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Medical Coding Library
HCPCS Level II Code Set Directory
[A]
[A4]
HCPCS Codes Alphabetical Index
— A — / — A4 —
A4 — Dressing for four wounds
Code added date
: 20020701
Code effective date
: 20020701
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A4100 — Skin substitute, fda cleared as a device, not otherwise specified
Code added date
: 20220401
Code effective date
: 20220401
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A4206 — Syringe with needle, sterile, 1 cc or less, each
Code added date
: 19850101
Code effective date
: 20080101
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A4207 — Syringe with needle, sterile 2 cc, each
Code added date
: 19850101
Code effective date
: 20070101
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A4208 — Syringe with needle, sterile 3 cc, each
Code added date
: 19850101
Code effective date
: 20070101
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A4209 — Syringe with needle, sterile 5 cc or greater, each
Code added date
: 19850101
Code effective date
: 20070101
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TXT
A4210 — Needle-free injection device, each
Code added date
: 19890101
Code effective date
: 19960101
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TXT
A4211 — Supplies for self-administered injections
Code added date
: 19930101
Code effective date
: 19970101
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TXT
A4212 — Non-coring needle or stylet with or without catheter
Code added date
: 19930101
Code effective date
: 20000101
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A4213 — Syringe, sterile, 20 cc or greater, each
Code added date
: 19850101
Code effective date
: 20070101
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A4215 — Needle, sterile, any size, each
Code added date
: 19850101
Code effective date
: 20070101
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A4216 — Sterile water, saline and/or dextrose, diluent/flush, 10 ml
Code added date
: 20040101
Code effective date
: 20070101
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A4217 — Sterile water/saline, 500 ml
Code added date
: 20040101
Code effective date
: 20040101
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TXT
A4218 — Sterile saline or water, metered dose dispenser, 10 ml
Code added date
: 20060101
Code effective date
: 20060101
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TXT
A4220 — Refill kit for implantable infusion pump
Code added date
: 19940101
Code effective date
: 19980303
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TXT
A4221 — Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately)
Code added date
: 19970101
Code effective date
: 20170101
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A4222 — Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)
Code added date
: 19970101
Code effective date
: 20050101
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TXT
A4223 — Infusion supplies not used with external infusion pump, per cassette or bag (list drugs separately)
Code added date
: 20050101
Code effective date
: 20070101
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A4224 — Supplies for maintenance of insulin infusion catheter, per week
Code added date
: 20170101
Code effective date
: 20170101
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A4225 — Supplies for external insulin infusion pump, syringe type cartridge, sterile, each
Code added date
: 20170101
Code effective date
: 20170101
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TXT
A4226 — Supplies for maintenance of insulin infusion pump with dosage rate adjustment using therapeutic continuous glucose sensing, per week
Code added date
: 20200101
Code effective date
: 20200915
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A4230 — Infusion set for external insulin pump, non needle cannula type
Code added date
: 19960101
Code effective date
: 20000101
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A4231 — Infusion set for external insulin pump, needle type
Code added date
: 19960101
Code effective date
: 20000101
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A4232 — Syringe with needle for external insulin pump, sterile, 3 cc
Code added date
: 19960101
Code effective date
: 20030401
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A4233 — Replacement battery, alkaline (other than j cell), for use with medically necessary home blood glucose monitor owned by patient, each
Code added date
: 20060101
Code effective date
: 20160101
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A4234 — 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
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A4235 — Replacement battery, lithium, for use with medically necessary home blood glucose monitor owned by patient, each
Code added date
: 20060101
Code effective date
: 20160101
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TXT
A4236 — 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
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A4238 — 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
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A4239 — 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
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A4244 — Alcohol or peroxide, per pint
Code added date
: 19850101
Code effective date
: 20070101
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TXT
A4245 — Alcohol wipes, per box
Code added date
: 19850101
Code effective date
: 20070101
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TXT
A4246 — Betadine or phisohex solution, per pint
Code added date
: 19850101
Code effective date
: 20070101
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TXT
A4247 — Betadine or iodine swabs/wipes, per box
Code added date
: 19850101
Code effective date
: 20070101
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A4248 — Chlorhexidine containing antiseptic, 1 ml
Code added date
: 20040101
Code effective date
: 20150101
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A4250 — Urine test or reagent strips or tablets (100 tablets or strips)
Code added date
: 19900101
Code effective date
: 19970101
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A4252 — Blood ketone test or reagent strip, each
Code added date
: 20080101
Code effective date
: 20080101
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A4253 — Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips
Code added date
: 19860101
Code effective date
: 19980701
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TXT
A4255 — Platforms for home blood glucose monitor, 50 per box
Code added date
: 19970101
Code effective date
: 20020101
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A4256 — Normal, low and high calibrator solution / chips
Code added date
: 19850101
Code effective date
: 20020101
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A4257 — Replacement lens shield cartridge for use with laser skin piercing device, each
Code added date
: 20020101
Code effective date
: 20020101
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TXT
A4258 — Spring-powered device for lancet, each
Code added date
: 19960101
Code effective date
: 20020101
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TXT
A4259 — Lancets, per box of 100
Code added date
: 19850101
Code effective date
: 19960101
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A4261 — Cervical cap for contraceptive use
Code added date
: 19990101
Code effective date
: 19990101
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A4262 — Temporary, absorbable lacrimal duct implant, each
Code added date
: 19940101
Code effective date
: 19980101
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A4263 — Permanent, long term, non-dissolvable lacrimal duct implant, each
Code added date
: 19940101
Code effective date
: 19980101
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A4264 — Permanent implantable contraceptive intratubal occlusion device(s) and delivery system
Code added date
: 20100101
Code effective date
: 20100101
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A4265 — Paraffin, per pound
Code added date
: 19860101
Code effective date
: 20020101
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A4266 — Diaphragm for contraceptive use
Code added date
: 20030101
Code effective date
: 20030101
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A4267 — Contraceptive supply, condom, male, each
Code added date
: 20030101
Code effective date
: 20030101
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A4268 — Contraceptive supply, condom, female, each
Code added date
: 20030101
Code effective date
: 20030101
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A4269 — Contraceptive supply, spermicide (e.g., foam, gel), each
Code added date
: 20030101
Code effective date
: 20030101
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TXT
A4270 — Disposable endoscope sheath, each
Code added date
: 19940101
Code effective date
: 19960101
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A4271 — Integrated lancing and blood sample testing cartridges for home blood glucose monitor, per 50 tests
Code added date
: 20240401
Code effective date
: 20241001
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A4280 — Adhesive skin support attachment for use with external breast prosthesis, each
Code added date
: 20000101
Code effective date
: 20000101
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A4281 — Tubing for breast pump, replacement
Code added date
: 20030101
Code effective date
: 20070101
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TXT
A4282 — Adapter for breast pump, replacement
Code added date
: 20030101
Code effective date
: 20070101
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TXT
A4283 — Cap for breast pump bottle, replacement
Code added date
: 20030101
Code effective date
: 20070101
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TXT
A4284 — Breast shield and splash protector for use with breast pump, replacement
Code added date
: 20030101
Code effective date
: 20070101
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TXT
A4285 — Polycarbonate bottle for use with breast pump, replacement
Code added date
: 20030101
Code effective date
: 20070101
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TXT
A4286 — Locking ring for breast pump, replacement
Code added date
: 20030101
Code effective date
: 20070101
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A4287 — Disposable collection and storage bag for breast milk, any size, any type, each
Code added date
: 20240101
Code effective date
: 20240101
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A4288 — Valve for breast pump, replacement
Code added date
: 20251001
Code effective date
: 20251001
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TXT
A4290 — Sacral nerve stimulation test lead, each
Code added date
: 20010101
Code effective date
: 20020101
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A4300 — Implantable access catheter, (e.g., venous, arterial, epidural subarachnoid, or peritoneal, etc.) external access
Code added date
: 19860101
Code effective date
: 20020101
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A4301 — Implantable access total catheter, port/reservoir (e.g., venous, arterial, epidural, subarachnoid, peritoneal, etc.)
Code added date
: 19960101
Code effective date
: 20030101
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A4305 — Disposable drug delivery system, flow rate of 50 ml or greater per hour
Code added date
: 19930101
Code effective date
: 20060101
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A4306 — Disposable drug delivery system, flow rate of less than 50 ml per hour
Code added date
: 19930101
Code effective date
: 20070101
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A4310 — Insertion tray without drainage bag and without catheter (accessories only)
Code added date
: 19900101
Code effective date
: 19900101
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A4311 — Insertion tray without drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)
Code added date
: 19900101
Code effective date
: 19900101
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A4312 — Insertion tray without drainage bag with indwelling catheter, foley type, two-way, all silicone
Code added date
: 19900101
Code effective date
: 19900101
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A4313 — Insertion tray without drainage bag with indwelling catheter, foley type, three-way, for continuous irrigation
Code added date
: 19900101
Code effective date
: 19900101
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A4314 — Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)
Code added date
: 19900101
Code effective date
: 19900101
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A4315 — Insertion tray with drainage bag with indwelling catheter, foley type, two-way, all silicone
Code added date
: 19900101
Code effective date
: 19900101
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A4316 — Insertion tray with drainage bag with indwelling catheter, foley type, three-way, for continuous irrigation
Code added date
: 19900101
Code effective date
: 19900101
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TXT
A4320 — Irrigation tray with bulb or piston syringe, any purpose
Code added date
: 19900101
Code effective date
: 19920101
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A4321 — Therapeutic agent for urinary catheter irrigation
Code added date
: 19970101
Code effective date
: 20030101
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TXT
A4322 — Irrigation syringe, bulb or piston, each
Code added date
: 19900101
Code effective date
: 19960101
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A4326 — Male external catheter with integral collection chamber, any type, each
Code added date
: 19900101
Code effective date
: 20070101
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TXT
A4327 — Female external urinary collection device; meatal cup, each
Code added date
: 19900101
Code effective date
: 19900101
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TXT
A4328 — Female external urinary collection device; pouch, each
Code added date
: 19900101
Code effective date
: 19900101
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TXT
A4330 — Perianal fecal collection pouch with adhesive, each
Code added date
: 19900101
Code effective date
: 19960101
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TXT
A4331 — Extension drainage tubing, any type, any length, with connector/adaptor, for use with urinary leg bag or urostomy pouch, each
Code added date
: 20010101
Code effective date
: 20030101
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TXT
A4332 — Lubricant, individual sterile packet, each
Code added date
: 20010101
Code effective date
: 20050101
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TXT
A4333 — Urinary catheter anchoring device, adhesive skin attachment, each
Code added date
: 20010101
Code effective date
: 20030101
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TXT
A4334 — Urinary catheter anchoring device, leg strap, each
Code added date
: 20010101
Code effective date
: 20030101
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TXT
A4335 — Incontinence supply; miscellaneous
Code added date
: 19900101
Code effective date
: 19900101
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TXT
A4336 — Incontinence supply, urethral insert, any type, each
Code added date
: 20100101
Code effective date
: 20100101
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TXT
A4337 — Incontinence supply, rectal insert, any type, each
Code added date
: 20160101
Code effective date
: 20160101
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TXT
A4338 — Indwelling catheter; foley type, two-way latex with coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each
Code added date
: 19900101
Code effective date
: 19960101
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A4340 — Indwelling catheter; specialty type, (e.g., coude, mushroom, wing, etc.), each
Code added date
: 19900101
Code effective date
: 19960101
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TXT
A4341 — Indwelling intraurethral drainage device with valve, patient inserted, replacement only, each
Code added date
: 20230401
Code effective date
: 20230401
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TXT
A4342 — Accessories for patient inserted indwelling intraurethral drainage device with valve, replacement only, each
Code added date
: 20230401
Code effective date
: 20230401
HTML
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TXT
A4344 — Indwelling catheter, foley type, two-way, all silicone or polyurethane, each
Code added date
: 19830101
Code effective date
: 20231001
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TXT
A4346 — Indwelling catheter; foley type, three way for continuous irrigation, each
Code added date
: 19830101
Code effective date
: 19960101
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TXT
A4349 — Male external catheter, with or without adhesive, disposable, each
Code added date
: 20050101
Code effective date
: 20050101
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TXT
A4351 — Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each
Code added date
: 19900101
Code effective date
: 20020101
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TXT
A4352 — Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each
Code added date
: 19900101
Code effective date
: 20020101
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TXT
A4353 — Intermittent urinary catheter, with insertion supplies
Code added date
: 19970101
Code effective date
: 20030101
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TXT
A4354 — Insertion tray with drainage bag but without catheter
Code added date
: 19860101
Code effective date
: 19900101
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TXT
A4355 — Irrigation tubing set for continuous bladder irrigation through a three-way indwelling foley catheter, each
Code added date
: 19840101
Code effective date
: 19960101
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TXT
A4356 — External urethral clamp or compression device (not to be used for catheter clamp), each
Code added date
: 19850101
Code effective date
: 19960101
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TXT
A4357 — Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each
Code added date
: 19850101
Code effective date
: 19960101
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TXT
A4358 — Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each
Code added date
: 19850101
Code effective date
: 20020101
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TXT
A4360 — Disposable external urethral clamp or compression device, with pad and/or pouch, each
Code added date
: 20100101
Code effective date
: 20100101
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TXT
A4361 — Ostomy faceplate, each
Code added date
: 19850101
Code effective date
: 19960101
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TXT
A4362 — Skin barrier; solid, 4 x 4 or equivalent; each
Code added date
: 19850101
Code effective date
: 19900101
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TXT
A4363 — Ostomy clamp, any type, replacement only, each
Code added date
: 20060101
Code effective date
: 20060101
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TXT
A4364 — Adhesive, liquid or equal, any type, per oz
Code added date
: 19850101
Code effective date
: 20030101
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TXT
A4366 — Ostomy vent, any type, each
Code added date
: 20040101
Code effective date
: 20040101
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TXT
A4367 — Ostomy belt, each
Code added date
: 19850101
Code effective date
: 19960101
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TXT
A4368 — Ostomy filter, any type, each
Code added date
: 19970101
Code effective date
: 19970101
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TXT
A4369 — Ostomy skin barrier, liquid (spray, brush, etc.), per oz
Code added date
: 20000101
Code effective date
: 20030101
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TXT
A4371 — Ostomy skin barrier, powder, per oz
Code added date
: 20000101
Code effective date
: 20030101
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TXT
A4372 — Ostomy skin barrier, solid 4 x 4 or equivalent, standard wear, with built-in convexity, each
Code added date
: 20000101
Code effective date
: 20060101
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TXT
A4373 — Ostomy skin barrier, with flange (solid, flexible or accordion), with built-in convexity, any size, each
Code added date
: 20000101
Code effective date
: 20030101
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TXT
A4375 — Ostomy pouch, drainable, with faceplate attached, plastic, each
Code added date
: 20000101
Code effective date
: 20030101
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TXT
A4376 — Ostomy pouch, drainable, with faceplate attached, rubber, each
Code added date
: 20000101
Code effective date
: 20030101
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TXT
A4377 — Ostomy pouch, drainable, for use on faceplate, plastic, each
Code added date
: 20000101
Code effective date
: 20030101
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A4378 — Ostomy pouch, drainable, for use on faceplate, rubber, each
Code added date
: 20000101
Code effective date
: 20030101
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TXT
A4379 — Ostomy pouch, urinary, with faceplate attached, plastic, each
Code added date
: 20000101
Code effective date
: 20030101
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TXT
A4380 — Ostomy pouch, urinary, with faceplate attached, rubber, each
Code added date
: 20000101
Code effective date
: 20030101
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TXT
A4381 — Ostomy pouch, urinary, for use on faceplate, plastic, each
Code added date
: 20000101
Code effective date
: 20030101
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TXT
A4382 — Ostomy pouch, urinary, for use on faceplate, heavy plastic, each
Code added date
: 20000101
Code effective date
: 20030101
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TXT
A4383 — Ostomy pouch, urinary, for use on faceplate, rubber, each
Code added date
: 20000101
Code effective date
: 20030101
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TXT
A4384 — Ostomy faceplate equivalent, silicone ring, each
Code added date
: 20000101
Code effective date
: 20030101
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TXT
A4385 — Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each
Code added date
: 20000101
Code effective date
: 20030101
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TXT
A4387 — Ostomy pouch, closed, with barrier attached, with built-in convexity (1 piece), each
Code added date
: 20000101
Code effective date
: 20030101
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TXT
A4388 — Ostomy pouch, drainable, with extended wear barrier attached, (1 piece), each
Code added date
: 20000101
Code effective date
: 20030101
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PDF
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TXT
A4389 — Ostomy pouch, drainable, with barrier attached, with built-in convexity (1 piece), each
Code added date
: 20000101
Code effective date
: 20030101
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TXT
A4390 — Ostomy pouch, drainable, with extended wear barrier attached, with built-in convexity (1 piece), each
Code added date
: 20000101
Code effective date
: 20030101
HTML
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TXT
A4391 — Ostomy pouch, urinary, with extended wear barrier attached (1 piece), each
Code added date
: 20000101
Code effective date
: 20030101
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TXT
A4392 — Ostomy pouch, urinary, with standard wear barrier attached, with built-in convexity (1 piece), each
Code added date
: 20000101
Code effective date
: 20030101
HTML
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PDF
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TXT
A4393 — Ostomy pouch, urinary, with extended wear barrier attached, with built-in convexity (1 piece), each
Code added date
: 20000101
Code effective date
: 20030101
HTML
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TXT
A4394 — Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce
Code added date
: 20000101
Code effective date
: 20070101
HTML
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TXT
A4395 — Ostomy deodorant for use in ostomy pouch, solid, per tablet
Code added date
: 20000101
Code effective date
: 20030101
HTML
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TXT
A4396 — Ostomy belt with peristomal hernia support
Code added date
: 20010101
Code effective date
: 20030101
HTML
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PDF
|
TXT
A4397 — Irrigation supply; sleeve, each
Code added date
: 19900101
Code effective date
: 20220101
HTML
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PDF
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TXT
A4398 — Ostomy irrigation supply; bag, each
Code added date
: 19890101
Code effective date
: 19970101
HTML
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PDF
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TXT
A4399 — Ostomy irrigation supply; cone/catheter, with or without brush
Code added date
: 19890101
Code effective date
: 20110101
HTML
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PDF
|
TXT
A4400 — Ostomy irrigation set
Code added date
: 19820101
Code effective date
: 19900101
HTML
|
PDF
|
TXT
A4402 — Lubricant, per ounce
Code added date
: 19850101
Code effective date
: 19950101
HTML
|
PDF
|
TXT
A4404 — Ostomy ring, each
Code added date
: 19850101
Code effective date
: 19950101
HTML
|
PDF
|
TXT
A4405 — Ostomy skin barrier, non-pectin based, paste, per ounce
Code added date
: 20030101
Code effective date
: 20030101
HTML
|
PDF
|
TXT
A4406 — Ostomy skin barrier, pectin-based, paste, per ounce
Code added date
: 20030101
Code effective date
: 20030101
HTML
|
PDF
|
TXT
A4407 — Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each
Code added date
: 20030101
Code effective date
: 20030101
HTML
|
PDF
|
TXT
A4408 — Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, with built-in convexity, larger than 4 x 4 inches, each
Code added date
: 20030101
Code effective date
: 20030101
HTML
|
PDF
|
TXT
A4409 — Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each
Code added date
: 20030101
Code effective date
: 20060101
HTML
|
PDF
|
TXT
A4410 — Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, larger than 4 x 4 inches, each
Code added date
: 20030101
Code effective date
: 20060101
HTML
|
PDF
|
TXT
A4411 — Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, with built-in convexity, each
Code added date
: 20060101
Code effective date
: 20060101
HTML
|
PDF
|
TXT
A4412 — Ostomy pouch, drainable, high output, for use on a barrier with flange (2 piece system), without filter, each
Code added date
: 20060101
Code effective date
: 20060101
HTML
|
PDF
|
TXT
A4413 — 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
HTML
|
PDF
|
TXT
A4414 — 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
HTML
|
PDF
|
TXT
A4415 — 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
HTML
|
PDF
|
TXT
A4416 — Ostomy pouch, closed, with barrier attached, with filter (1 piece), each
Code added date
: 20040101
Code effective date
: 20040101
HTML
|
PDF
|
TXT
A4417 — Ostomy pouch, closed, with barrier attached, with built-in convexity, with filter (1 piece), each
Code added date
: 20040101
Code effective date
: 20040101
HTML
|
PDF
|
TXT
A4418 — Ostomy pouch, closed; without barrier attached, with filter (1 piece), each
Code added date
: 20040101
Code effective date
: 20040101
HTML
|
PDF
|
TXT
A4419 — Ostomy pouch, closed; for use on barrier with non-locking flange, with filter (2 piece), each
Code added date
: 20040101
Code effective date
: 20040101
HTML
|
PDF
|
TXT
A4420 — Ostomy pouch, closed; for use on barrier with locking flange (2 piece), each
Code added date
: 20040101
Code effective date
: 20040101
HTML
|
PDF
|
TXT
A4421 — Ostomy supply; miscellaneous
Code added date
: 19850101
Code effective date
: 20180101
HTML
|
PDF
|
TXT
A4422 — 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
HTML
|
PDF
|
TXT
A4423 — Ostomy pouch, closed; for use on barrier with locking flange, with filter (2 piece), each
Code added date
: 20040101
Code effective date
: 20040101
HTML
|
PDF
|
TXT
A4424 — Ostomy pouch, drainable, with barrier attached, with filter (1 piece), each
Code added date
: 20040101
Code effective date
: 20040101
HTML
|
PDF
|
TXT
A4425 — 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
HTML
|
PDF
|
TXT
A4426 — Ostomy pouch, drainable; for use on barrier with locking flange (2 piece system), each
Code added date
: 20040101
Code effective date
: 20040101
HTML
|
PDF
|
TXT
A4427 — Ostomy pouch, drainable; for use on barrier with locking flange, with filter (2 piece system), each
Code added date
: 20040101
Code effective date
: 20040101
HTML
|
PDF
|
TXT
A4428 — 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
HTML
|
PDF
|
TXT
A4429 — 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
HTML
|
PDF
|
TXT
A4430 — 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
HTML
|
PDF
|
TXT
A4431 — Ostomy pouch, urinary; with barrier attached, with faucet-type tap with valve (1 piece), each
Code added date
: 20040101
Code effective date
: 20040101
HTML
|
PDF
|
TXT
A4432 — 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
HTML
|
PDF
|
TXT
A4433 — Ostomy pouch, urinary; for use on barrier with locking flange (2 piece), each
Code added date
: 20040101
Code effective date
: 20040101
HTML
|
PDF
|
TXT
A4434 — 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
HTML
|
PDF
|
TXT
A4435 — 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
HTML
|
PDF
|
TXT
A4436 — Irrigation supply; sleeve, reusable, per month
Code added date
: 20220101
Code effective date
: 20220101
HTML
|
PDF
|
TXT
A4437 — Irrigation supply; sleeve, disposable, per month
Code added date
: 20220101
Code effective date
: 20220101
HTML
|
PDF
|
TXT
A4438 — Adhesive clip applied to the skin to secure external electrical nerve stimulator controller, each
Code added date
: 20240401
Code effective date
: 20240401
HTML
|
PDF
|
TXT
A4450 — Tape, non-waterproof, per 18 square inches
Code added date
: 20030101
Code effective date
: 20030101
HTML
|
PDF
|
TXT
A4452 — Tape, waterproof, per 18 square inches
Code added date
: 20030101
Code effective date
: 20030101
HTML
|
PDF
|
TXT
A4453 — Rectal catheter with or without balloon, for use with any type transanal irrigation system, each
Code added date
: 20211001
Code effective date
: 20251001
HTML
|
PDF
|
TXT
A4455 — Adhesive remover or solvent (for tape, cement or other adhesive), per ounce
Code added date
: 19890101
Code effective date
: 19950101
HTML
|
PDF
|
TXT
A4456 — Adhesive remover, wipes, any type, each
Code added date
: 20100101
Code effective date
: 20100101
HTML
|
PDF
|
TXT
A4457 — Enema tube, with or without adapter, any type, replacement only, each
Code added date
: 20240101
Code effective date
: 20240101
HTML
|
PDF
|
TXT
A4458 — Enema bag with tubing, reusable
Code added date
: 20030101
Code effective date
: 20070101
HTML
|
PDF
|
TXT
A4459 — Manual transanal irrigation system, includes water reservoir, pump, tubing, and accessories, without catheter, any type
Code added date
: 20150101
Code effective date
: 20251001
HTML
|
PDF
|
TXT
A4461 — Surgical dressing holder, non-reusable, each
Code added date
: 20070101
Code effective date
: 20070101
HTML
|
PDF
|
TXT
A4463 — Surgical dressing holder, reusable, each
Code added date
: 20070101
Code effective date
: 20070101
HTML
|
PDF
|
TXT
A4465 — Non-elastic binder for extremity
Code added date
: 19940101
Code effective date
: 19950101
HTML
|
PDF
|
TXT
A4466 — Garment, belt, sleeve or other covering, elastic or similar stretchable material, any type, each
Code added date
: 20100101
Code effective date
: 20170101
HTML
|
PDF
|
TXT
A4467 — Belt, strap, sleeve, garment, or covering, any type
Code added date
: 20170101
Code effective date
: 20170101
HTML
|
PDF
|
TXT
A4468 — Exsufflation belt, includes all supplies and accessories
Code added date
: 20240101
Code effective date
: 20240101
HTML
|
PDF
|
TXT
A4470 — Gravlee jet washer
Code added date
: 19860101
Code effective date
: 20010101
HTML
|
PDF
|
TXT
A4480 — Vabra aspirator
Code added date
: 19860101
Code effective date
: 20010101
HTML
|
PDF
|
TXT
A4481 — Tracheostoma filter, any type, any size, each
Code added date
: 19970101
Code effective date
: 20030101
HTML
|
PDF
|
TXT
A4483 — Moisture exchanger, disposable, for use with invasive mechanical ventilation
Code added date
: 19990101
Code effective date
: 20030101
HTML
|
PDF
|
TXT
A4490 — Surgical stockings above knee length, each
Code added date
: 19860101
Code effective date
: 20030101
HTML
|
PDF
|
TXT
A4495 — Surgical stockings thigh length, each
Code added date
: 19860101
Code effective date
: 20030101
HTML
|
PDF
|
TXT
A4500 — Surgical stockings below knee length, each
Code added date
: 19860101
Code effective date
: 20030101
HTML
|
PDF
|
TXT
A4510 — Surgical stockings full length, each
Code added date
: 19860101
Code effective date
: 20030101
HTML
|
PDF
|
TXT
A4520 — Incontinence garment, any type, (e.g., brief, diaper), each
Code added date
: 20050101
Code effective date
: 20050101
HTML
|
PDF
|
TXT
A4540 — Distal transcutaneous electrical nerve stimulator, stimulates peripheral nerves of the upper arm
Code added date
: 20240101
Code effective date
: 20240101
HTML
|
PDF
|
TXT
A4541 — Monthly supplies for use of device coded at e0733
Code added date
: 20240101
Code effective date
: 20240101
HTML
|
PDF
|
TXT
A4542 — Supplies and accessories for external upper limb tremor stimulator of the peripheral nerves of the wrist
Code added date
: 20240101
Code effective date
: 20240101
HTML
|
PDF
|
TXT
A4543 — Supplies for transcutaneous electrical nerve stimulator, for nerves in the auricular region, per month
Code added date
: 20241001
Code effective date
: 20241001
HTML
|
PDF
|
TXT
A4544 — Electrode for external lower extremity nerve stimulator for restless legs syndrome
Code added date
: 20241001
Code effective date
: 20241001
HTML
|
PDF
|
TXT
A4545 — Supplies and accessories for external tibial nerve stimulator (e.g., socks, gel pads, electrodes, etc.), needed for one month
Code added date
: 20241001
Code effective date
: 20241001
HTML
|
PDF
|
TXT
A4550 — Surgical trays
Code added date
: 19820101
Code effective date
: 20000101
HTML
|
PDF
|
TXT
A4553 — Non-disposable underpads, all sizes
Code added date
: 20170101
Code effective date
: 20170101
HTML
|
PDF
|
TXT
A4554 — Disposable underpads, all sizes
Code added date
: 19860101
Code effective date
: 20050101
HTML
|
PDF
|
TXT
A4555 — Electrode/transducer for use with electrical stimulation device used for cancer treatment, replacement only
Code added date
: 20140101
Code effective date
: 20140101
HTML
|
PDF
|
TXT
A4556 — Electrodes, (e.g., apnea monitor), per pair
Code added date
: 19840101
Code effective date
: 20000101
HTML
|
PDF
|
TXT
A4557 — Lead wires, (e.g., apnea monitor), per pair
Code added date
: 19840101
Code effective date
: 20000101
HTML
|
PDF
|
TXT
A4558 — Conductive gel or paste, for use with electrical device (e.g., tens, nmes), per oz
Code added date
: 19850101
Code effective date
: 20070101
HTML
|
PDF
|
TXT
A4559 — Coupling gel or paste, for use with ultrasound device, per oz
Code added date
: 20070101
Code effective date
: 20070101
HTML
|
PDF
|
TXT
A4560 — Neuromuscular electrical stimulator (nmes), disposable, replacement only
Code added date
: 20230401
Code effective date
: 20230401
HTML
|
PDF
|
TXT
A4561 — Pessary, reusable, rubber, any type
Code added date
: 20010101
Code effective date
: 20240401
HTML
|
PDF
|
TXT
A4562 — Pessary, reusable, non rubber, any type
Code added date
: 20010101
Code effective date
: 20240401
HTML
|
PDF
|
TXT
A4563 — Rectal control system for vaginal insertion, for long term use, includes pump and all supplies and accessories, any type each
Code added date
: 20190101
Code effective date
: 20190101
HTML
|
PDF
|
TXT
A4564 — Pessary, disposable, any type
Code added date
: 20240401
Code effective date
: 20240401
HTML
|
PDF
|
TXT
A4565 — Slings
Code added date
: 19830101
Code effective date
: 20141001
HTML
|
PDF
|
TXT
A4566 — Shoulder sling or vest design, abduction restrainer, with or without swathe control, prefabricated, includes fitting and adjustment
Code added date
: 20110101
Code effective date
: 20110101
HTML
|
PDF
|
TXT
A4570 — Splint
Code added date
: 19820101
Code effective date
: 20010701
HTML
|
PDF
|
TXT
A4575 — Topical hyperbaric oxygen chamber, disposable
Code added date
: 19960101
Code effective date
: 20171001
HTML
|
PDF
|
TXT
A4580 — Cast supplies (e.g., plaster)
Code added date
: 19820101
Code effective date
: 19820101
HTML
|
PDF
|
TXT
A4590 — Special casting material (e.g., fiberglass)
Code added date
: 19840101
Code effective date
: 19840101
HTML
|
PDF
|
TXT
A4593 — Neuromodulation stimulator system, adjunct to rehabilitation therapy regime, controller
Code added date
: 20240401
Code effective date
: 20250401
HTML
|
PDF
|
TXT
A4594 — Neuromodulation stimulator system, adjunct to rehabilitation therapy regime, mouthpiece each
Code added date
: 20240401
Code effective date
: 20250101
HTML
|
PDF
|
TXT
A4595 — Electrical stimulator supplies, 2 lead, per month, (e.g., tens, nmes)
Code added date
: 19960101
Code effective date
: 20030101
HTML
|
PDF
|
TXT
A4596 — Cranial electrotherapy stimulation (ces) system supplies and accessories, per month
Code added date
: 20221001
Code effective date
: 20221001
HTML
|
PDF
|
TXT
A4600 — Sleeve for intermittent limb compression device, replacement only, each
Code added date
: 20070101
Code effective date
: 20070101
HTML
|
PDF
|
TXT
A4601 — Lithium ion battery, rechargeable, for non-prosthetic use, replacement
Code added date
: 20070101
Code effective date
: 20150101
HTML
|
PDF
|
TXT
A4602 — Replacement battery for external infusion pump owned by patient, lithium, 1.5 volt, each
Code added date
: 20150101
Code effective date
: 20150101
HTML
|
PDF
|
TXT
A4604 — Tubing with integrated heating element for use with positive airway pressure device
Code added date
: 20060101
Code effective date
: 20060101
HTML
|
PDF
|
TXT
A4605 — Tracheal suction catheter, closed system, each
Code added date
: 20050101
Code effective date
: 20050101
HTML
|
PDF
|
TXT
A4606 — Oxygen probe for use with oximeter device, replacement
Code added date
: 20030101
Code effective date
: 20030101
HTML
|
PDF
|
TXT
A4608 — Transtracheal oxygen catheter, each
Code added date
: 20010101
Code effective date
: 20140101
HTML
|
PDF
|
TXT
A4611 — Battery, heavy duty; replacement for patient owned ventilator
Code added date
: 19900101
Code effective date
: 20140101
HTML
|
PDF
|
TXT
A4612 — Battery cables; replacement for patient-owned ventilator
Code added date
: 19900101
Code effective date
: 20140101
HTML
|
PDF
|
TXT
A4613 — Battery charger; replacement for patient-owned ventilator
Code added date
: 19900101
Code effective date
: 20140101
HTML
|
PDF
|
TXT
A4614 — Peak expiratory flow rate meter, hand held
Code added date
: 19990101
Code effective date
: 19990101
HTML
|
PDF
|
TXT
A4615 — Cannula, nasal
Code added date
: 19900101
Code effective date
: 20090101
HTML
|
PDF
|
TXT
A4616 — Tubing (oxygen), per foot
Code added date
: 19900101
Code effective date
: 20090101
HTML
|
PDF
|
TXT
A4617 — Mouth piece
Code added date
: 19900101
Code effective date
: 20090101
HTML
|
PDF
|
TXT
A4618 — Breathing circuits
Code added date
: 19900101
Code effective date
: 19930101
HTML
|
PDF
|
TXT
A4619 — Face tent
Code added date
: 19900101
Code effective date
: 20110701
HTML
|
PDF
|
TXT
A4620 — Variable concentration mask
Code added date
: 19900101
Code effective date
: 20090101
HTML
|
PDF
|
TXT
A4623 — Tracheostomy, inner cannula
Code added date
: 19900101
Code effective date
: 20040101
HTML
|
PDF
|
TXT
A4624 — Tracheal suction catheter, any type other than closed system, each
Code added date
: 19900101
Code effective date
: 20030101
HTML
|
PDF
|
TXT
A4625 — Tracheostomy care kit for new tracheostomy
Code added date
: 19900101
Code effective date
: 20030101
HTML
|
PDF
|
TXT
A4626 — Tracheostomy cleaning brush, each
Code added date
: 19900101
Code effective date
: 20030101
HTML
|
PDF
|
TXT
A4627 — Spacer, bag or reservoir, with or without mask, for use with metered dose inhaler
Code added date
: 19910101
Code effective date
: 19970101
HTML
|
PDF
|
TXT
A4628 — Oral and/or oropharyngeal suction catheter, each
Code added date
: 19960101
Code effective date
: 20230401
HTML
|
PDF
|
TXT
A4629 — Tracheostomy care kit for established tracheostomy
Code added date
: 19960101
Code effective date
: 20030101
HTML
|
PDF
|
TXT
A4630 — Replacement batteries, medically necessary, transcutaneous electrical stimulator, owned by patient
Code added date
: 19910101
Code effective date
: 20060101
HTML
|
PDF
|
TXT
A4633 — Replacement bulb/lamp for ultraviolet light therapy system, each
Code added date
: 20030101
Code effective date
: 20030101
HTML
|
PDF
|
TXT
A4634 — Replacement bulb for therapeutic light box, tabletop model
Code added date
: 20030101
Code effective date
: 20030101
HTML
|
PDF
|
TXT
A4635 — Underarm pad, crutch, replacement, each
Code added date
: 19910101
Code effective date
: 19910101
HTML
|
PDF
|
TXT
A4636 — Replacement, handgrip, cane, crutch, or walker, each
Code added date
: 19910101
Code effective date
: 19960101
HTML
|
PDF
|
TXT
A4637 — Replacement, tip, cane, crutch, walker, each.
Code added date
: 19910101
Code effective date
: 19960101
HTML
|
PDF
|
TXT
A4638 — Replacement battery for patient-owned ear pulse generator, each
Code added date
: 20040101
Code effective date
: 20040101
HTML
|
PDF
|
TXT
A4639 — Replacement pad for infrared heating pad system, each
Code added date
: 20030101
Code effective date
: 20140401
HTML
|
PDF
|
TXT
A4640 — Replacement pad for use with medically necessary alternating pressure pad owned by patient
Code added date
: 19910101
Code effective date
: 19910101
HTML
|
PDF
|
TXT
A4641 — Radiopharmaceutical, diagnostic, not otherwise classified
Code added date
: 19940101
Code effective date
: 20060101
HTML
|
PDF
|
TXT
A4642 — Indium in-111 satumomab pendetide, diagnostic, per study dose, up to 6 millicuries
Code added date
: 19950101
Code effective date
: 20060101
HTML
|
PDF
|
TXT
A4648 — Tissue marker, implantable, any type, each
Code added date
: 20080101
Code effective date
: 20080101
HTML
|
PDF
|
TXT
A4649 — Surgical supply; miscellaneous
Code added date
: 19820101
Code effective date
: 19980101
HTML
|
PDF
|
TXT
A4650 — Implantable radiation dosimeter, each
Code added date
: 20080101
Code effective date
: 20080101
HTML
|
PDF
|
TXT
A4651 — Calibrated microcapillary tube, each
Code added date
: 20020101
Code effective date
: 20150101
HTML
|
PDF
|
TXT
A4652 — Microcapillary tube sealant
Code added date
: 20020101
Code effective date
: 20150101
HTML
|
PDF
|
TXT
A4653 — Peritoneal dialysis catheter anchoring device, belt, each
Code added date
: 20030101
Code effective date
: 20150101
HTML
|
PDF
|
TXT
A4657 — Syringe, with or without needle, each
Code added date
: 20020101
Code effective date
: 20150101
HTML
|
PDF
|
TXT
A4660 — Sphygmomanometer/blood pressure apparatus with cuff and stethoscope
Code added date
: 19860101
Code effective date
: 20150101
HTML
|
PDF
|
TXT
A4663 — Blood pressure cuff only
Code added date
: 19860101
Code effective date
: 20150101
HTML
|
PDF
|
TXT
A4670 — Automatic blood pressure monitor
Code added date
: 19860101
Code effective date
: 20030101
HTML
|
PDF
|
TXT
A4671 — Disposable cycler set used with cycler dialysis machine, each
Code added date
: 20040101
Code effective date
: 20150101
HTML
|
PDF
|
TXT
A4672 — Drainage extension line, sterile, for dialysis, each
Code added date
: 20040101
Code effective date
: 20150101
HTML
|
PDF
|
TXT
A4673 — Extension line with easy lock connectors, used with dialysis
Code added date
: 20040101
Code effective date
: 20150101
HTML
|
PDF
|
TXT
A4674 — Chemicals/antiseptics solution used to clean/sterilize dialysis equipment, per 8 oz
Code added date
: 20040101
Code effective date
: 20150101
HTML
|
PDF
|
TXT
A4680 — Activated carbon filter for hemodialysis, each
Code added date
: 19860101
Code effective date
: 20150101
HTML
|
PDF
|
TXT
A4690 — Dialyzer (artificial kidneys), all types, all sizes, for hemodialysis, each
Code added date
: 19860101
Code effective date
: 20150101
HTML
|
PDF
|
TXT
A4706 — Bicarbonate concentrate, solution, for hemodialysis, per gallon
Code added date
: 20020101
Code effective date
: 20150101
HTML
|
PDF
|
TXT
A4707 — Bicarbonate concentrate, powder, for hemodialysis, per packet
Code added date
: 20020101
Code effective date
: 20150101
HTML
|
PDF
|
TXT
A4708 — Acetate concentrate solution, for hemodialysis, per gallon
Code added date
: 20020101
Code effective date
: 20150101
HTML
|
PDF
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A4709 — Acid concentrate, solution, for hemodialysis, per gallon
Code added date
: 20020101
Code effective date
: 20150101
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A4714 — Treated water (deionized, distilled, or reverse osmosis) for peritoneal dialysis, per gallon
Code added date
: 19860101
Code effective date
: 20150101
HTML
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TXT
A4719 — "y set" tubing for peritoneal dialysis
Code added date
: 20020101
Code effective date
: 20150101
HTML
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TXT
A4720 — Dialysate solution, any concentration of dextrose, fluid volume greater than 249 cc, but less than or equal to 999 cc, for peritoneal dialysis
Code added date
: 20020101
Code effective date
: 20150101
HTML
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A4721 — Dialysate solution, any concentration of dextrose, fluid volume greater than 999 cc but less than or equal to 1999 cc, for peritoneal dialysis
Code added date
: 20020101
Code effective date
: 20150101
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TXT
A4722 — Dialysate solution, any concentration of dextrose, fluid volume greater than 1999 cc but less than or equal to 2999 cc, for peritoneal dialysis
Code added date
: 20020101
Code effective date
: 20150101
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TXT
A4723 — Dialysate solution, any concentration of dextrose, fluid volume greater than 2999 cc but less than or equal to 3999 cc, for peritoneal dialysis
Code added date
: 20020101
Code effective date
: 20150101
HTML
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TXT
A4724 — Dialysate solution, any concentration of dextrose, fluid volume greater than 3999 cc but less than or equal to 4999 cc, for peritoneal dialysis
Code added date
: 20020101
Code effective date
: 20150101
HTML
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TXT
A4725 — Dialysate solution, any concentration of dextrose, fluid volume greater than 4999 cc but less than or equal to 5999 cc, for peritoneal dialysis
Code added date
: 20020101
Code effective date
: 20150101
HTML
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PDF
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TXT
A4726 — Dialysate solution, any concentration of dextrose, fluid volume greater than 5999 cc, for peritoneal dialysis
Code added date
: 20020101
Code effective date
: 20150101
HTML
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TXT
A4728 — Dialysate solution, non-dextrose containing, 500 ml
Code added date
: 20040101
Code effective date
: 20150101
HTML
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TXT
A4730 — Fistula cannulation set for hemodialysis, each
Code added date
: 19860101
Code effective date
: 20150101
HTML
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TXT
A4736 — Topical anesthetic, for dialysis, per gram
Code added date
: 20020101
Code effective date
: 20150101
HTML
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TXT
A4737 — Injectable anesthetic, for dialysis, per 10 ml
Code added date
: 20020101
Code effective date
: 20150101
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TXT
A4740 — Shunt accessory, for hemodialysis, any type, each
Code added date
: 19860101
Code effective date
: 20150101
HTML
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TXT
A4750 — Blood tubing, arterial or venous, for hemodialysis, each
Code added date
: 19860101
Code effective date
: 20150101
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A4755 — Blood tubing, arterial and venous combined, for hemodialysis, each
Code added date
: 19860101
Code effective date
: 20150101
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A4760 — Dialysate solution test kit, for peritoneal dialysis, any type, each
Code added date
: 19860101
Code effective date
: 20150101
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TXT
A4765 — Dialysate concentrate, powder, additive for peritoneal dialysis, per packet
Code added date
: 19860101
Code effective date
: 20150101
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TXT
A4766 — Dialysate concentrate, solution, additive for peritoneal dialysis, per 10 ml
Code added date
: 20020101
Code effective date
: 20150101
HTML
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TXT
A4770 — Blood collection tube, vacuum, for dialysis, per 50
Code added date
: 19860101
Code effective date
: 20150101
HTML
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TXT
A4771 — Serum clotting time tube, for dialysis, per 50
Code added date
: 19860101
Code effective date
: 20150101
HTML
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TXT
A4772 — Blood glucose test strips, for dialysis, per 50
Code added date
: 19860101
Code effective date
: 20150101
HTML
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TXT
A4773 — Occult blood test strips, for dialysis, per 50
Code added date
: 19860101
Code effective date
: 20150101
HTML
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TXT
A4774 — Ammonia test strips, for dialysis, per 50
Code added date
: 19860101
Code effective date
: 20150101
HTML
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TXT
A4802 — Protamine sulfate, for hemodialysis, per 50 mg
Code added date
: 20020101
Code effective date
: 20150101
HTML
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TXT
A4860 — Disposable catheter tips for peritoneal dialysis, per 10
Code added date
: 19860101
Code effective date
: 20150101
HTML
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TXT
A4870 — Plumbing and/or electrical work for home hemodialysis equipment
Code added date
: 19860101
Code effective date
: 20150101
HTML
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TXT
A4890 — Contracts, repair and maintenance, for hemodialysis equipment
Code added date
: 19860101
Code effective date
: 20150101
HTML
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TXT
A4911 — Drain bag/bottle, for dialysis, each
Code added date
: 20020101
Code effective date
: 20150101
HTML
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TXT
A4913 — Miscellaneous dialysis supplies, not otherwise specified
Code added date
: 19860101
Code effective date
: 20150101
HTML
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TXT
A4918 — Venous pressure clamp, for hemodialysis, each
Code added date
: 19860101
Code effective date
: 20150101
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TXT
A4927 — Gloves, non-sterile, per 100
Code added date
: 19860101
Code effective date
: 20150101
HTML
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TXT
A4928 — Surgical mask, per 20
Code added date
: 20020101
Code effective date
: 20150101
HTML
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TXT
A4929 — Tourniquet for dialysis, each
Code added date
: 20020101
Code effective date
: 20150101
HTML
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TXT
A4930 — Gloves, sterile, per pair
Code added date
: 20030101
Code effective date
: 20150101
HTML
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TXT
A4931 — Oral thermometer, reusable, any type, each
Code added date
: 20030101
Code effective date
: 20150101
HTML
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TXT
A4932 — Rectal thermometer, reusable, any type, each
Code added date
: 20030101
Code effective date
: 20070101
HTML
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TXT