Showing codes A4628 (Oral and/or oropharyngeal suction catheter, each) — A4707 (Bicarbonate concentrate, powder, for hemodialysis, per packet)

A4628 - Oropharyngeal suction cath
Long description: Oral and/or oropharyngeal suction catheter, each
Code added date: 19960101.
Code effective date: 20230401.
Pricing Indicator Code(s): 32 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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A4629 - Tracheostomy care kit
Long description: Tracheostomy care kit for established tracheostomy
Code added date: 19960101.
Code effective date: 20030101.
Pricing Indicator Code(s): 37 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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A4630 - Repl bat t.e.n.s. own by pt
Long description: Replacement batteries, medically necessary, transcutaneous electrical stimulator, owned by patient
Code added date: 19910101.
Code effective date: 20060101.
Pricing Indicator Code(s): 32 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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A4633 - Uvl replacement bulb
Long description: Replacement bulb/lamp for ultraviolet light therapy system, each
Code added date: 20030101.
Code effective date: 20030101.
Pricing Indicator Code(s): 32 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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A4634 - Replacement bulb th lightbox
Long description: Replacement bulb for therapeutic light box, tabletop model
Code added date: 20030101.
Code effective date: 20030101.
Pricing Indicator Code(s): 00 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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A4635 - Underarm crutch pad
Long description: Underarm pad, crutch, replacement, each
Code added date: 19910101.
Code effective date: 19910101.
Pricing Indicator Code(s): 32 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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A4636 - Handgrip for cane etc
Long description: Replacement, handgrip, cane, crutch, or walker, each
Code added date: 19910101.
Code effective date: 19960101.
Pricing Indicator Code(s): 32 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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A4637 - Repl tip cane/crutch/walker
Long description: Replacement, tip, cane, crutch, walker, each.
Code added date: 19910101.
Code effective date: 19960101.
Pricing Indicator Code(s): 32 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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A4638 - Repl batt pulse gen sys
Long description: Replacement battery for patient-owned ear pulse generator, each
Code added date: 20040101.
Code effective date: 20040101.
Pricing Indicator Code(s): 32 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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A4639 - Infrared ht sys replcmnt pad
Long description: Replacement pad for infrared heating pad system, each
Code added date: 20030101.
Code effective date: 20140401.
Pricing Indicator Code(s): 36 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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A4640 - Alternating pressure pad
Long description: Replacement pad for use with medically necessary alternating pressure pad owned by patient
Code added date: 19910101.
Code effective date: 19910101.
Pricing Indicator Code(s): 32 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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A4641 - Radiopharm dx agent noc
Long description: Radiopharmaceutical, diagnostic, not otherwise classified
Code added date: 19940101.
Code effective date: 20060101.
Pricing Indicator Code(s): 51 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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A4642 - In111 satumomab
Long description: Indium in-111 satumomab pendetide, diagnostic, per study dose, up to 6 millicuries
Code added date: 19950101.
Code effective date: 20060101.
Pricing Indicator Code(s): 51 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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A4648 - Implantable tissue marker
Long description: Tissue marker, implantable, any type, each
Code added date: 20080101.
Code effective date: 20080101.
Pricing Indicator Code(s): 57 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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A4649 - Surgical supplies
Long description: Surgical supply; miscellaneous
Code added date: 19820101.
Code effective date: 19980101.
Pricing Indicator Code(s): 46 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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A4650 - Implant radiation dosimeter
Long description: Implantable radiation dosimeter, each
Code added date: 20080101.
Code effective date: 20080101.
Pricing Indicator Code(s): 57 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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A4651 - Calibrated microcap tube
Long description: Calibrated microcapillary tube, each
Code added date: 20020101.
Code effective date: 20150101.
Pricing Indicator Code(s): 00 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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A4652 - Microcapillary tube sealant
Long description: Microcapillary tube sealant
Code added date: 20020101.
Code effective date: 20150101.
Pricing Indicator Code(s): 00 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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A4653 - Pd catheter anchor belt
Long description: Peritoneal dialysis catheter anchoring device, belt, each
Code added date: 20030101.
Code effective date: 20150101.
Pricing Indicator Code(s): 00 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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A4657 - Syringe w/wo needle
Long description: Syringe, with or without needle, each
Code added date: 20020101.
Code effective date: 20150101.
Pricing Indicator Code(s): 00 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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A4660 - Sphyg/bp app w cuff and stet
Long description: Sphygmomanometer/blood pressure apparatus with cuff and stethoscope
Code added date: 19860101.
Code effective date: 20150101.
Pricing Indicator Code(s): 00 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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A4663 - Dialysis blood pressure cuff
Long description: Blood pressure cuff only
Code added date: 19860101.
Code effective date: 20150101.
Pricing Indicator Code(s): 00 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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A4670 - Automatic bp monitor, dial
Long description: Automatic blood pressure monitor
Code added date: 19860101.
Code effective date: 20030101.
Pricing Indicator Code(s): 00 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: M (A code denoting Medicare coverage status).
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A4671 - Disposable cycler set
Long description: Disposable cycler set used with cycler dialysis machine, each
Code added date: 20040101.
Code effective date: 20150101.
Pricing Indicator Code(s): 00 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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A4672 - Drainage ext line, dialysis
Long description: Drainage extension line, sterile, for dialysis, each
Code added date: 20040101.
Code effective date: 20150101.
Pricing Indicator Code(s): 00 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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A4673 - Ext line w easy lock connect
Long description: Extension line with easy lock connectors, used with dialysis
Code added date: 20040101.
Code effective date: 20150101.
Pricing Indicator Code(s): 00 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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A4674 - Chem/antisept solution, 8oz
Long description: Chemicals/antiseptics solution used to clean/sterilize dialysis equipment, per 8 oz
Code added date: 20040101.
Code effective date: 20150101.
Pricing Indicator Code(s): 00 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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A4680 - Activated carbon filter, ea
Long description: Activated carbon filter for hemodialysis, each
Code added date: 19860101.
Code effective date: 20150101.
Pricing Indicator Code(s): 00 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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A4690 - Dialyzer, each
Long description: Dialyzer (artificial kidneys), all types, all sizes, for hemodialysis, each
Code added date: 19860101.
Code effective date: 20150101.
Pricing Indicator Code(s): 00 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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A4706 - Bicarbonate conc sol per gal
Long description: Bicarbonate concentrate, solution, for hemodialysis, per gallon
Code added date: 20020101.
Code effective date: 20150101.
Pricing Indicator Code(s): 00 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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A4707 - Bicarbonate conc pow per pac
Long description: Bicarbonate concentrate, powder, for hemodialysis, per packet
Code added date: 20020101.
Code effective date: 20150101.
Pricing Indicator Code(s): 00 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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