|
A4450 | Tape, non-waterproof, per 18 square inches |
|
A4452 | Tape, waterproof, per 18 square inches |
|
A4455 | Adhesive remover or solvent (for tape, cement or other adhesive), per ounce |
|
A4456 | Adhesive remover, wipes, any type, each |
|
A4458 | Enema bag with tubing, reusable |
|
A4459 | Manual pump-operated enema system, includes balloon, catheter and all accessories, reusable, any type |
|
A4461 | Surgical dressing holder, non-reusable, each |
|
A4463 | Surgical dressing holder, reusable, each |
|
A4465 | Non-elastic binder for extremity |
|
A4467 | Belt, strap, sleeve, garment, or covering, any type |
|
A4470 | Gravlee jet washer |
|
A4480 | Vabra aspirator |
|
A4481 | Tracheostoma filter, any type, any size, each |
|
A4483 | Moisture exchanger, disposable, for use with invasive mechanical ventilation |
|
A4490 | Surgical stockings above knee length, each |
|
A4495 | Surgical stockings thigh length, each |
|
A4500 | Surgical stockings below knee length, each |
|
A4510 | Surgical stockings full length, each |
|
A4520 | Incontinence garment, any type, (e.g., brief, diaper), each |
|
A4550 | Surgical trays |
|
A4553 | Non-disposable underpads, all sizes |
|
A4554 | Disposable underpads, all sizes |
|
A4555 | Electrode/transducer for use with electrical stimulation device used for cancer treatment, replacement only |
|
A4559 | Coupling gel or paste, for use with ultrasound device, per oz |
|
A4561 | Pessary, rubber, any type |
|
A4562 | Pessary, non rubber, any type |
|
A4565 | Slings |
|
A4566 | Shoulder sling or vest design, abduction restrainer, with or without swathe control, prefabricated, includes fitting and adjustment |
|
A4570 | Splint |
|
A4575 | Topical hyperbaric oxygen chamber, disposable |
|
A4580 | Cast supplies (e.g., plaster) |
|
A4590 | Special casting material (e.g., fiberglass) |
|
A4595 | Electrical stimulator supplies, 2 lead, per month, (e.g., tens, nmes) |
|
A4600 | Sleeve for intermittent limb compression device, replacement only, each |
|
A4601 | Lithium ion battery, rechargeable, for non-prosthetic use, replacement |
|
A4602 | Replacement battery for external infusion pump owned by patient, lithium, 1.5 volt, each |
|
A4604 | Tubing with integrated heating element for use with positive airway pressure device |
|
A4605 | Tracheal suction catheter, closed system, each |
|
A4606 | Oxygen probe for use with oximeter device, replacement |
|
A4608 | Transtracheal oxygen catheter, each |
