (fixed or rotary winged); (requires medical review) |
| A0425 | Ground mileage | Description: Ground mileage, per statute mile |
| A0426 | Als 1 | Description: Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
| A0427 | Als1-emergency | Description: Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
| A0428 | Bls | Description: Ambulance service, basic life support, non-emergency transport, (bls) |
| A0429 | Bls-emergency | Description: Ambulance service, basic life support, emergency transport (bls-emergency) |
| A0430 | Fixed wing air transport | Description: Ambulance service, conventional air services, transport, one way (fixed wing) |
| A0431 | Rotary wing air transport | Description: Ambulance service, conventional air services, transport, one way (rotary wing) |
| A0432 | Pi volunteer ambulance co | Description: Paramedic intercept (pi), rural area, transport furnished by a volunteer ambulance company which is prohibited by state law from billing third party payers |
| A0433 | Als 2 | Description: Advanced life support, level 2 (als 2) |
| A0434 | Specialty care transport | Description: Specialty care transport (sct) |
| A0435 | Fixed wing air mileage | Description: Fixed wing air mileage, per statute mile |
| A0436 | Rotary wing air mileage | Description: Rotary wing air mileage, per statute mile |
| A0888 | Noncovered ambulance mileage | Description: Noncovered ambulance mileage, per mile (e.g., for miles traveled beyond closest appropriate facility) |
| A0998 | Ambulance response/treatment | Description: Ambulance response and treatment, no transport |
| A0999 | Unlisted ambulance service | Description: Unlisted ambulance service |
| A2001 | Innovamatrix ac, per sq cm | Description: Innovamatrix ac, per square centimeter |
| A2002 | Mirragen adv wnd mat per sq | Description: Mirragen advanced wound matrix, per square centimeter |
| A2004 | Xcellistem, 1 mg | Description: Xcellistem, 1 mg |
| A2005 | Microlyte matrix, per sq cm | Description: Microlyte matrix, per square centimeter |
| A2006 | Novosorb synpath per sq cm | Description: Novosorb synpath dermal matrix, per square centimeter |
| A2007 | Restrata, per sq cm | Description: Restrata, per square centimeter |
| A2008 | Theragenesis, per sq cm | Description: Theragenesis, per square centimeter |
| A2009 | Symphony, per sq cm | Description: Symphony, per square centimeter |
| A2010 | Apis, per square centimeter | Description: Apis, per square centimeter |
| A2011 | Supra sdrm, per sq cm | Description: Supra sdrm, per square centimeter |
| A2012 | Suprathel, per sq cm | Description: Suprathel, per square centimeter |
| A2013 | Innovamatrix fs, per sq cm | Description: Innovamatrix fs, per square centimeter |
| A2014 | Omeza collag per 100 mg | Description: Omeza collagen matrix, per 100 mg |
| A2015 | Phoenix wnd mtrx, per sq cm | Description: Phoenix wound matrix, per square centimeter |
| A2016 | Permeaderm b, per sq cm | Description: Permeaderm b, per square centimeter |
| A2017 | Permeaderm glove, each | Description: Permeaderm glove, each |
| A2018 | Permeaderm c, per sq cm | Description: Permeaderm c, per square centimeter |
| A2019 | Kerecis marigen shld sq cm | Description: Kerecis omega3 marigen shield, per square centimeter |
| A2020 | Ac5 wound system | Description: Ac5 advanced wound system (ac5) |
| A2021 | Neomatrix per sq cm | Description: Neomatrix, per square centimeter |
| A2022 | Innovabrn/innovamatx xl sqcm | Description: Innovaburn or innovamatrix xl, per square centimeter |
| A2023 | Innovamatrix pd, 1 mg | Description: Innovamatrix pd, 1 mg |
| A2024 | Resolve or xenopatch sq cm | Description: Resolve matrix or xenopatch, per square centimeter |
| A2025 | Miro3d per cubic cm | Description: Miro3d, per cubic centimeter |
| A2026 | Restrata minimatrix, 5 mg | Description: Restrata minimatrix, 5 mg |
| A2027 | Matriderm per sq cm | Description: Matriderm, per square centimeter |
| A2028 | Micromatrix flex per mg | Description: Micromatrix flex, per mg |
| A2029 | Mirotract matrix sheet | Description: Mirotract wound matrix sheet, per cubic centimeter |
| A2030 | Miro3d fibers, per mg | Description: Miro3d fibers, per milligram |
| A2031 | Mirodry, per sq cm | Description: Mirodry wound matrix, per square centimeter |
| A2032 | Myriad matrix, per sq cm | Description: Myriad matrix, per square centimeter |
| A2033 | Myriad morcells, 4 mg | Description: Myriad morcells, 4 milligrams |
| A2034 | Found drs solo, per sq cm | Description: Foundation drs solo, per square centimeter |
| A2035 | Corpl p therac p allac p mg | Description: Corplex p or theracor p or allacor p, per milligram |
| A2036 | Cohealyx col dml mx pr sq cm | Description: Cohealyx collagen dermal matrix, per square centimeter |
| A2037 | G4derm plus, per ml | Description: G4derm plus, per milliliter |
| A2038 | Marigen pacto, per sq cm | Description: Marigen pacto, per square centimeter |
| A2039 | Innovamatrix fd, per sq cm | Description: Innovamatrix fd, per square centimeter |
| A4100 | Skin sub fda clrd as dev nos | Description: Skin substitute, fda cleared as a device, not otherwise specified |
| A4206 | 1 cc sterile syringe&needle | Description: Syringe with needle, sterile, 1 cc or less, each |
| A4207 | 2 cc sterile syringe&needle | Description: Syringe with needle, sterile 2 cc, each |
| A4208 | 3 cc sterile syringe&needle | Description: Syringe with needle, sterile 3 cc, each |
| A4209 | 5+ cc sterile syringe&needle | Description: Syringe with needle, sterile 5 cc or greater, each |
| A4210 | Nonneedle injection device | Description: Needle-free injection device, each |
| A4211 | Supp for self-adm injections | Description: Supplies for self-administered injections |
| A4212 | Non coring needle or stylet | Description: Non-coring needle or stylet with or without catheter |
| A4213 | 20+ cc syringe only | Description: Syringe, sterile, 20 cc or greater, each |
| A4215 | Sterile needle | Description: Needle, sterile, any size, each |
| A4216 | Sterile water/saline, 10 ml | Description: Sterile water, saline and/or dextrose, diluent/flush, 10 ml |
| A4217 | Sterile water/saline, 500 ml | Description: Sterile water/saline, 500 ml |
| A4218 | Sterile saline or water | Description: Sterile saline or water, metered dose dispenser, 10 ml |
| A4220 | Infusion pump refill kit | Description: Refill kit for implantable infusion pump |
| A4221 | Supp non-insulin inf cath/wk | Description: Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) |
| A4222 | Infusion supplies with pump | Description: Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) |
| A4223 | Infusion supplies w/o pump | Description: Infusion supplies not used with external infusion pump, per cassette or bag (list drugs separately) |
| A4224 | Supply insulin inf cath/wk | Description: Supplies for maintenance of insulin infusion catheter, per week |
| A4225 | Sup/ext insulin inf pump syr | Description: Supplies for external insulin infusion pump, syringe type cartridge, sterile, each |
| A4226 | Weekly supply maint cgs pump | Description: Supplies for maintenance of insulin infusion pump with dosage rate adjustment using therapeutic continuous glucose sensing, per week |
| A4230 | Infus insulin pump non needl | Description: Infusion set for external insulin pump, non needle cannula type |
| A4231 | Infusion insulin pump needle | Description: Infusion set for external insulin pump, needle type |
| A4232 | Syringe w/needle insulin 3cc | Description: Syringe with needle for external insulin pump, sterile, 3 cc |
| A4233 | Alkalin batt for glucose mon | Description: Replacement battery, alkaline (other than j cell), for use with medically necessary home blood glucose monitor owned by patient, each |
| A4234 | J-cell batt for glucose mon | Description: Replacement battery, alkaline, j cell, for use with medically necessary home blood glucose monitor owned by patient, each |
| A4235 | Lithium batt for glucose mon | Description: Replacement battery, lithium, for use with medically necessary home blood glucose monitor owned by patient, each |
| A4236 | Silvr oxide batt glucose mon | Description: Replacement battery, silver oxide, for use with medically necessary home blood glucose monitor owned by patient, each |
| A4238 | Adju cgm supply allowance | Description: Supply allowance for adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service |
| A4239 | Non-adju cgm supply allow | Description: Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service |
| A4244 | Alcohol or peroxide per pint | Description: Alcohol or peroxide, per pint |
| A4245 | Alcohol wipes per box | Description: Alcohol wipes, per box |
| A4246 | Betadine/phisohex solution | Description: Betadine or phisohex solution, per pint |
| A4247 | Betadine/iodine swabs/wipes | Description: Betadine or iodine swabs/wipes, per box |
| A4248 | Chlorhexidine antisept | Description: Chlorhexidine containing antiseptic, 1 ml |
| A4250 | Urine reagent strips/tablets | Description: Urine test or reagent strips or tablets (100 tablets or strips) |
| A4252 | Blood ketone test or strip | Description: Blood ketone test or reagent strip, each |
| A4253 | Blood glucose/reagent strips | Description: Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
| A4255 | Glucose monitor platforms | Description: Platforms for home blood glucose monitor, 50 per box |
| A4256 | Calibrator solution/chips | Description: Normal, low and high calibrator solution / chips |
| A4257 | Replace lensshield cartridge | Description: Replacement lens shield cartridge for use with laser skin piercing device, each |
| A4258 | Lancet device each | Description: Spring-powered device for lancet, each |
| A4259 | Lancets per box | Description: Lancets, per box of 100 |
| A4261 | Cervical cap contraceptive | Description: Cervical cap for contraceptive use |
| A4262 | Temporary tear duct plug | Description: Temporary, absorbable lacrimal duct implant, each |
| A4263 | Permanent tear duct plug | Description: Permanent, long term, non-dissolvable lacrimal duct implant, each |
| A4264 | Intratubal occlusion device | Description: Permanent implantable contraceptive intratubal occlusion device(s) and delivery system |
| A4265 | Paraffin | Description: Paraffin, per pound |
| A4266 | Diaphragm | Description: Diaphragm for contraceptive use |
| A4267 | Male condom | Description: Contraceptive supply, condom, male, each |
| A4268 | Female condom | Description: Contraceptive supply, condom, female, each |
| A4269 | Spermicide | Description: Contraceptive supply, spermicide (e.g., foam, gel), each |
| A4270 | Disposable endoscope sheath | Description: Disposable endoscope sheath, each |
| A4271 | Home lancing/test cartridges | Description: Integrated lancing and blood sample testing cartridges for home blood glucose monitor, per 50 tests |
| A4280 | Brst prsths adhsv attchmnt | Description: Adhesive skin support attachment for use with external breast prosthesis, each |
| A4281 | Replacement breastpump tube | Description: Tubing for breast pump, replacement |
| A4282 | Replacement breastpump adpt | Description: Adapter for breast pump, replacement |
| A4283 | Replacement breastpump cap | Description: Cap for breast pump bottle, replacement |
| A4284 | Replcmnt breast pump shield | Description: Breast shield and splash protector for use with breast pump, replacement |
| A4285 | Replcmnt breast pump bottle | Description: Polycarbonate bottle for use with breast pump, replacement |
| A4286 | Replcmnt breastpump lok ring | Description: Locking ring for breast pump, replacement |
| A4287 | Disp col sto bag breast milk | Description: Disposable collection and storage bag for breast milk, any size, any type, each |
| A4288 | Replacement breastpump valve | Description: Valve for breast pump, replacement |
| A4290 | Sacral nerve stim test lead | Description: Sacral nerve stimulation test lead, each |
| A4300 | Cath impl vasc access portal | Description: Implantable access catheter, (e.g., venous, arterial, epidural subarachnoid, or peritoneal, etc.) external access |
| A4301 | Implantable access syst perc | Description: Implantable access total catheter, port/reservoir (e.g., venous, arterial, epidural, subarachnoid, peritoneal, etc.) |
| A4305 | Drug delivery system >=50 ml | Description: Disposable drug delivery system, flow rate of 50 ml or greater per hour |
| A4306 | Drug delivery system <=50 ml | Description: Disposable drug delivery system, flow rate of less than 50 ml per hour |
| A4310 | Insert tray w/o bag/cath | Description: Insertion tray without drainage bag and without catheter (accessories only) |
| A4311 | Catheter w/o bag 2-way latex | Description: Insertion tray without drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.) |
| A4312 | Cath w/o bag 2-way silicone | Description: Insertion tray without drainage bag with indwelling catheter, foley type, two-way, all silicone |
| A4313 | Catheter w/bag 3-way | Description: Insertion tray without drainage bag with indwelling catheter, foley type, three-way, for continuous irrigation |
| A4314 | Cath w/drainage 2-way latex | Description: Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.) |
| A4315 | Cath w/drainage 2-way silcne | Description: Insertion tray with drainage bag with indwelling catheter, foley type, two-way, all silicone |
| A4316 | Cath w/drainage 3-way | Description: Insertion tray with drainage bag with indwelling catheter, foley type, three-way, for continuous irrigation |
| A4320 | Irrigation tray | Description: Irrigation tray with bulb or piston syringe, any purpose |
| A4321 | Cath therapeutic irrig agent | Description: Therapeutic agent for urinary catheter irrigation |
| A4322 | Irrigation syringe | Description: Irrigation syringe, bulb or piston, each |
| A4326 | Male external catheter | Description: Male external catheter with integral collection chamber, any type, each |
| A4327 | Fem urinary collect dev cup | Description: Female external urinary collection device; meatal cup, each |
| A4328 | Fem urinary collect pouch | Description: Female external urinary collection device; pouch, each |
| A4330 | Stool collection pouch | Description: Perianal fecal collection pouch with adhesive, each |
| A4331 | Extension drainage tubing | Description: Extension drainage tubing, any type, any length, with connector/adaptor, for use with urinary leg bag or urostomy pouch, each |
| A4332 | Lube sterile packet | Description: Lubricant, individual sterile packet, each |
| A4333 | Urinary cath anchor device | Description: Urinary catheter anchoring device, adhesive skin attachment, each |
| A4334 | Urinary cath leg strap | Description: Urinary catheter anchoring device, leg strap, each |
| A4335 | Incontinence supply | Description: Incontinence supply; miscellaneous |
| A4336 | Urethral insert | Description: Incontinence supply, urethral insert, any type, each |
| A4337 | Incontinent rectal insert | Description: Incontinence supply, rectal insert, any type, each |
| A4338 | Indwelling catheter latex | Description: Indwelling catheter; foley type, two-way latex with coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each |
| A4340 | Indwelling catheter special | Description: Indwelling catheter; specialty type, (e.g., coude, mushroom, wing, etc.), each |
| A4341 | Iduc valve pat inst repl | Description: Indwelling intraurethral drainage device with valve, patient inserted, replacement only, each |
| A4342 | Iduc valve sply repl | Description: Accessories for patient inserted indwelling intraurethral drainage device with valve, replacement only, each |
| A4344 | Cath indw foley 2 way silicn | Description: Indwelling catheter, foley type, two-way, all silicone or polyurethane, each |
| A4346 | Cath indw foley 3 way | Description: Indwelling catheter; foley type, three way for continuous irrigation, each |
| A4349 | Disposable male external cat | Description: Male external catheter, with or without adhesive, disposable, each |
| A4351 | Straight tip urine catheter | Description: Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each |
| A4352 | Coude tip urinary catheter | Description: Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each |
| A4353 | Intermittent urinary cath | Description: Intermittent urinary catheter, with insertion supplies |
| A4354 | Cath insertion tray w/bag | Description: Insertion tray with drainage bag but without catheter |
| A4355 | Bladder irrigation tubing | Description: Irrigation tubing set for continuous bladder irrigation through a three-way indwelling foley catheter, each |
| A4356 | Ext ureth clmp or compr dvc | Description: External urethral clamp or compression device (not to be used for catheter clamp), each |
| A4357 | Bedside drainage bag | Description: Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each |
| A4358 | Urinary leg or abdomen bag | Description: Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each |
| A4360 | Disposable ext urethral dev | Description: Disposable external urethral clamp or compression device, with pad and/or pouch, each |
| A4361 | Ostomy face plate | Description: Ostomy faceplate, each |
| A4362 | Solid skin barrier | Description: Skin barrier; solid, 4 x 4 or equivalent; each |
| A4363 | Ostomy clamp, replacement | Description: Ostomy clamp, any type, replacement only, each |
| A4364 | Adhesive, liquid or equal | Description: Adhesive, liquid or equal, any type, per oz |
| A4366 | Ostomy vent | Description: Ostomy vent, any type, each |
| A4367 | Ostomy belt | Description: Ostomy belt, each |
| A4368 | Ostomy filter | Description: Ostomy filter, any type, each |
| A4369 | Skin barrier liquid per oz | Description: Ostomy skin barrier, liquid (spray, brush, etc.), per oz |
| A4371 | Skin barrier powder per oz | Description: Ostomy skin barrier, powder, per oz |
| A4372 | Skin barrier solid 4x4 equiv | Description: Ostomy skin barrier, solid 4 x 4 or equivalent, standard wear, with built-in convexity, each |
| A4373 | Skin barrier with flange | Description: Ostomy skin barrier, with flange (solid, flexible or accordion), with built-in convexity, any size, each |
| A4375 | Drainable plastic pch w fcpl | Description: Ostomy pouch, drainable, with faceplate attached, plastic, each |
| A4376 | Drainable rubber pch w fcplt | Description: Ostomy pouch, drainable, with faceplate attached, rubber, each |
| A4377 | Drainable plstic pch w/o fp | Description: Ostomy pouch, drainable, for use on faceplate, plastic, each |
| A4378 | Drainable rubber pch w/o fp | Description: Ostomy pouch, drainable, for use on faceplate, rubber, each |
| A4379 | Urinary plastic pouch w fcpl | Description: Ostomy pouch, urinary, with faceplate attached, plastic, each |
| A4380 | Urinary rubber pouch w fcplt | Description: Ostomy pouch, urinary, with faceplate attached, rubber, each |
| A4381 | Urinary plastic pouch w/o fp | Description: Ostomy pouch, urinary, for use on faceplate, plastic, each |
| A4382 | Urinary hvy plstc pch w/o fp | Description: Ostomy pouch, urinary, for use on faceplate, heavy plastic, each |
| A4383 | Urinary rubber pouch w/o fp | Description: Ostomy pouch, urinary, for use on faceplate, rubber, each |
| A4384 | Ostomy faceplt/silicone ring | Description: Ostomy faceplate equivalent, silicone ring, each |
| A4385 | Ost skn barrier sld ext wear | Description: Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each |
| A4387 | Ost clsd pouch w att st barr | Description: Ostomy pouch, closed, with barrier attached, with built-in convexity (1 piece), each |
| A4388 | Drainable pch w ex wear barr | Description: Ostomy pouch, drainable, with extended wear barrier attached, (1 piece), each |
| A4389 | Drainable pch w st wear barr | Description: Ostomy pouch, drainable, with barrier attached, with built-in convexity (1 piece), each |
| A4390 | Drainable pch ex wear convex | Description: Ostomy pouch, drainable, with extended wear barrier attached, with built-in convexity (1 piece), each |
| A4391 | Urinary pouch w ex wear barr | Description: Ostomy pouch, urinary, with extended wear barrier attached (1 piece), each |
| A4392 | Urinary pouch w st wear barr | Description: Ostomy pouch, urinary, with standard wear barrier attached, with built-in convexity (1 piece), each |
| A4393 | Urine pch w ex wear bar conv | Description: Ostomy pouch, urinary, with extended wear barrier attached, with built-in convexity (1 piece), each |
| A4394 | Ostomy pouch liq deodorant | Description: Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce |
| A4395 | Ostomy pouch solid deodorant | Description: Ostomy deodorant for use in ostomy pouch, solid, per tablet |
| A4396 | Peristomal hernia supprt blt | Description: Ostomy belt with peristomal hernia support |
| A4397 | Irrigation supply sleeve | Description: Irrigation supply; sleeve, each |
| A4398 | Ostomy irrigation bag | Description: Ostomy irrigation supply; bag, each |
| A4399 | Ostomy irrig cone/cath w brs | Description: Ostomy irrigation supply; cone/catheter, with or without brush |
| A4400 | Ostomy irrigation set | Description: Ostomy irrigation set |
| A4402 | Lubricant per ounce | Description: Lubricant, per ounce |
| A4404 | Ostomy ring each | Description: Ostomy ring, each |
| A4405 | Nonpectin based ostomy paste | Description: Ostomy skin barrier, non-pectin based, paste, per ounce |
| A4406 | Pectin based ostomy paste | Description: Ostomy skin barrier, pectin-based, paste, per ounce |
| A4407 | Ext wear ost skn barr <=4sq' | Description: Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each |
| A4408 | Ext wear ost skn barr >4sq' | Description: Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, with built-in convexity, larger than 4 x 4 inches, each |
| A4409 | Ost skn barr convex <=4 sq i | Description: Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each |
| A4410 | Ost skn barr extnd >4 sq | Description: Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, larger than 4 x 4 inches, each |
| A4411 | Ost skn barr extnd =4sq | Description: Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, with built-in convexity, each |
| A4412 | Ost pouch drain high output | Description: Ostomy pouch, drainable, high output, for use on a barrier with flange (2 piece system), without filter, each |
| A4413 | 2 pc drainable ost pouch | Description: Ostomy pouch, drainable, high output, for use on a barrier with flange (2 piece system), with filter, each |
| A4414 | Ost sknbar w/o conv<=4 sq in | Description: Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each |
| A4415 | Ost skn barr w/o conv >4 sqi | Description: Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, larger than 4 x 4 inches, each |
| A4416 | Ost pch clsd w barrier/filtr | Description: Ostomy pouch, closed, with barrier attached, with filter (1 piece), each |
| A4417 | Ost pch w bar/bltinconv/fltr | Description: Ostomy pouch, closed, with barrier attached, with built-in convexity, with filter (1 piece), each |
| A4418 | Ost pch clsd w/o bar w filtr | Description: Ostomy pouch, closed; without barrier attached, with filter (1 piece), each |
| A4419 | Ost pch for bar w flange/flt | Description: Ostomy pouch, closed; for use on barrier with non-locking flange, with filter (2 piece), each |
| A4420 | Ost pch clsd for bar w lk fl | Description: Ostomy pouch, closed; for use on barrier with locking flange (2 piece), each |
| A4421 | Ostomy supply misc | Description: Ostomy supply; miscellaneous |
| A4422 | Ost pouch absorbent material | Description: Ostomy absorbent material (sheet/pad/crystal packet) for use in ostomy pouch to thicken liquid stomal output, each |
| A4423 | Ost pch for bar w lk fl/fltr | Description: Ostomy pouch, closed; for use on barrier with locking flange, with filter (2 piece), each |
| A4424 | Ost pch drain w bar & filter | Description: Ostomy pouch, drainable, with barrier attached, with filter (1 piece), each |
| A4425 | Ost pch drain for barrier fl | Description: Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each |
| A4426 | Ost pch drain 2 piece system | Description: Ostomy pouch, drainable; for use on barrier with locking flange (2 piece system), each |
| A4427 | Ost pch drain/barr lk flng/f | Description: Ostomy pouch, drainable; for use on barrier with locking flange, with filter (2 piece system), each |
| A4428 | Urine ost pouch w faucet/tap | Description: Ostomy pouch, urinary, with extended wear barrier attached, with faucet-type tap with valve (1 piece), each |
| A4429 | Urine ost pouch w bltinconv | Description: Ostomy pouch, urinary, with barrier attached, with built-in convexity, with faucet-type tap with valve (1 piece), each |
| A4430 | Ost urine pch w b/bltin conv | Description: Ostomy pouch, urinary, with extended wear barrier attached, with built-in convexity, with faucet-type tap with valve (1 piece), each |
| A4431 | Ost pch urine w barrier/tapv | Description: Ostomy pouch, urinary; with barrier attached, with faucet-type tap with valve (1 piece), each |
| A4432 | Os pch urine w bar/fange/tap | Description: Ostomy pouch, urinary; for use on barrier with non-locking flange, with faucet-type tap with valve (2 piece), each |
| A4433 | Urine ost pch bar w lock fln | Description: Ostomy pouch, urinary; for use on barrier with locking flange (2 piece), each |
| A4434 | Ost pch urine w lock flng/ft | Description: Ostomy pouch, urinary; for use on barrier with locking flange, with faucet-type tap with valve (2 piece), each |
| A4435 | 1pc ost pch drain hgh output | Description: Ostomy pouch, drainable, high output, with extended wear barrier (one-piece system), with or without filter, each |
| A4436 | Irr supply sleev reus per mo | Description: Irrigation supply; sleeve, reusable, per month |
| A4437 | Irr supply sleev disp per mo | Description: Irrigation supply; sleeve, disposable, per month |
| A4438 | Adhesive clip ext ens contr | Description: Adhesive clip applied to the skin to secure external electrical nerve stimulator controller, each |
| A4450 | Non-waterproof tape | Description: Tape, non-waterproof, per 18 square inches |
| A4452 | Waterproof tape | Description: Tape, waterproof, per 18 square inches |
| A4453 | Rec cath any transanal, each | Description: Rectal catheter with or without balloon, for use with any type transanal irrigation system, each |
| A4455 | Adhesive remover per ounce | Description: Adhesive remover or solvent (for tape, cement or other adhesive), per ounce |
| A4456 | Adhesive remover, wipes | Description: Adhesive remover, wipes, any type, each |
| A4457 | Enema tube any type repl | Description: Enema tube, with or without adapter, any type, replacement only, each |
| A4458 | Reusable enema bag | Description: Enema bag with tubing, reusable |
| A4459 | Transanal irrigation, any | Description: Manual transanal irrigation system, includes water reservoir, pump, tubing, and accessories, without catheter, any type |
| A4461 | Surgicl dress hold non-reuse | Description: Surgical dressing holder, non-reusable, each |
| A4463 | Surgical dress holder reuse | Description: Surgical dressing holder, reusable, each |
| A4465 | Non-elastic extremity binder | Description: Non-elastic binder for extremity |
| A4466 | Elastic garment/covering | Description: Garment, belt, sleeve or other covering, elastic or similar stretchable material, any type, each |
| A4467 | Belt strap sleev grmnt cover | Description: Belt, strap, sleeve, garment, or covering, any type |
| A4468 | Exsuff belt incl all sup acc | Description: Exsufflation belt, includes all supplies and accessories |
| A4470 | Gravlee jet washer | Description: Gravlee jet washer |
| A4480 | Vabra aspirator | Description: Vabra aspirator |
| A4481 | Tracheostoma filter | Description: Tracheostoma filter, any type, any size, each |
| A4483 | Moisture exchanger | Description: Moisture exchanger, disposable, for use with invasive mechanical ventilation |
| A4490 | Above knee surgical stocking | Description: Surgical stockings above knee length, each |
| A4495 | Thigh length surg stocking | Description: Surgical stockings thigh length, each |
| A4500 | Below knee surgical stocking | Description: Surgical stockings below knee length, each |
| A4510 | Full length surg stocking | Description: Surgical stockings full length, each |
| A4520 | Incontinence garment anytype | Description: Incontinence garment, any type, (e.g., brief, diaper), each |
| A4540 | Trans elec nerv periph nerv | Description: Distal transcutaneous electrical nerve stimulator, stimulates peripheral nerves of the upper arm |
| A4541 | Monthly supp use with e0733 | Description: Monthly supplies for use of device coded at e0733 |
| A4542 | Supp ext up limb tremor stim | Description: Supplies and accessories for external upper limb tremor stimulator of the peripheral nerves of the wrist |
| A4543 | Supply trans elec nerve stim | Description: Supplies for transcutaneous electrical nerve stimulator, for nerves in the auricular region, per month |
| A4544 | Electro nerve stimulator rls | Description: Electrode for external lower extremity nerve stimulator for restless legs syndrome |
| A4545 | Suppl accessor tibial stim | Description: Supplies and accessories for external tibial nerve stimulator (e.g., socks, gel pads, electrodes, etc.), needed for one month |
| A4550 | Surgical trays | Description: Surgical trays |
| A4553 | Nondisp underpads, all sizes | Description: Non-disposable underpads, all sizes |
| A4554 | Disposable underpads | Description: Disposable underpads, all sizes |
| A4555 | Ca tx e-stim electr/transduc | Description: Electrode/transducer for use with electrical stimulation device used for cancer treatment, replacement only |
| A4556 | Electrodes, pair | Description: Electrodes, (e.g., apnea monitor), per pair |
| A4557 | Lead wires, pair | Description: Lead wires, (e.g., apnea monitor), per pair |
| A4558 | Conductive gel or paste | Description: Conductive gel or paste, for use with electrical device (e.g., tens, nmes), per oz |
| A4559 | Coupling gel or paste | Description: Coupling gel or paste, for use with ultrasound device, per oz |
| A4560 | Nmes disposable | Description: Neuromuscular electrical stimulator (nmes), disposable, replacement only |
| A4561 | Pessary reusable rub anytype | Description: Pessary, reusable, rubber, any type |
| A4562 | Pessary reusable nonrubber | Description: Pessary, reusable, non rubber, any type |
| A4563 | Vag inser rectal control sys | Description: Rectal control system for vaginal insertion, for long term use, includes pump and all supplies and accessories, any type each |
| A4564 | Pessary, disposable any type | Description: Pessary, disposable, any type |
| A4565 | Slings | Description: Slings |
| A4566 | Should sling/vest/abrestrain | Description: Shoulder sling or vest design, abduction restrainer, with or without swathe control, prefabricated, includes fitting and adjustment |
| A4570 | Splint | Description: Splint |
| A4575 | Hyperbaric o2 chamber disps | Description: Topical hyperbaric oxygen chamber, disposable |
| A4580 | Cast supplies (plaster) | Description: Cast supplies (e.g., plaster) |
| A4590 | Special casting material | Description: Special casting material (e.g., fiberglass) |
| A4593 | Neuromod sti sys adj rehab | Description: Neuromodulation stimulator system, adjunct to rehabilitation therapy regime, controller |
| A4594 | Neuromod adj rehab mouthpie | Description: Neuromodulation stimulator system, adjunct to rehabilitation therapy regime, mouthpiece each |
| A4595 | Tens suppl 2 lead per month | Description: Electrical stimulator supplies, 2 lead, per month, (e.g., tens, nmes) |
| A4596 | Ces system monthly supp | Description: Cranial electrotherapy stimulation (ces) system supplies and accessories, per month |
| A4600 | Sleeve, inter limb comp dev | Description: Sleeve for intermittent limb compression device, replacement only, each |
| A4601 | Lith ion non prosth recharge | Description: Lithium ion battery, rechargeable, for non-prosthetic use, replacement |
| A4602 | Replace lithium battery 1.5v | Description: Replacement battery for external infusion pump owned by patient, lithium, 1.5 volt, each |
| A4604 | Tubing with heating element | Description: Tubing with integrated heating element for use with positive airway pressure device |
| A4605 | Trach suction cath close sys | Description: Tracheal suction catheter, closed system, each |
| A4606 | Oxygen probe used w oximeter | Description: Oxygen probe for use with oximeter device, replacement |
| A4608 | Transtracheal oxygen cath | Description: Transtracheal oxygen catheter, each |
| A4611 | Heavy duty battery | Description: Battery, heavy duty; replacement for patient owned ventilator |
| A4612 | Battery cables | Description: Battery cables; replacement for patient-owned ventilator |
| A4613 | Battery charger | Description: Battery charger; replacement for patient-owned ventilator |
| A4614 | Hand-held pefr meter | Description: Peak expiratory flow rate meter, hand held |
| A4615 | Cannula nasal | Description: Cannula, nasal |
| A4616 | Tubing (oxygen) per foot | Description: Tubing (oxygen), per foot |
| A4617 | Mouth piece | Description: Mouth piece |
| A4618 | Breathing circuits | Description: Breathing circuits |
| A4619 | Face tent | Description: Face tent |
| A4620 | Variable concentration mask | Description: Variable concentration mask |
| A4623 | Tracheostomy inner cannula | Description: Tracheostomy, inner cannula |
| A4624 | Tracheal suction tube | Description: Tracheal suction catheter, any type other than closed system, each |
| A4625 | Trach care kit for new trach | Description: Tracheostomy care kit for new tracheostomy |
| A4626 | Tracheostomy cleaning brush | Description: Tracheostomy cleaning brush, each |
| A4627 | Spacer bag/reservoir | Description: Spacer, bag or reservoir, with or without mask, for use with metered dose inhaler |
| A4628 | Oropharyngeal suction cath | Description: Oral and/or oropharyngeal suction catheter, each |
| A4629 | Tracheostomy care kit | Description: Tracheostomy care kit for established tracheostomy |
| A4630 | Repl bat t.e.n.s. own by pt | Description: Replacement batteries, medically necessary, transcutaneous electrical stimulator, owned by patient |
| A4633 | Uvl replacement bulb | Description: Replacement bulb/lamp for ultraviolet light therapy system, each |
| A4634 | Replacement bulb th lightbox | Description: Replacement bulb for therapeutic light box, tabletop model |
| A4635 | Underarm crutch pad | Description: Underarm pad, crutch, replacement, each |
| A4636 | Handgrip for cane etc | Description: Replacement, handgrip, cane, crutch, or walker, each |
| A4637 | Repl tip cane/crutch/walker | Description: Replacement, tip, cane, crutch, walker, each. |
| A4638 | Repl batt pulse gen sys | Description: Replacement battery for patient-owned ear pulse generator, each |
| A4639 | Infrared ht sys replcmnt pad | Description: Replacement pad for infrared heating pad system, each |
| A4640 | Alternating pressure pad | Description: Replacement pad for use with medically necessary alternating pressure pad owned by patient |
| A4641 | Radiopharm dx agent noc | Description: Radiopharmaceutical, diagnostic, not otherwise classified |
| A4642 | In111 satumomab | Description: Indium in-111 satumomab pendetide, diagnostic, per study dose, up to 6 millicuries |
| A4648 | Implantable tissue marker | Description: Tissue marker, implantable, any type, each |
| A4649 | Surgical supplies | Description: Surgical supply; miscellaneous |
| A4650 | Implant radiation dosimeter | Description: Implantable radiation dosimeter, each |
| A4651 | Calibrated microcap tube | Description: Calibrated microcapillary tube, each |
| A4652 | Microcapillary tube sealant | Description: Microcapillary tube sealant |
| A4653 | Pd catheter anchor belt | Description: Peritoneal dialysis catheter anchoring device, belt, each |
| A4657 | Syringe w/wo needle | Description: Syringe, with or without needle, each |
| A4660 | Sphyg/bp app w cuff and stet | Description: Sphygmomanometer/blood pressure apparatus with cuff and stethoscope |
| A4663 | Dialysis blood pressure cuff | Description: Blood pressure cuff only |
| A4670 | Automatic bp monitor, dial | Description: Automatic blood pressure monitor |
| A4671 | Disposable cycler set | Description: Disposable cycler set used with cycler dialysis machine, each |
| A4672 | Drainage ext line, dialysis | Description: Drainage extension line, sterile, for dialysis, each |
| A4673 | Ext line w easy lock connect | Description: Extension line with easy lock connectors, used with dialysis |
| A4674 | Chem/antisept solution, 8oz | Description: Chemicals/antiseptics solution used to clean/sterilize dialysis equipment, per 8 oz |
| A4680 | Activated carbon filter, ea | Description: Activated carbon filter for hemodialysis, each |
| A4690 | Dialyzer, each | Description: Dialyzer (artificial kidneys), all types, all sizes, for hemodialysis, each |
| A4706 | Bicarbonate conc sol per gal | Description: Bicarbonate concentrate, solution, for hemodialysis, per gallon |
| A4707 | Bicarbonate conc pow per pac | Description: Bicarbonate concentrate, powder, for hemodialysis, per packet |
| A4708 | Acetate conc sol per gallon | Description: Acetate concentrate solution, for hemodialysis, per gallon |
| A4709 | Acid conc sol per gallon | Description: Acid concentrate, solution, for hemodialysis, per gallon |
| A4714 | Treated water per gallon | Description: Treated water (deionized, distilled, or reverse osmosis) for peritoneal dialysis, per gallon |
| A4719 | y set' tubing | Description: y set' tubing for peritoneal dialysis |
| A4720 | Dialysat sol fld vol > 249cc | Description: Dialysate solution, any concentration of dextrose, fluid volume greater than 249 cc, but less than or equal to 999 cc, for peritoneal dialysis |
| A4721 | Dialysat sol fld vol > 999cc | Description: Dialysate solution, any concentration of dextrose, fluid volume greater than 999 cc but less than or equal to 1999 cc, for peritoneal dialysis |
| A4722 | Dialys sol fld vol > 1999cc | Description: Dialysate solution, any concentration of dextrose, fluid volume greater than 1999 cc but less than or equal to 2999 cc, for peritoneal dialysis |
| A4723 | Dialys sol fld vol > 2999cc | Description: Dialysate solution, any concentration of dextrose, fluid volume greater than 2999 cc but less than or equal to 3999 cc, for peritoneal dialysis |
| A4724 | Dialys sol fld vol > 3999cc | Description: Dialysate solution, any concentration of dextrose, fluid volume greater than 3999 cc but less than or equal to 4999 cc, for peritoneal dialysis |
| A4725 | Dialys sol fld vol > 4999cc | Description: Dialysate solution, any concentration of dextrose, fluid volume greater than 4999 cc but less than or equal to 5999 cc, for peritoneal dialysis |
| A4726 | Dialys sol fld vol > 5999cc | Description: Dialysate solution, any concentration of dextrose, fluid volume greater than 5999 cc, for peritoneal dialysis |
| A4728 | Dialysate solution, non-dex | Description: Dialysate solution, non-dextrose containing, 500 ml |
| A4730 | Fistula cannulation set, ea | Description: Fistula cannulation set for hemodialysis, each |
| A4736 | Topical anesthetic, per gram | Description: Topical anesthetic, for dialysis, per gram |
| A4737 | Inj anesthetic per 10 ml | Description: Injectable anesthetic, for dialysis, per 10 ml |
| A4740 | Shunt accessory | Description: Shunt accessory, for hemodialysis, any type, each |
| A4750 | Art or venous blood tubing | Description: Blood tubing, arterial or venous, for hemodialysis, each |
| A4755 | Comb art/venous blood tubing | Description: Blood tubing, arterial and venous combined, for hemodialysis, each |
| A4760 | Dialysate sol test kit, each | Description: Dialysate solution test kit, for peritoneal dialysis, any type, each |
| A4765 | Dialysate conc pow per pack | Description: Dialysate concentrate, powder, additive for peritoneal dialysis, per packet |
| A4766 | Dialysate conc sol add 10 ml | Description: Dialysate concentrate, solution, additive for peritoneal dialysis, per 10 ml |
| A4770 | Blood collection tube/vacuum | Description: Blood collection tube, vacuum, for dialysis, per 50 |
| A4771 | Serum clotting time tube | Description: Serum clotting time tube, for dialysis, per 50 |
| A4772 | Blood glucose test strips | Description: Blood glucose test strips, for dialysis, per 50 |
| A4773 | Occult blood test strips | Description: Occult blood test strips, for dialysis, per 50 |
| A4774 | Ammonia test strips | Description: Ammonia test strips, for dialysis, per 50 |
| A4802 | Protamine sulfate per 50 mg | Description: Protamine sulfate, for hemodialysis, per 50 mg |
| A4860 | Disposable catheter tips | Description: Disposable catheter tips for peritoneal dialysis, per 10 |
| A4870 | Plumb/elec wk hm hemo equip | Description: Plumbing and/or electrical work for home hemodialysis equipment |
| A4890 | Repair/maint cont hemo equip | Description: Contracts, repair and maintenance, for hemodialysis equipment |
| A4911 | Drain bag/bottle | Description: Drain bag/bottle, for dialysis, each |
| A4913 | Misc dialysis supplies noc | Description: Miscellaneous dialysis supplies, not otherwise specified |
| A4918 | Venous pressure clamp | Description: Venous pressure clamp, for hemodialysis, each |
| A4927 | Non-sterile gloves | Description: Gloves, non-sterile, per 100 |
| A4928 | Surgical mask | Description: Surgical mask, per 20 |
| A4929 | Tourniquet for dialysis, ea | Description: Tourniquet for dialysis, each |
| A4930 | Sterile, gloves per pair | Description: Gloves, sterile, per pair |
| A4931 | Reusable oral thermometer | Description: Oral thermometer, reusable, any type, each |
| A4932 | Reusable rectal thermometer | Description: Rectal thermometer, reusable, any type, each |
| A5051 | Pouch clsd w barr attached | Description: Ostomy pouch, closed; with barrier attached (1 piece), each |
| A5052 | Clsd ostomy pouch w/o barr | Description: Ostomy pouch, closed; without barrier attached (1 piece), each |
| A5053 | Clsd ostomy pouch faceplate | Description: Ostomy pouch, closed; for use on faceplate, each |
| A5054 | Clsd ostomy pouch w/flange | Description: Ostomy pouch, closed; for use on barrier with flange (2 piece), each |
| A5055 | Stoma cap | Description: Stoma cap |
| A5056 | 1 pc ost pouch w filter | Description: Ostomy pouch, drainable, with extended wear barrier attached, with filter, (1 piece), each |
| A5057 | 1 pc ost pou w built-in conv | Description: Ostomy pouch, drainable, with extended wear barrier attached, with built in convexity, with filter, (1 piece), each |
| A5061 | Pouch drainable w barrier at | Description: Ostomy pouch, drainable; with barrier attached, (1 piece), each |
| A5062 | Drnble ostomy pouch w/o barr | Description: Ostomy pouch, drainable; without barrier attached (1 piece), each |
| A5063 | Drain ostomy pouch w/flange | Description: Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each |
| A5071 | Urinary pouch w/barrier | Description: Ostomy pouch, urinary; with barrier attached (1 piece), each |
| A5072 | Urinary pouch w/o barrier | Description: Ostomy pouch, urinary; without barrier attached (1 piece), each |
| A5073 | Urinary pouch on barr w/flng | Description: Ostomy pouch, urinary; for use on barrier with flange (2 piece), each |
| A5081 | Stoma plug or seal, any type | Description: Stoma plug or seal, any type |
| A5082 | Continent stoma catheter | Description: Continent device; catheter for continent stoma |
| A5083 | Stoma absorptive cover | Description: Continent device, stoma absorptive cover for continent stoma |
| A5093 | Ostomy accessory convex inse | Description: Ostomy accessory; convex insert |
| A5102 | Bedside drain btl w/wo tube | Description: Bedside drainage bottle with or without tubing, rigid or expandable, each |
| A5105 | Urinary suspensory | Description: Urinary suspensory with leg bag, with or without tube, each |
| A5112 | Urinary leg bag | Description: Urinary drainage bag, leg or abdomen, latex, with or without tube, with straps, each |
| A5113 | Latex leg strap | Description: Leg strap; latex, replacement only, per set |
| A5114 | Foam/fabric leg strap | Description: Leg strap; foam or fabric, replacement only, per set |
| A5120 | Skin barrier, wipe or swab | Description: Skin barrier, wipes or swabs, each |
| A5121 | Solid skin barrier 6x6 | Description: Skin barrier; solid, 6 x 6 or equivalent, each |
| A5122 | Solid skin barrier 8x8 | Description: Skin barrier; solid, 8 x 8 or equivalent, each |
| A5126 | Disk/foam pad +or- adhesive | Description: Adhesive or non-adhesive; disk or foam pad |
| A5131 | Appliance cleaner | Description: Appliance cleaner, incontinence and ostomy appliances, per 16 oz. |
| A5200 | Percutaneous catheter anchor | Description: Percutaneous catheter/tube anchoring device, adhesive skin attachment |
| A5500 | Diab shoe for density insert | Description: For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe |
| A5501 | Diabetic custom molded shoe | Description: For diabetics only, fitting (including follow-up), custom preparation and supply of shoe molded from cast(s) of patient's foot (custom molded shoe), per shoe |
| A5503 | Diabetic shoe w/roller/rockr | Description: For diabetics only, modification (including fitting) of off-the-shelf depth-inlay shoe or custom-molded shoe with roller or rigid rocker bottom, per shoe |
| A5504 | Diabetic shoe with wedge | Description: For diabetics only, modification (including fitting) of off-the-shelf depth-inlay shoe or custom-molded shoe with wedge(s), per shoe |
| A5505 | Diab shoe w/metatarsal bar | Description: For diabetics only, modification (including fitting) of off-the-shelf depth-inlay shoe or custom-molded shoe with metatarsal bar, per shoe |
| A5506 | Diabetic shoe w/off set heel | Description: For diabetics only, modification (including fitting) of off-the-shelf depth-inlay shoe or custom-molded shoe with off-set heel(s), per shoe |
| A5507 | Modification diabetic shoe | Description: For diabetics only, not otherwise specified modification (including fitting) of off-the-shelf depth-inlay shoe or custom-molded shoe, per shoe |
| A5508 | Diabetic deluxe shoe | Description: For diabetics only, deluxe feature of off-the-shelf depth-inlay shoe or custom-molded shoe, per shoe |
| A5510 | Compression form shoe insert | Description: For diabetics only, direct formed, compression molded to patient's foot without external heat source, multiple-density insert(s) prefabricated, per shoe |
| A5512 | Multi den insert direct form | Description: For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or 3/16 inch material of shore a 40 durometer (or higher), prefabricated, each |
| A5513 | Multi den insert custom mold | Description: For diabetics only, multiple density insert, custom molded from model of patient's foot, 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 |
| A5514 | 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 |
| A6000 | Wound warming wound cover | Description: Non-contact wound warming wound cover for use with the non-contact wound warming device and warming card |
| A6010 | Collagen based wound filler | Description: Collagen based wound filler, dry form, sterile, per gram of collagen |
| A6011 | Collagen gel/paste wound fil | Description: Collagen based wound filler, gel/paste, per gram of collagen |
| A6021 | Collagen dressing <=16 sq in | Description: Collagen dressing, sterile, size 16 sq. in. or less, each |
| A6022 | Collagen drsg>16<=48 sq in | Description: Collagen dressing, sterile, size more than 16 sq. in. but less than or equal to 48 sq. in., each |
| A6023 | Collagen dressing >48 sq in | Description: Collagen dressing, sterile, size more than 48 sq. in., each |
| A6024 | Collagen dsg wound filler | Description: Collagen dressing wound filler, sterile, per 6 inches |
| A6025 | Silicone gel sheet, each | Description: Gel sheet for dermal or epidermal application, (e.g., silicone, hydrogel, other), each |
| A6154 | Wound pouch each | Description: Wound pouch, each |
| A6196 | Alginate dressing <=16 sq in | Description: Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing |
| A6197 | Alginate drsg >16 <=48 sq in | Description: Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., each dressing |
| A6198 | Alginate dressing > 48 sq in | Description: Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 48 sq. in., each dressing |