Showing codes A4765 (Dialysate concentrate, powder, additive for peritoneal dialysis, per packet) — A5063 (Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each)

A4765 - Dialysate conc pow per pack
Long description: Dialysate concentrate, powder, additive for peritoneal dialysis, per packet
Code added date: 19860101.
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: D (A code denoting Medicare coverage status).
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A4766 - Dialysate conc sol add 10 ml
Long description: Dialysate concentrate, solution, additive for peritoneal dialysis, per 10 ml
Code added date: 20020101.
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: D (A code denoting Medicare coverage status).
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A4770 - Blood collection tube/vacuum
Long description: Blood collection tube, vacuum, for dialysis, per 50
Code added date: 19860101.
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: D (A code denoting Medicare coverage status).
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A4771 - Serum clotting time tube
Long description: Serum clotting time tube, for dialysis, per 50
Code added date: 19860101.
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: D (A code denoting Medicare coverage status).
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A4772 - Blood glucose test strips
Long description: Blood glucose test strips, for dialysis, per 50
Code added date: 19860101.
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: D (A code denoting Medicare coverage status).
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A4773 - Occult blood test strips
Long description: Occult blood test strips, for dialysis, per 50
Code added date: 19860101.
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: D (A code denoting Medicare coverage status).
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A4774 - Ammonia test strips
Long description: Ammonia test strips, for dialysis, per 50
Code added date: 19860101.
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: D (A code denoting Medicare coverage status).
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A4802 - Protamine sulfate per 50 mg
Long description: Protamine sulfate, for hemodialysis, per 50 mg
Code added date: 20020101.
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: D (A code denoting Medicare coverage status).
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A4860 - Disposable catheter tips
Long description: Disposable catheter tips for peritoneal dialysis, per 10
Code added date: 19860101.
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: D (A code denoting Medicare coverage status).
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A4870 - Plumb/elec wk hm hemo equip
Long description: Plumbing and/or electrical work for home hemodialysis equipment
Code added date: 19860101.
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: D (A code denoting Medicare coverage status).
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A4890 - Repair/maint cont hemo equip
Long description: Contracts, repair and maintenance, for hemodialysis equipment
Code added date: 19860101.
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: D (A code denoting Medicare coverage status).
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A4911 - Drain bag/bottle
Long description: Drain bag/bottle, for dialysis, each
Code added date: 20020101.
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: D (A code denoting Medicare coverage status).
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A4913 - Misc dialysis supplies noc
Long description: Miscellaneous dialysis supplies, not otherwise specified
Code added date: 19860101.
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: D (A code denoting Medicare coverage status).
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A4918 - Venous pressure clamp
Long description: Venous pressure clamp, for hemodialysis, each
Code added date: 19860101.
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: D (A code denoting Medicare coverage status).
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A4927 - Non-sterile gloves
Long description: Gloves, non-sterile, per 100
Code added date: 19860101.
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: D (A code denoting Medicare coverage status).
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A4928 - Surgical mask
Long description: Surgical mask, per 20
Code added date: 20020101.
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: D (A code denoting Medicare coverage status).
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A4929 - Tourniquet for dialysis, ea
Long description: Tourniquet for dialysis, each
Code added date: 20020101.
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: D (A code denoting Medicare coverage status).
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A4930 - Sterile, gloves per pair
Long description: Gloves, sterile, per pair
Code added date: 20030101.
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: D (A code denoting Medicare coverage status).
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A4931 - Reusable oral thermometer
Long description: Oral thermometer, reusable, any type, each
Code added date: 20030101.
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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A4932 - Reusable rectal thermometer
Long description: Rectal thermometer, reusable, any type, each
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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A5 - Dressing for five wounds
Long description: Dressing for five wounds
Code added date: 20020701.
Code effective date: 20020701.
Coverage Code: C (A code denoting Medicare coverage status).
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A5051 - Pouch clsd w barr attached
Long description: Ostomy pouch, closed; with barrier attached (1 piece), each
Code added date: 19900101.
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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A5052 - Clsd ostomy pouch w/o barr
Long description: Ostomy pouch, closed; without barrier attached (1 piece), each
Code added date: 19900101.
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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A5053 - Clsd ostomy pouch faceplate
Long description: Ostomy pouch, closed; for use on faceplate, each
Code added date: 19900101.
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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A5054 - Clsd ostomy pouch w/flange
Long description: Ostomy pouch, closed; for use on barrier with flange (2 piece), each
Code added date: 19900101.
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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A5055 - Stoma cap
Long description: Stoma cap
Code added date: 19900101.
Code effective date: 19900101.
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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A5056 - 1 pc ost pouch w filter
Long description: Ostomy pouch, drainable, with extended wear barrier attached, with filter, (1 piece), each
Code added date: 20120101.
Code effective date: 20120101.
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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A5057 - 1 pc ost pou w built-in conv
Long description: Ostomy pouch, drainable, with extended wear barrier attached, with built in convexity, with filter, (1 piece), each
Code added date: 20120101.
Code effective date: 20120101.
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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A5061 - Pouch drainable w barrier at
Long description: Ostomy pouch, drainable; with barrier attached, (1 piece), each
Code added date: 19900101.
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: C (A code denoting Medicare coverage status).
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A5062 - Drnble ostomy pouch w/o barr
Long description: Ostomy pouch, drainable; without barrier attached (1 piece), each
Code added date: 19900101.
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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A5063 - Drain ostomy pouch w/flange
Long description: Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each
Code added date: 19900101.
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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