Showing codes A4413 (Ostomy pouch, drainable, high output, for use on a barrier with flange (2 piece system), with filter, each) — A4457 (Enema tube, with or without adapter, any type, replacement only, each)

A4413 - 2 pc drainable ost pouch
Long description: Ostomy pouch, drainable, high output, for use on a barrier with flange (2 piece system), with filter, each
Code added date: 20030101.
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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A4414 - Ost sknbar w/o conv<=4 sq in
Long description: Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each
Code added date: 20030101.
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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A4415 - Ost skn barr w/o conv >4 sqi
Long description: Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, larger than 4 x 4 inches, each
Code added date: 20030101.
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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A4416 - Ost pch clsd w barrier/filtr
Long description: Ostomy pouch, closed, with barrier attached, with filter (1 piece), each
Code added date: 20040101.
Code effective date: 20040101.
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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A4417 - Ost pch w bar/bltinconv/fltr
Long description: Ostomy pouch, closed, with barrier attached, with built-in convexity, with filter (1 piece), each
Code added date: 20040101.
Code effective date: 20040101.
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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A4418 - Ost pch clsd w/o bar w filtr
Long description: Ostomy pouch, closed; without barrier attached, with filter (1 piece), each
Code added date: 20040101.
Code effective date: 20040101.
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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A4419 - Ost pch for bar w flange/flt
Long description: Ostomy pouch, closed; for use on barrier with non-locking flange, with filter (2 piece), each
Code added date: 20040101.
Code effective date: 20040101.
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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A4420 - Ost pch clsd for bar w lk fl
Long description: Ostomy pouch, closed; for use on barrier with locking flange (2 piece), each
Code added date: 20040101.
Code effective date: 20040101.
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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A4421 - Ostomy supply misc
Long description: Ostomy supply; miscellaneous
Code added date: 19850101.
Code effective date: 20180101.
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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A4422 - Ost pouch absorbent material
Long description: Ostomy absorbent material (sheet/pad/crystal packet) for use in ostomy pouch to thicken liquid stomal output, each
Code added date: 20030101.
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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A4423 - Ost pch for bar w lk fl/fltr
Long description: Ostomy pouch, closed; for use on barrier with locking flange, with filter (2 piece), each
Code added date: 20040101.
Code effective date: 20040101.
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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A4424 - Ost pch drain w bar & filter
Long description: Ostomy pouch, drainable, with barrier attached, with filter (1 piece), each
Code added date: 20040101.
Code effective date: 20040101.
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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A4425 - Ost pch drain for barrier fl
Long description: Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each
Code added date: 20040101.
Code effective date: 20040101.
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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A4426 - Ost pch drain 2 piece system
Long description: Ostomy pouch, drainable; for use on barrier with locking flange (2 piece system), each
Code added date: 20040101.
Code effective date: 20040101.
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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A4427 - Ost pch drain/barr lk flng/f
Long description: Ostomy pouch, drainable; for use on barrier with locking flange, with filter (2 piece system), each
Code added date: 20040101.
Code effective date: 20040101.
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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A4428 - Urine ost pouch w faucet/tap
Long description: Ostomy pouch, urinary, with extended wear barrier attached, with faucet-type tap with valve (1 piece), each
Code added date: 20040101.
Code effective date: 20040101.
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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A4429 - Urine ost pouch w bltinconv
Long description: Ostomy pouch, urinary, with barrier attached, with built-in convexity, with faucet-type tap with valve (1 piece), each
Code added date: 20040101.
Code effective date: 20040101.
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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A4430 - Ost urine pch w b/bltin conv
Long description: Ostomy pouch, urinary, with extended wear barrier attached, with built-in convexity, with faucet-type tap with valve (1 piece), each
Code added date: 20040101.
Code effective date: 20040101.
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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A4431 - Ost pch urine w barrier/tapv
Long description: Ostomy pouch, urinary; with barrier attached, with faucet-type tap with valve (1 piece), each
Code added date: 20040101.
Code effective date: 20040101.
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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A4432 - Os pch urine w bar/fange/tap
Long description: Ostomy pouch, urinary; for use on barrier with non-locking flange, with faucet-type tap with valve (2 piece), each
Code added date: 20040101.
Code effective date: 20040101.
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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A4433 - Urine ost pch bar w lock fln
Long description: Ostomy pouch, urinary; for use on barrier with locking flange (2 piece), each
Code added date: 20040101.
Code effective date: 20040101.
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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A4434 - Ost pch urine w lock flng/ft
Long description: Ostomy pouch, urinary; for use on barrier with locking flange, with faucet-type tap with valve (2 piece), each
Code added date: 20040101.
Code effective date: 20040101.
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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A4435 - 1pc ost pch drain hgh output
Long description: Ostomy pouch, drainable, high output, with extended wear barrier (one-piece system), with or without filter, each
Code added date: 20130101.
Code effective date: 20130101.
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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A4436 - Irr supply sleev reus per mo
Long description: Irrigation supply; sleeve, reusable, per month
Code added date: 20220101.
Code effective date: 20220101.
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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A4437 - Irr supply sleev disp per mo
Long description: Irrigation supply; sleeve, disposable, per month
Code added date: 20220101.
Code effective date: 20220101.
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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A4450 - Non-waterproof tape
Long description: Tape, non-waterproof, per 18 square inches
Code added date: 20030101.
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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A4452 - Waterproof tape
Long description: Tape, waterproof, per 18 square inches
Code added date: 20030101.
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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A4453 - Rec cath man pump enema repl
Long description: Rectal catheter for use with the manual pump-operated enema system, replacement only
Code added date: 20211001.
Code effective date: 20211001.
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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A4455 - Adhesive remover per ounce
Long description: Adhesive remover or solvent (for tape, cement or other adhesive), per ounce
Code added date: 19890101.
Code effective date: 19950101.
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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A4456 - Adhesive remover, wipes
Long description: Adhesive remover, wipes, any type, each
Code added date: 20100101.
Code effective date: 20100101.
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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A4457 - Enema tube any type repl
Long description: Enema tube, with or without adapter, any type, replacement only, each
Code added date: 20240101.
Code effective date: 20240101.
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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