Showing codes A4252 (Blood ketone test or reagent strip, each) — A4297 (Intermittent urinary catheter; hydrophilic coating, with insertion supplies)

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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A4271 - Home lancing/test cartridges
Long description: Integrated lancing and blood sample testing cartridges for home blood glucose monitor, per 50 tests
Code added date: 20240401.
Code effective date: 20241001.
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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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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A4283 - Replacement breastpump cap
Long description: Cap for breast pump bottle, 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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A4284 - Replcmnt breast pump shield
Long description: Breast shield and splash protector for use with 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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A4285 - Replcmnt breast pump bottle
Long description: Polycarbonate bottle for use with 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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A4286 - Replcmnt breastpump lok ring
Long description: Locking ring 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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A4287 - Disp col sto bag breast milk
Long description: Disposable collection and storage bag for breast milk, any size, any type, each
Code added date: 20240101.
Code effective date: 20240101.
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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A4288 - Replacement breastpump valve
Long description: Valve for breast pump, replacement
Code added date: 20251001.
Code effective date: 20251001.
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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A4290 - Sacral nerve stim test lead
Long description: Sacral nerve stimulation test lead, each
Code added date: 20010101.
Code effective date: 20020101.
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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A4295 - Straigh tip hydrophilic cath
Long description: Intermittent urinary catheter; straight tip, hydrophilic coating, each
Code added date: 20260101.
Code effective date: 20260101.
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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A4296 - Coude tip hydrophilic cath
Long description: Intermittent urinary catheter; coude (curved) tip, hydrophilic coating, each
Code added date: 20260101.
Code effective date: 20260101.
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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A4297 - Hydrophilic coat insert sup
Long description: Intermittent urinary catheter; hydrophilic coating, with insertion supplies
Code added date: 20260101.
Code effective date: 20260101.
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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