Showing codes A5508 (For diabetics only, deluxe feature of off-the-shelf depth-inlay shoe or custom-molded shoe, per shoe) — A6214 (Foam dressing, wound cover, sterile, pad size more than 48 sq. in., with any size adhesive border, each dressing)

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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A6199 - Alginate drsg wound filler
Long description: Alginate or other fiber gelling dressing, wound filler, sterile, per 6 inches
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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A6203 - Composite drsg <= 16 sq in
Long description: Composite dressing, sterile, pad size 16 sq. in. or less, with any size adhesive border, 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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A6204 - Composite drsg >16<=48 sq in
Long description: Composite dressing, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, 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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A6205 - Composite drsg > 48 sq in
Long description: Composite dressing, sterile, pad size more than 48 sq. in., with any size adhesive border, 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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A6206 - Contact layer <= 16 sq in
Long description: Contact layer, sterile, 16 sq. in. or less, 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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A6207 - Contact layer >16<= 48 sq in
Long description: Contact layer, sterile, 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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A6208 - Contact layer > 48 sq in
Long description: Contact layer, sterile, 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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A6209 - Foam drsg <=16 sq in w/o bdr
Long description: Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, 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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A6210 - Foam drg >16<=48 sq in w/o b
Long description: Foam dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, 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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A6211 - Foam drg > 48 sq in w/o brdr
Long description: Foam dressing, wound cover, sterile, pad size more than 48 sq. in., without adhesive border, 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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A6212 - Foam drg <=16 sq in w/border
Long description: Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, 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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A6213 - Foam drg >16<=48 sq in w/bdr
Long description: Foam dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, 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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A6214 - Foam drg > 48 sq in w/border
Long description: Foam dressing, wound cover, sterile, pad size more than 48 sq. in., with any size adhesive border, 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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