Showing codes A4913 (Miscellaneous dialysis supplies, not otherwise specified) — A5114 (Leg strap; foam or fabric, replacement only, per set)

A4913 - Misc dialysis supplies noc
Long description: Miscellaneous dialysis supplies, not otherwise specified
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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A4918 - Venous pressure clamp
Long description: Venous pressure clamp, 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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A4927 - Non-sterile gloves
Long description: Gloves, non-sterile, per 100
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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A4928 - Surgical mask
Long description: Surgical mask, per 20
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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A4929 - Tourniquet for dialysis, ea
Long description: Tourniquet for dialysis, 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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A4930 - Sterile, gloves per pair
Long description: Gloves, sterile, per pair
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: D (A code denoting Medicare coverage status).
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A4931 - Reusable oral thermometer
Long description: Oral thermometer, reusable, any type, 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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A4932 - Reusable rectal thermometer
Long description: Rectal thermometer, reusable, any type, each
Code added date: 20030101.
Code effective date: 20070101.
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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A5 - Dressing for five wounds
Long description: Dressing for five wounds
Code added date: 20020701.
Code effective date: 20020701.
Coverage Code: C (A code denoting Medicare coverage status).
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A5051 - Pouch clsd w barr attached
Long description: Ostomy pouch, closed; with barrier attached (1 piece), each
Code added date: 19900101.
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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A5052 - Clsd ostomy pouch w/o barr
Long description: Ostomy pouch, closed; without barrier attached (1 piece), each
Code added date: 19900101.
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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A5053 - Clsd ostomy pouch faceplate
Long description: Ostomy pouch, closed; for use on faceplate, each
Code added date: 19900101.
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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A5054 - Clsd ostomy pouch w/flange
Long description: Ostomy pouch, closed; for use on barrier with flange (2 piece), each
Code added date: 19900101.
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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A5055 - Stoma cap
Long description: Stoma cap
Code added date: 19900101.
Code effective date: 19900101.
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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A5056 - 1 pc ost pouch w filter
Long description: Ostomy pouch, drainable, with extended wear barrier attached, with filter, (1 piece), each
Code added date: 20120101.
Code effective date: 20120101.
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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A5057 - 1 pc ost pou w built-in conv
Long description: Ostomy pouch, drainable, with extended wear barrier attached, with built in convexity, with filter, (1 piece), each
Code added date: 20120101.
Code effective date: 20120101.
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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A5061 - Pouch drainable w barrier at
Long description: Ostomy pouch, drainable; with barrier attached, (1 piece), each
Code added date: 19900101.
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: C (A code denoting Medicare coverage status).
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A5062 - Drnble ostomy pouch w/o barr
Long description: Ostomy pouch, drainable; without barrier attached (1 piece), each
Code added date: 19900101.
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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A5063 - Drain ostomy pouch w/flange
Long description: Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each
Code added date: 19900101.
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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A5071 - Urinary pouch w/barrier
Long description: Ostomy pouch, urinary; with barrier attached (1 piece), each
Code added date: 19900101.
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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A5072 - Urinary pouch w/o barrier
Long description: Ostomy pouch, urinary; without barrier attached (1 piece), each
Code added date: 19900101.
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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A5073 - Urinary pouch on barr w/flng
Long description: Ostomy pouch, urinary; for use on barrier with flange (2 piece), each
Code added date: 19900101.
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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A5081 - Stoma plug or seal, any type
Long description: Stoma plug or seal, any type
Code added date: 19900101.
Code effective date: 20140101.
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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A5082 - Continent stoma catheter
Long description: Continent device; catheter for continent stoma
Code added date: 19900101.
Code effective date: 19900101.
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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A5083 - Stoma absorptive cover
Long description: Continent device, stoma absorptive cover for continent stoma
Code added date: 20080101.
Code effective date: 20080101.
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: C (A code denoting Medicare coverage status).
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A5093 - Ostomy accessory convex inse
Long description: Ostomy accessory; convex insert
Code added date: 19900101.
Code effective date: 19900101.
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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A5102 - Bedside drain btl w/wo tube
Long description: Bedside drainage bottle with or without tubing, rigid or expandable, each
Code added date: 19900101.
Code effective date: 19970101.
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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A5105 - Urinary suspensory
Long description: Urinary suspensory with leg bag, with or without tube, each
Code added date: 19900101.
Code effective date: 20080101.
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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A5112 - Urinary leg bag
Long description: Urinary drainage bag, leg or abdomen, latex, with or without tube, with straps, each
Code added date: 19900101.
Code effective date: 20110101.
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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A5113 - Latex leg strap
Long description: Leg strap; latex, replacement only, per set
Code added date: 19900101.
Code effective date: 19980101.
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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A5114 - Foam/fabric leg strap
Long description: Leg strap; foam or fabric, replacement only, per set
Code added date: 19900101.
Code effective date: 19980101.
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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