Showing codes A5120 (Skin barrier, wipes or swabs, each) — A6198 (Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 48 sq. in., each dressing)

A5120 - Skin barrier, wipe or swab
Long description: Skin barrier, wipes or swabs, each
Code added date: 20060101.
Code effective date: 20060101.
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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A5121 - Solid skin barrier 6x6
Long description: Skin barrier; solid, 6 x 6 or equivalent, each
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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A5122 - Solid skin barrier 8x8
Long description: Skin barrier; solid, 8 x 8 or equivalent, each
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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A5126 - Disk/foam pad +or- adhesive
Long description: Adhesive or non-adhesive; disk or foam pad
Code added date: 19900101.
Code effective date: 20000101.
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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A5131 - Appliance cleaner
Long description: Appliance cleaner, incontinence and ostomy appliances, per 16 oz.
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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A5200 - Percutaneous catheter anchor
Long description: Percutaneous catheter/tube anchoring device, adhesive skin attachment
Code added date: 19990101.
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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A5500 - Diab shoe for density insert
Long 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
Code added date: 19950101.
Code effective date: 20050101.
Pricing Indicator Code(s): 38 ; (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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A5501 - Diabetic custom molded shoe
Long 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
Code added date: 19950101.
Code effective date: 20050101.
Pricing Indicator Code(s): 38 ; (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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A5503 - Diabetic shoe w/roller/rockr
Long 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
Code added date: 19950101.
Code effective date: 20050101.
Pricing Indicator Code(s): 38 ; (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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A5504 - Diabetic shoe with wedge
Long description: For diabetics only, modification (including fitting) of off-the-shelf depth-inlay shoe or custom-molded shoe with wedge(s), per shoe
Code added date: 19950101.
Code effective date: 20050101.
Pricing Indicator Code(s): 38 ; (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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A5505 - Diab shoe w/metatarsal bar
Long description: For diabetics only, modification (including fitting) of off-the-shelf depth-inlay shoe or custom-molded shoe with metatarsal bar, per shoe
Code added date: 19950101.
Code effective date: 20050101.
Pricing Indicator Code(s): 38 ; (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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A5506 - Diabetic shoe w/off set heel
Long 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
Code added date: 19950101.
Code effective date: 20050101.
Pricing Indicator Code(s): 38 ; (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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A5507 - Modification diabetic shoe
Long description: For diabetics only, not otherwise specified modification (including fitting) of off-the-shelf depth-inlay shoe or custom-molded shoe, per shoe
Code added date: 19950101.
Code effective date: 20050101.
Pricing Indicator Code(s): 38 ; (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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A5508 - Diabetic deluxe shoe
Long description: For diabetics only, deluxe feature of off-the-shelf depth-inlay shoe or custom-molded shoe, per shoe
Code added date: 20000101.
Code effective date: 20050101.
Pricing Indicator Code(s): 38 ; (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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A5510 - Compression form shoe insert
Long description: For diabetics only, direct formed, compression molded to patient's foot without external heat source, multiple-density insert(s) prefabricated, per shoe
Code added date: 20020101.
Code effective date: 20050101.
Pricing Indicator Code(s): 38 ; (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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A5512 - Multi den insert direct form
Long 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
Code added date: 20060101.
Code effective date: 20190101.
Pricing Indicator Code(s): 38 ; (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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A5513 - Multi den insert custom mold
Long 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
Code added date: 20060101.
Code effective date: 20190101.
Pricing Indicator Code(s): 38 ; (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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A5514 - Mult den insert dir carv/cam
Long 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
Code added date: 20190101.
Code effective date: 20190101.
Pricing Indicator Code(s): 38 ; (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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A6 - Dressing for six wounds
Long description: Dressing for six wounds
Code added date: 20020701.
Code effective date: 20020701.
Coverage Code: C (A code denoting Medicare coverage status).
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A6000 - Wound warming wound cover
Long description: Non-contact wound warming wound cover for use with the non-contact wound warming device and warming card
Code added date: 20020101.
Code effective date: 20020701.
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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A6010 - Collagen based wound filler
Long description: Collagen based wound filler, dry form, sterile, per gram of collagen
Code added date: 20020101.
Code effective date: 20090101.
Pricing Indicator Code(s): 35 ; (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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A6011 - Collagen gel/paste wound fil
Long description: Collagen based wound filler, gel/paste, per gram of collagen
Code added date: 20030101.
Code effective date: 20110101.
Pricing Indicator Code(s): 35 ; (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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A6021 - Collagen dressing <=16 sq in
Long description: Collagen dressing, sterile, size 16 sq. in. or less, each
Code added date: 20010101.
Code effective date: 20130101.
Pricing Indicator Code(s): 35 ; (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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A6022 - Collagen drsg>16<=48 sq in
Long description: Collagen dressing, sterile, size more than 16 sq. in. but less than or equal to 48 sq. in., each
Code added date: 20010101.
Code effective date: 20130101.
Pricing Indicator Code(s): 35 ; (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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A6023 - Collagen dressing >48 sq in
Long description: Collagen dressing, sterile, size more than 48 sq. in., each
Code added date: 20010101.
Code effective date: 20130101.
Pricing Indicator Code(s): 35 ; (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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A6024 - Collagen dsg wound filler
Long description: Collagen dressing wound filler, sterile, per 6 inches
Code added date: 20010101.
Code effective date: 20090101.
Pricing Indicator Code(s): 35 ; (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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A6025 - Silicone gel sheet, each
Long description: Gel sheet for dermal or epidermal application, (e.g., silicone, hydrogel, other), each
Code added date: 19970101.
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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A6154 - Wound pouch each
Long description: Wound pouch, each
Code added date: 19970101.
Code effective date: 20030101.
Pricing Indicator Code(s): 35 ; (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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A6196 - Alginate dressing <=16 sq in
Long description: Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing
Code added date: 19970101.
Code effective date: 20090101.
Pricing Indicator Code(s): 35 ; (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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A6197 - Alginate drsg >16 <=48 sq in
Long 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
Code added date: 19970101.
Code effective date: 20090101.
Pricing Indicator Code(s): 35 ; (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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A6198 - Alginate dressing > 48 sq in
Long description: Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 48 sq. in., each dressing
Code added date: 19970101.
Code effective date: 20090101.
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: D (A code denoting Medicare coverage status).
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