Showing codes A2021 (Neomatrix, per square centimeter) — A4226 (Supplies for maintenance of insulin infusion pump with dosage rate adjustment using therapeutic continuous glucose sensing, per week)

A2021 - Neomatrix per sq cm
Long description: Neomatrix, per square centimeter
Code added date: 20230401.
Code effective date: 20230401.
Pricing Indicator Code(s): 13 ; (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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A2022 - Innovabrn/innovamatx xl sqcm
Long description: Innovaburn or innovamatrix xl, per square centimeter
Code added date: 20231001.
Code effective date: 20231001.
Pricing Indicator Code(s): 13 ; (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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A2023 - Innovamatrix pd, 1 mg
Long description: Innovamatrix pd, 1 mg
Code added date: 20231001.
Code effective date: 20231001.
Pricing Indicator Code(s): 13 ; (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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A2024 - Resolve or xenopatch sq cm
Long description: Resolve matrix or xenopatch, per square centimeter
Code added date: 20231001.
Code effective date: 20241001.
Pricing Indicator Code(s): 13 ; (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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A2025 - Miro3d per cubic cm
Long description: Miro3d, per cubic centimeter
Code added date: 20231001.
Code effective date: 20231001.
Pricing Indicator Code(s): 13 ; (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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A2026 - Restrata minimatrix, 5 mg
Long description: Restrata minimatrix, 5 mg
Code added date: 20240401.
Code effective date: 20240401.
Pricing Indicator Code(s): 13 ; (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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A2027 - Matriderm per sq cm
Long description: Matriderm, per square centimeter
Code added date: 20241001.
Code effective date: 20241001.
Pricing Indicator Code(s): 13 ; (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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A2028 - Micromatrix flex per mg
Long description: Micromatrix flex, per mg
Code added date: 20241001.
Code effective date: 20241001.
Pricing Indicator Code(s): 13 ; (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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A2029 - Mirotract matrix sheet
Long description: Mirotract wound matrix sheet, per cubic centimeter
Code added date: 20241001.
Code effective date: 20241001.
Pricing Indicator Code(s): 13 ; (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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A3 - Dressing for three wounds
Long description: Dressing for three wounds
Code added date: 20020701.
Code effective date: 20020701.
Coverage Code: C (A code denoting Medicare coverage status).
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A4 - Dressing for four wounds
Long description: Dressing for four wounds
Code added date: 20020701.
Code effective date: 20020701.
Coverage Code: C (A code denoting Medicare coverage status).
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A4100 - Skin sub fda clrd as dev nos
Long description: Skin substitute, fda cleared as a device, not otherwise specified
Code added date: 20220401.
Code effective date: 20220401.
Pricing Indicator Code(s): 13 ; (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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A4206 - 1 cc sterile syringe&needle
Long description: Syringe with needle, sterile, 1 cc or less, each
Code added date: 19850101.
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: C (A code denoting Medicare coverage status).
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A4207 - 2 cc sterile syringe&needle
Long description: Syringe with needle, sterile 2 cc, each
Code added date: 19850101.
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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A4208 - 3 cc sterile syringe&needle
Long description: Syringe with needle, sterile 3 cc, each
Code added date: 19850101.
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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A4209 - 5+ cc sterile syringe&needle
Long description: Syringe with needle, sterile 5 cc or greater, each
Code added date: 19850101.
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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A4210 - Nonneedle injection device
Long description: Needle-free injection device, each
Code added date: 19890101.
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: M (A code denoting Medicare coverage status).
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A4211 - Supp for self-adm injections
Long description: Supplies for self-administered injections
Code added date: 19930101.
Code effective date: 19970101.
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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A4212 - Non coring needle or stylet
Long description: Non-coring needle or stylet with or without catheter
Code added date: 19930101.
Code effective date: 20000101.
Pricing Indicator Code(s): 57 ; (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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A4213 - 20+ cc syringe only
Long description: Syringe, sterile, 20 cc or greater, each
Code added date: 19850101.
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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A4215 - Sterile needle
Long description: Needle, sterile, any size, each
Code added date: 19850101.
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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A4216 - Sterile water/saline, 10 ml
Long description: Sterile water, saline and/or dextrose, diluent/flush, 10 ml
Code added date: 20040101.
Code effective date: 20070101.
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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A4217 - Sterile water/saline, 500 ml
Long description: Sterile water/saline, 500 ml
Code added date: 20040101.
Code effective date: 20040101.
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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A4218 - Sterile saline or water
Long description: Sterile saline or water, metered dose dispenser, 10 ml
Code added date: 20060101.
Code effective date: 20060101.
Pricing Indicator Code(s): 51 ; (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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A4220 - Infusion pump refill kit
Long description: Refill kit for implantable infusion pump
Code added date: 19940101.
Code effective date: 19980303.
Pricing Indicator Code(s): 57 ; (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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A4221 - Supp non-insulin inf cath/wk
Long description: Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately)
Code added date: 19970101.
Code effective date: 20170101.
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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A4222 - Infusion supplies with pump
Long description: Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)
Code added date: 19970101.
Code effective date: 20050101.
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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A4223 - Infusion supplies w/o pump
Long description: Infusion supplies not used with external infusion pump, per cassette or bag (list drugs separately)
Code added date: 20050101.
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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A4224 - Supply insulin inf cath/wk
Long description: Supplies for maintenance of insulin infusion catheter, per week
Code added date: 20170101.
Code effective date: 20170101.
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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A4225 - Sup/ext insulin inf pump syr
Long description: Supplies for external insulin infusion pump, syringe type cartridge, sterile, each
Code added date: 20170101.
Code effective date: 20170101.
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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A4226 - Weekly supply maint cgs pump
Long description: 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.
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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