Showing codes A4270 (Disposable endoscope sheath, each) — A4332 (Lubricant, individual sterile packet, each)
A4270 - Disposable endoscope sheath
Long description: Disposable endoscope sheath, each
Code added date: 19940101.
Code effective date: 19960101.
Pricing Indicator Code(s):
00
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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A4271 - Home lancing/test cartridges
Long description: Integrated lancing and blood sample testing cartridges for home blood glucose monitor, per 50 tests
Code added date: 20240401.
Code effective date: 20241001.
Pricing Indicator Code(s):
34
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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A4280 - Brst prsths adhsv attchmnt
Long description: Adhesive skin support attachment for use with external breast prosthesis, each
Code added date: 20000101.
Code effective date: 20000101.
Pricing Indicator Code(s):
38
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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A4281 - Replacement breastpump tube
Long description: Tubing for breast pump, replacement
Code added date: 20030101.
Code effective date: 20070101.
Pricing Indicator Code(s):
00
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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A4282 - Replacement breastpump adpt
Long description: Adapter for breast pump, replacement
Code added date: 20030101.
Code effective date: 20070101.
Pricing Indicator Code(s):
00
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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A4283 - Replacement breastpump cap
Long description: Cap for breast pump bottle, replacement
Code added date: 20030101.
Code effective date: 20070101.
Pricing Indicator Code(s):
00
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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A4284 - Replcmnt breast pump shield
Long description: Breast shield and splash protector for use with breast pump, replacement
Code added date: 20030101.
Code effective date: 20070101.
Pricing Indicator Code(s):
00
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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A4285 - Replcmnt breast pump bottle
Long description: Polycarbonate bottle for use with breast pump, replacement
Code added date: 20030101.
Code effective date: 20070101.
Pricing Indicator Code(s):
00
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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A4286 - Replcmnt breastpump lok ring
Long description: Locking ring for breast pump, replacement
Code added date: 20030101.
Code effective date: 20070101.
Pricing Indicator Code(s):
00
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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A4287 - Disp col sto bag breast milk
Long description: Disposable collection and storage bag for breast milk, any size, any type, each
Code added date: 20240101.
Code effective date: 20240101.
Pricing Indicator Code(s):
46
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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A4290 - Sacral nerve stim test lead
Long description: Sacral nerve stimulation test lead, each
Code added date: 20010101.
Code effective date: 20020101.
Pricing Indicator Code(s):
00
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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A4300 - Cath impl vasc access portal
Long description: Implantable access catheter, (e.g., venous, arterial, epidural subarachnoid, or peritoneal, etc.) external access
Code added date: 19860101.
Code effective date: 20020101.
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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A4301 - Implantable access syst perc
Long description: Implantable access total catheter, port/reservoir (e.g., venous, arterial, epidural, subarachnoid, peritoneal, etc.)
Code added date: 19960101.
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: C (A code denoting Medicare coverage status).
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A4305 - Drug delivery system >=50 ml
Long description: Disposable drug delivery system, flow rate of 50 ml or greater per hour
Code added date: 19930101.
Code effective date: 20060101.
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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A4306 - Drug delivery system <=50 ml
Long description: Disposable drug delivery system, flow rate of less than 50 ml per hour
Code added date: 19930101.
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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A4310 - Insert tray w/o bag/cath
Long description: Insertion tray without drainage bag and without catheter (accessories only)
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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A4311 - Catheter w/o bag 2-way latex
Long description: 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.
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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A4312 - Cath w/o bag 2-way silicone
Long description: Insertion tray without drainage bag with indwelling catheter, foley type, two-way, all silicone
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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A4313 - Catheter w/bag 3-way
Long description: Insertion tray without drainage bag with indwelling catheter, foley type, three-way, for continuous irrigation
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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A4314 - Cath w/drainage 2-way latex
Long description: 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.
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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A4315 - Cath w/drainage 2-way silcne
Long description: Insertion tray with drainage bag with indwelling catheter, foley type, two-way, all silicone
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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A4316 - Cath w/drainage 3-way
Long description: Insertion tray with drainage bag with indwelling catheter, foley type, three-way, for continuous irrigation
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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A4320 - Irrigation tray
Long description: Irrigation tray with bulb or piston syringe, any purpose
Code added date: 19900101.
Code effective date: 19920101.
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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A4321 - Cath therapeutic irrig agent
Long description: Therapeutic agent for urinary catheter irrigation
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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A4322 - Irrigation syringe
Long description: Irrigation syringe, bulb or piston, each
Code added date: 19900101.
Code effective date: 19960101.
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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A4326 - Male external catheter
Long description: Male external catheter with integral collection chamber, any type, each
Code added date: 19900101.
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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A4327 - Fem urinary collect dev cup
Long description: Female external urinary collection device; meatal cup, each
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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A4328 - Fem urinary collect pouch
Long description: Female external urinary collection device; pouch, each
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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A4330 - Stool collection pouch
Long description: Perianal fecal collection pouch with adhesive, each
Code added date: 19900101.
Code effective date: 19960101.
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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A4331 - Extension drainage tubing
Long description: 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.
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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A4332 - Lube sterile packet
Long description: Lubricant, individual sterile packet, each
Code added date: 20010101.
Code effective date: 20050101.
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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PDF