Showing codes A6450 (Light compression bandage, elastic, knitted/woven, width greater than or equal to five inches, per yard) — A6522 (Gradient compression garment, arm, padded, for nighttime use, each)
A6450 - Lt compres band >=5"/yd
Long description: Light compression bandage, elastic, knitted/woven, width greater than or equal to five inches, per yard
Code added date: 20040101.
Code effective date: 20040101.
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: C (A code denoting Medicare coverage status).
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A6451 - Mod compres band w>=3"<5"/yd
Long description: Moderate compression bandage, elastic, knitted/woven, load resistance of 1.25 to 1.34 foot pounds at 50% maximum stretch, width greater than or equal to three inches and less than five inches, per yard
Code added date: 20040101.
Code effective date: 20040101.
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: C (A code denoting Medicare coverage status).
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PDF
A6452 - High compres band w>=3"<5"yd
Long description: High compression bandage, elastic, knitted/woven, load resistance greater than or equal to 1.35 foot pounds at 50% maximum stretch, width greater than or equal to three inches and less than five inches, per yard
Code added date: 20040101.
Code effective date: 20040101.
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: C (A code denoting Medicare coverage status).
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A6453 - Self-adher band w <3"/yd
Long description: Self-adherent bandage, elastic, non-knitted/non-woven, width less than three inches, per yard
Code added date: 20040101.
Code effective date: 20040101.
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: C (A code denoting Medicare coverage status).
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PDF
A6454 - Self-adher band w>=3" <5"/yd
Long description: Self-adherent bandage, elastic, non-knitted/non-woven, width greater than or equal to three inches and less than five inches, per yard
Code added date: 20040101.
Code effective date: 20040101.
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: C (A code denoting Medicare coverage status).
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PDF
A6455 - Self-adher band >=5"/yd
Long description: Self-adherent bandage, elastic, non-knitted/non-woven, width greater than or equal to five inches, per yard
Code added date: 20040101.
Code effective date: 20040101.
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: C (A code denoting Medicare coverage status).
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PDF
A6456 - Zinc paste band w >=3"<5"/yd
Long description: Zinc paste impregnated bandage, non-elastic, knitted/woven, width greater than or equal to three inches and less than five inches, per yard
Code added date: 20040101.
Code effective date: 20040101.
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: C (A code denoting Medicare coverage status).
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PDF
A6457 - Tubular dressing
Long description: Tubular dressing with or without elastic, any width, per linear yard
Code added date: 20060101.
Code effective date: 20060101.
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: C (A code denoting Medicare coverage status).
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PDF
A6460 - Synthetic drsg <= 16 sq in
Long description: Synthetic resorbable wound dressing, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing
Code added date: 20190101.
Code effective date: 20190101.
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: C (A code denoting Medicare coverage status).
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PDF
A6461 - Synthetic drsg >16<=48 sq in
Long description: Synthetic resorbable wound dressing, 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: 20190101.
Code effective date: 20190101.
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: C (A code denoting Medicare coverage status).
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PDF
A6501 - Compres burngarment bodysuit
Long description: Compression burn garment, bodysuit (head to foot), custom fabricated
Code added date: 20030101.
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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PDF
A6502 - Compres burngarment chinstrp
Long description: Compression burn garment, chin strap, custom fabricated
Code added date: 20030101.
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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PDF
A6503 - Compres burngarment facehood
Long description: Compression burn garment, facial hood, custom fabricated
Code added date: 20030101.
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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A6504 - Cmprsburngarment glove-wrist
Long description: Compression burn garment, glove to wrist, custom fabricated
Code added date: 20030101.
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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A6505 - Cmprsburngarment glove-elbow
Long description: Compression burn garment, glove to elbow, custom fabricated
Code added date: 20030101.
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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PDF
A6506 - Cmprsburngrmnt glove-axilla
Long description: Compression burn garment, glove to axilla, custom fabricated
Code added date: 20030101.
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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PDF
A6507 - Cmprs burngarment foot-knee
Long description: Compression burn garment, foot to knee length, custom fabricated
Code added date: 20030101.
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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A6508 - Cmprs burngarment foot-thigh
Long description: Compression burn garment, foot to thigh length, custom fabricated
Code added date: 20030101.
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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PDF
A6509 - Compres burn garment jacket
Long description: Compression burn garment, upper trunk to waist including arm openings (vest), custom fabricated
Code added date: 20030101.
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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PDF
A6510 - Compres burn garment leotard
Long description: Compression burn garment, trunk, including arms down to leg openings (leotard), custom fabricated
Code added date: 20030101.
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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PDF
A6511 - Compres burn garment panty
Long description: Compression burn garment, lower trunk including leg openings (panty), custom fabricated
Code added date: 20030101.
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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PDF
A6512 - Compres burn garment, noc
Long description: Compression burn garment, not otherwise classified
Code added date: 20030101.
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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PDF
A6513 - Compress burn mask face/neck
Long description: Compression burn mask, face and/or neck, plastic or equal, custom fabricated
Code added date: 20060101.
Code effective date: 20060101.
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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A6515 - Grad com wrap w str fu le cu
Long description: Gradient compression wrap with adjustable straps, full leg, each, custom
Code added date: 20250401.
Code effective date: 20250401.
Pricing Indicator Code(s):
40
; (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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PDF
A6516 - Grad com wrap w strap foo cu
Long description: Gradient compression wrap with adjustable straps, foot, each, custom
Code added date: 20250401.
Code effective date: 20250401.
Pricing Indicator Code(s):
40
; (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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PDF
A6517 - Grad com wrap w strap bn cus
Long description: Gradient compression wrap with adjustable straps, below knee, each, custom
Code added date: 20250401.
Code effective date: 20250401.
Pricing Indicator Code(s):
40
; (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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PDF
A6518 - Grad com wrap w strap arm cu
Long description: Gradient compression wrap with adjustable straps, arm, each, custom
Code added date: 20250401.
Code effective date: 20250401.
Pricing Indicator Code(s):
40
; (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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PDF
A6519 - Grad com garm noc night use
Long description: Gradient compression garment, not otherwise specified, for nighttime use, each
Code added date: 20250401.
Code effective date: 20250401.
Pricing Indicator Code(s):
40
; (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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PDF
A6520 - G com garmnt glove nghttime
Long description: Gradient compression garment, glove, padded, for nighttime use, each
Code added date: 20240101.
Code effective date: 20240101.
Pricing Indicator Code(s):
40
; (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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PDF
A6521 - G com garmnt glove nght cust
Long description: Gradient compression garment, glove, padded, for nighttime use, custom, each
Code added date: 20240101.
Code effective date: 20240101.
Pricing Indicator Code(s):
40
; (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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PDF
A6522 - G com garment arm nighttime
Long description: Gradient compression garment, arm, padded, for nighttime use, each
Code added date: 20240101.
Code effective date: 20240101.
Pricing Indicator Code(s):
40
; (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).
HTML
PDF