Showing codes A4234 (Replacement battery, alkaline, j cell, for use with medically necessary home blood glucose monitor owned by patient, each) — A4282 (Adapter for breast pump, replacement)

A4234 - J-cell batt for glucose mon
Long description: Replacement battery, alkaline, j cell, for use with medically necessary home blood glucose monitor owned by patient, each
Code added date: 20060101.
Code effective date: 20160101.
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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A4235 - Lithium batt for glucose mon
Long description: Replacement battery, lithium, for use with medically necessary home blood glucose monitor owned by patient, each
Code added date: 20060101.
Code effective date: 20160101.
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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A4236 - Silvr oxide batt glucose mon
Long description: Replacement battery, silver oxide, for use with medically necessary home blood glucose monitor owned by patient, each
Code added date: 20060101.
Code effective date: 20160101.
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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A4238 - Adju cgm supply allowance
Long description: Supply allowance for adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service
Code added date: 20220401.
Code effective date: 20230101.
Pricing Indicator Code(s): 34 ; (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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A4239 - Non-adju cgm supply allow
Long description: Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service
Code added date: 20230101.
Code effective date: 20230101.
Pricing Indicator Code(s): 34 ; (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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A4244 - Alcohol or peroxide per pint
Long description: Alcohol or peroxide, per pint
Code added date: 19850101.
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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A4245 - Alcohol wipes per box
Long description: Alcohol wipes, per box
Code added date: 19850101.
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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A4246 - Betadine/phisohex solution
Long description: Betadine or phisohex solution, per pint
Code added date: 19850101.
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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A4247 - Betadine/iodine swabs/wipes
Long description: Betadine or iodine swabs/wipes, per box
Code added date: 19850101.
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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A4248 - Chlorhexidine antisept
Long description: Chlorhexidine containing antiseptic, 1 ml
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: C (A code denoting Medicare coverage status).
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A4250 - Urine reagent strips/tablets
Long description: Urine test or reagent strips or tablets (100 tablets or strips)
Code added date: 19900101.
Code effective date: 19970101.
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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A4252 - Blood ketone test or strip
Long description: Blood ketone test or reagent strip, each
Code added date: 20080101.
Code effective date: 20080101.
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: S (A code denoting Medicare coverage status).
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A4253 - Blood glucose/reagent strips
Long description: Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips
Code added date: 19860101.
Code effective date: 19980701.
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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A4255 - Glucose monitor platforms
Long description: Platforms for home blood glucose monitor, 50 per box
Code added date: 19970101.
Code effective date: 20020101.
Pricing Indicator Code(s): 34 ; (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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A4256 - Calibrator solution/chips
Long description: Normal, low and high calibrator solution / chips
Code added date: 19850101.
Code effective date: 20020101.
Pricing Indicator Code(s): 34 ; (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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A4257 - Replace lensshield cartridge
Long description: Replacement lens shield cartridge for use with laser skin piercing device, each
Code added date: 20020101.
Code effective date: 20020101.
Pricing Indicator Code(s): 34 ; (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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A4258 - Lancet device each
Long description: Spring-powered device for lancet, each
Code added date: 19960101.
Code effective date: 20020101.
Pricing Indicator Code(s): 34 ; (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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A4259 - Lancets per box
Long description: Lancets, per box of 100
Code added date: 19850101.
Code effective date: 19960101.
Pricing Indicator Code(s): 34 ; (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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A4261 - Cervical cap contraceptive
Long description: Cervical cap for contraceptive use
Code added date: 19990101.
Code effective date: 19990101.
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: S (A code denoting Medicare coverage status).
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A4262 - Temporary tear duct plug
Long description: Temporary, absorbable lacrimal duct implant, each
Code added date: 19940101.
Code effective date: 19980101.
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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A4263 - Permanent tear duct plug
Long description: Permanent, long term, non-dissolvable lacrimal duct implant, each
Code added date: 19940101.
Code effective date: 19980101.
Pricing Indicator Code(s): 11 ; (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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A4264 - Intratubal occlusion device
Long description: Permanent implantable contraceptive intratubal occlusion device(s) and delivery system
Code added date: 20100101.
Code effective date: 20100101.
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: I (A code denoting Medicare coverage status).
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A4265 - Paraffin
Long description: Paraffin, per pound
Code added date: 19860101.
Code effective date: 20020101.
Pricing Indicator Code(s): 34 ; (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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A4266 - Diaphragm
Long description: Diaphragm for contraceptive use
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: I (A code denoting Medicare coverage status).
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A4267 - Male condom
Long description: Contraceptive supply, condom, male, each
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: I (A code denoting Medicare coverage status).
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A4268 - Female condom
Long description: Contraceptive supply, condom, female, each
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: I (A code denoting Medicare coverage status).
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A4269 - Spermicide
Long description: Contraceptive supply, spermicide (e.g., foam, gel), each
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: I (A code denoting Medicare coverage status).
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A4270 - Disposable endoscope sheath
Long description: Disposable endoscope sheath, each
Code added date: 19940101.
Code effective date: 19960101.
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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A4280 - Brst prsths adhsv attchmnt
Long description: Adhesive skin support attachment for use with external breast prosthesis, each
Code added date: 20000101.
Code effective date: 20000101.
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: C (A code denoting Medicare coverage status).
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A4281 - Replacement breastpump tube
Long description: Tubing for breast pump, replacement
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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A4282 - Replacement breastpump adpt
Long description: Adapter for breast pump, replacement
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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