Showing codes A4450 (Tape, non-waterproof, per 18 square inches) — A4553 (Non-disposable underpads, all sizes)
A4450 - Non-waterproof tape
Long description: Tape, non-waterproof, per 18 square inches
Code added date: 20030101.
Code effective date: 20030101.
Pricing Indicator Code(s):
37
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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A4452 - Waterproof tape
Long description: Tape, waterproof, per 18 square inches
Code added date: 20030101.
Code effective date: 20030101.
Pricing Indicator Code(s):
37
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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A4453 - Rec cath man pump enema repl
Long description: Rectal catheter for use with the manual pump-operated enema system, replacement only
Code added date: 20211001.
Code effective date: 20211001.
Pricing Indicator Code(s):
00
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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A4455 - Adhesive remover per ounce
Long description: Adhesive remover or solvent (for tape, cement or other adhesive), per ounce
Code added date: 19890101.
Code effective date: 19950101.
Pricing Indicator Code(s):
37
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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A4456 - Adhesive remover, wipes
Long description: Adhesive remover, wipes, any type, each
Code added date: 20100101.
Code effective date: 20100101.
Pricing Indicator Code(s):
37
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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A4457 - Enema tube any type repl
Long description: Enema tube, with or without adapter, any type, replacement only, each
Code added date: 20240101.
Code effective date: 20240101.
Pricing Indicator Code(s):
00
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: S (A code denoting Medicare coverage status).
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A4458 - Reusable enema bag
Long description: Enema bag with tubing, reusable
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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A4459 - Manual pump enema, reusable
Long description: Manual pump-operated enema system, includes balloon, catheter and all accessories, reusable, any type
Code added date: 20150101.
Code effective date: 20150101.
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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A4461 - Surgicl dress hold non-reuse
Long description: Surgical dressing holder, non-reusable, each
Code added date: 20070101.
Code effective date: 20070101.
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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A4463 - Surgical dress holder reuse
Long description: Surgical dressing holder, reusable, each
Code added date: 20070101.
Code effective date: 20070101.
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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A4465 - Non-elastic extremity binder
Long description: Non-elastic binder for extremity
Code added date: 19940101.
Code effective date: 19950101.
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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A4466 - Elastic garment/covering
Long description: Garment, belt, sleeve or other covering, elastic or similar stretchable material, any type, each
Code added date: 20100101.
Code effective date: 20170101.
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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A4467 - Belt strap sleev grmnt cover
Long description: Belt, strap, sleeve, garment, or covering, any type
Code added date: 20170101.
Code effective date: 20170101.
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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A4468 - Exsuff belt incl all sup acc
Long description: Exsufflation belt, includes all supplies and accessories
Code added date: 20240101.
Code effective date: 20240101.
Pricing Indicator Code(s):
00
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: S (A code denoting Medicare coverage status).
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A4470 - Gravlee jet washer
Long description: Gravlee jet washer
Code added date: 19860101.
Code effective date: 20010101.
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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A4480 - Vabra aspirator
Long description: Vabra aspirator
Code added date: 19860101.
Code effective date: 20010101.
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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A4481 - Tracheostoma filter
Long description: Tracheostoma filter, any type, any size, each
Code added date: 19970101.
Code effective date: 20030101.
Pricing Indicator Code(s):
37
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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A4483 - Moisture exchanger
Long description: Moisture exchanger, disposable, for use with invasive mechanical ventilation
Code added date: 19990101.
Code effective date: 20030101.
Pricing Indicator Code(s):
37
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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A4490 - Above knee surgical stocking
Long description: Surgical stockings above knee length, each
Code added date: 19860101.
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: M (A code denoting Medicare coverage status).
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A4495 - Thigh length surg stocking
Long description: Surgical stockings thigh length, each
Code added date: 19860101.
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: M (A code denoting Medicare coverage status).
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A4500 - Below knee surgical stocking
Long description: Surgical stockings below knee length, each
Code added date: 19860101.
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: M (A code denoting Medicare coverage status).
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A4510 - Full length surg stocking
Long description: Surgical stockings full length, each
Code added date: 19860101.
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: M (A code denoting Medicare coverage status).
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A4520 - Incontinence garment anytype
Long description: Incontinence garment, any type, (e.g., brief, diaper), each
Code added date: 20050101.
Code effective date: 20050101.
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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A4540 - Trans elec nerv periph nerv
Long description: Distal transcutaneous electrical nerve stimulator, stimulates peripheral nerves of the upper arm
Code added date: 20240101.
Code effective date: 20240101.
Pricing Indicator Code(s):
00
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: S (A code denoting Medicare coverage status).
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A4541 - Monthly supp use with e0733
Long description: Monthly supplies for use of device coded at e0733
Code added date: 20240101.
Code effective date: 20240101.
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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A4542 - Supp ext up limb tremor stim
Long description: Supplies and accessories for external upper limb tremor stimulator of the peripheral nerves of the wrist
Code added date: 20240101.
Code effective date: 20240101.
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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A4543 - Supply trans elec nerve stim
Long description: Supplies for transcutaneous electrical nerve stimulator, for nerves in the auricular region, per month
Code added date: 20241001.
Code effective date: 20241001.
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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A4544 - Electro nerve stimulator rls
Long description: Electrode for external lower extremity nerve stimulator for restless legs syndrome
Code added date: 20241001.
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: C (A code denoting Medicare coverage status).
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A4545 - Suppl accessor tibial stim
Long description: 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.
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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A4550 - Surgical trays
Long description: Surgical trays
Code added date: 19820101.
Code effective date: 20000101.
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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A4553 - Nondisp underpads, all sizes
Long description: Non-disposable underpads, all sizes
Code added date: 20170101.
Code effective date: 20170101.
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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PDF