|
C-1,Esterase,Inhibitor J0596 - J0598 |
|
|
Injection, c1 esterase inhibitor (recombinant), ruconest, 10 units J0596
| |
|
Injection, c-1 esterase inhibitor (human), berinert, 10 units J0597
| |
|
Injection, c-1 esterase inhibitor (human), cinryze, 10 units J0598
| |
|
Cabazitaxel, J9043
| |
|
Cabergoline,oral J8515
| |
|
Caffeine,citrate J0706
| |
|
Calcitriol, J0636
| |
|
Calcitonin-salmon, J0630
| |
|
Calcium,disodium,edetate J0600
| |
|
Calcium,gluconate J0610
| |
|
Calcium,glycerophosphate,and,calcium,lactate J0620
| |
|
Calcium,lactate,and,calcium,glycerophosphate J0620
| |
|
Calcium,leucovorin J0640
| |
|
Calibrator,solution A4256
| |
|
Canakinumab, J0638
| |
|
Cane E0100, E0105 |
|
|
accessory A4636, A4637 |
|
|
Canister,disposable,used,with,suction,pump A7000
| |
|
Canister,non-disposable,used,with,suction,pump A7001
| |
|
Cannula,nasal A4615
| |
|
Capecitabine,oral J8520, J8521 |
|
|
Capsaicin,patch J7336
| |
|
Carbidopa,mglevodopa,mg,enteral,suspension J7340 |
|
|
Carbon,filter A4680
| |
|
Carboplatin, J9045
| |
|
Cardia,Event,recorder,implantable E0616
| |
|
Cardiokymography, Q0035
| |
|
Cardiovascular,services M0300 - M0301 |
|
|
Iv chelation therapy (chemical endarterectomy) M0300
| |
|
Fabric wrapping of abdominal aneurysm M0301
| |
|
Carfilzomib, J9047
| |
|
Carmustine, J9050
| |
|
Case,management T1016, T1017 |
|
|
Caspofungin,acetate J0637
| |
|
hand,restoration L6900 - L6915 |
|
|
Hand restoration (casts, shading and measurements included), partial hand, with glove, thumb or one finger remaining L6900
| |
|
Hand restoration (casts, shading and measurements included), partial hand, with glove, multiple fingers remaining L6905
| |
|
Hand restoration (casts, shading and measurements included), partial hand, with glove, no fingers remaining L6910
| |
|
Hand restoration (shading, and measurements included), replacement glove for above L6915
| |
|
materials,special A4590
| |
|
supplies A4580, A4590, Q4001 - Q4051 |
|
|
Casting supplies, body cast adult, with or without head, plaster Q4001
| |
|
Cast supplies, body cast adult, with or without head, fiberglass Q4002
| |
|
Cast supplies, shoulder cast, adult (11 years ), plaster Q4003
| |
|
Cast supplies, shoulder cast, adult (11 years ), fiberglass Q4004
| |
|
Cast supplies, long arm cast, adult (11 years ), plaster Q4005
| |
|
Cast supplies, long arm cast, adult (11 years ), fiberglass Q4006
| |
|
Cast supplies, long arm cast, pediatric (0-10 years), plaster Q4007
| |
|
Cast supplies, long arm cast, pediatric (0-10 years), fiberglass Q4008
| |
|
Cast supplies, short arm cast, adult (11 years ), plaster Q4009
| |
|
Cast supplies, short arm cast, adult (11 years ), fiberglass Q4010
| |
|
Cast supplies, short arm cast, pediatric (0-10 years), plaster Q4011
| |
|
Cast supplies, short arm cast, pediatric (0-10 years), fiberglass Q4012
| |
|
Cast supplies, gauntlet cast (includes lower forearm and hand), adult (11 years ), plaster Q4013
| |
|
Cast supplies, gauntlet cast (includes lower forearm and hand), adult (11 years ), fiberglass Q4014
| |
|
Cast supplies, gauntlet cast (includes lower forearm and hand), pediatric (0-10 years), plaster Q4015
| |
|
Cast supplies, gauntlet cast (includes lower forearm and hand), pediatric (0-10 years), fiberglass Q4016
| |
|
Cast supplies, long arm splint, adult (11 years ), plaster Q4017
| |
|
Cast supplies, long arm splint, adult (11 years ), fiberglass Q4018
| |
|
Cast supplies, long arm splint, pediatric (0-10 years), plaster Q4019
| |
|
Cast supplies, long arm splint, pediatric (0-10 years), fiberglass Q4020
| |
|
Cast supplies, short arm splint, adult (11 years ), plaster Q4021
| |
|
Cast supplies, short arm splint, adult (11 years ), fiberglass Q4022
| |
|
Cast supplies, short arm splint, pediatric (0-10 years), plaster Q4023
| |
|
Cast supplies, short arm splint, pediatric (0-10 years), fiberglass Q4024
| |
|
Cast supplies, hip spica (one or both legs), adult (11 years ), plaster Q4025
| |
|
Cast supplies, hip spica (one or both legs), adult (11 years ), fiberglass Q4026
| |
|
Cast supplies, hip spica (one or both legs), pediatric (0-10 years), plaster Q4027
| |
|
Cast supplies, hip spica (one or both legs), pediatric (0-10 years), fiberglass Q4028
| |
|
Cast supplies, long leg cast, adult (11 years ), plaster Q4029
| |
|
Cast supplies, long leg cast, adult (11 years ), fiberglass Q4030
| |
|
Cast supplies, long leg cast, pediatric (0-10 years), plaster Q4031
| |
|
Cast supplies, long leg cast, pediatric (0-10 years), fiberglass Q4032
| |
|
Cast supplies, long leg cylinder cast, adult (11 years ), plaster Q4033
| |
|
Cast supplies, long leg cylinder cast, adult (11 years ), fiberglass Q4034
| |
|
Cast supplies, long leg cylinder cast, pediatric (0-10 years), plaster Q4035
| |
|
Cast supplies, long leg cylinder cast, pediatric (0-10 years), fiberglass Q4036
| |
|
Cast supplies, short leg cast, adult (11 years ), plaster Q4037
| |
|
Cast supplies, short leg cast, adult (11 years ), fiberglass Q4038
| |
|
Cast supplies, short leg cast, pediatric (0-10 years), plaster Q4039
| |
|
Cast supplies, short leg cast, pediatric (0-10 years), fiberglass Q4040
| |
|
Cast supplies, long leg splint, adult (11 years ), plaster Q4041
| |
|
Cast supplies, long leg splint, adult (11 years ), fiberglass Q4042
| |
|
Cast supplies, long leg splint, pediatric (0-10 years), plaster Q4043
| |
|
Cast supplies, long leg splint, pediatric (0-10 years), fiberglass Q4044
| |
|
Cast supplies, short leg splint, adult (11 years ), plaster Q4045
| |
|
Cast supplies, short leg splint, adult (11 years ), fiberglass Q4046
| |
|
Cast supplies, short leg splint, pediatric (0-10 years), plaster Q4047
| |
|
Cast supplies, short leg splint, pediatric (0-10 years), fiberglass Q4048
| |
|
Finger splint, static Q4049
| |
|
Cast supplies, for unlisted types and materials of casts Q4050
| |
|
Splint supplies, miscellaneous (includes thermoplastics, strapping, fasteners, padding and other supplies) Q4051
| |
|
Casting supplies, body cast adult, with or without head, plaster Q4001
| |
|
Cast supplies, body cast adult, with or without head, fiberglass Q4002
| |
|
Cast supplies, shoulder cast, adult (11 years ), plaster Q4003
| |
|
Cast supplies, shoulder cast, adult (11 years ), fiberglass Q4004
| |
|
Cast supplies, long arm cast, adult (11 years ), plaster Q4005
| |
|
Cast supplies, long arm cast, adult (11 years ), fiberglass Q4006
| |
|
Cast supplies, long arm cast, pediatric (0-10 years), plaster Q4007
| |
|
Cast supplies, long arm cast, pediatric (0-10 years), fiberglass Q4008
| |
|
Cast supplies, short arm cast, adult (11 years ), plaster Q4009
| |
|
Cast supplies, short arm cast, adult (11 years ), fiberglass Q4010
| |
|
Cast supplies, short arm cast, pediatric (0-10 years), plaster Q4011
| |
|
Cast supplies, short arm cast, pediatric (0-10 years), fiberglass Q4012
| |
|
Cast supplies, gauntlet cast (includes lower forearm and hand), adult (11 years ), plaster Q4013
| |
|
Cast supplies, gauntlet cast (includes lower forearm and hand), adult (11 years ), fiberglass Q4014
| |
|
Cast supplies, gauntlet cast (includes lower forearm and hand), pediatric (0-10 years), plaster Q4015
| |
|
Cast supplies, gauntlet cast (includes lower forearm and hand), pediatric (0-10 years), fiberglass Q4016
| |
|
Cast supplies, long arm splint, adult (11 years ), plaster Q4017
| |
|
Cast supplies, long arm splint, adult (11 years ), fiberglass Q4018
| |
|
Cast supplies, long arm splint, pediatric (0-10 years), plaster Q4019
| |
|
Cast supplies, long arm splint, pediatric (0-10 years), fiberglass Q4020
| |
|
Cast supplies, short arm splint, adult (11 years ), plaster Q4021
| |
|
Cast supplies, short arm splint, adult (11 years ), fiberglass Q4022
| |
|
Cast supplies, short arm splint, pediatric (0-10 years), plaster Q4023
| |
|
Cast supplies, short arm splint, pediatric (0-10 years), fiberglass Q4024
| |
|
Cast supplies, hip spica (one or both legs), adult (11 years ), plaster Q4025
| |
|
Cast supplies, hip spica (one or both legs), adult (11 years ), fiberglass Q4026
| |
|
Cast supplies, hip spica (one or both legs), pediatric (0-10 years), plaster Q4027
| |
|
Cast supplies, hip spica (one or both legs), pediatric (0-10 years), fiberglass Q4028
| |
|
Cast supplies, long leg cast, adult (11 years ), plaster Q4029
| |
|
Cast supplies, long leg cast, adult (11 years ), fiberglass Q4030
| |
|
Cast supplies, long leg cast, pediatric (0-10 years), plaster Q4031
| |
|
Cast supplies, long leg cast, pediatric (0-10 years), fiberglass Q4032
| |
|
Cast supplies, long leg cylinder cast, adult (11 years ), plaster Q4033
| |
|
Cast supplies, long leg cylinder cast, adult (11 years ), fiberglass Q4034
| |
|
Cast supplies, long leg cylinder cast, pediatric (0-10 years), plaster Q4035
| |
|
Cast supplies, long leg cylinder cast, pediatric (0-10 years), fiberglass Q4036
| |
|
Cast supplies, short leg cast, adult (11 years ), plaster Q4037
| |
|
Cast supplies, short leg cast, adult (11 years ), fiberglass Q4038
| |
|
Cast supplies, short leg cast, pediatric (0-10 years), plaster Q4039
| |
|
Cast supplies, short leg cast, pediatric (0-10 years), fiberglass Q4040
| |
|
Cast supplies, long leg splint, adult (11 years ), plaster Q4041
| |
|
Cast supplies, long leg splint, adult (11 years ), fiberglass Q4042
| |
|
Cast supplies, long leg splint, pediatric (0-10 years), plaster Q4043
| |
|
Cast supplies, long leg splint, pediatric (0-10 years), fiberglass Q4044
| |
|
Cast supplies, short leg splint, adult (11 years ), plaster Q4045
| |
|
Cast supplies, short leg splint, adult (11 years ), fiberglass Q4046
| |
|
Cast supplies, short leg splint, pediatric (0-10 years), plaster Q4047
| |
|
Cast supplies, short leg splint, pediatric (0-10 years), fiberglass Q4048
| |
|
Finger splint, static Q4049
| |
|
Cast supplies, for unlisted types and materials of casts Q4050
| |
|
Splint supplies, miscellaneous (includes thermoplastics, strapping, fasteners, padding and other supplies) Q4051
| |
|
thermoplastic L2106, L2126 |
|
|
Caster,front,for,power,wheelchair K009 |
|
|
Caster,wheelchair E0997, E0998 |
|
|
Catheter, A4300 - A4355 |
|
|
Insertion tray without drainage bag and without catheter (accessories only) A4310
| |
|
Implantable access catheter, (eg, venous, arterial, epidural subarachnoid, or peritoneal, etc) external access A4300
| |
|
Insertion tray without drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc) A4311
| |
|
Implantable access total catheter, portreservoir (eg, venous, arterial, epidural, subarachnoid, peritoneal, etc) A4301
| |
|
Disposable drug delivery system, flow rate of 50 ml or greater per hour A4305
| |
|
Insertion tray without drainage bag with indwelling catheter, foley type, two-way, all silicone A4312
| |
|
Disposable drug delivery system, flow rate of less than 50 ml per hour A4306
| |
|
Insertion tray without drainage bag with indwelling catheter, foley type, three-way, for continuous irrigation A4313
| |
|
Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc) A4314
| |
|
Insertion tray with drainage bag with indwelling catheter, foley type, two-way, all silicone A4315
| |
|
Insertion tray with drainage bag with indwelling catheter, foley type, three-way, for continuous irrigation A4316
| |
|
Irrigation tray with bulb or piston syringe, any purpose A4320
| |
|
Therapeutic agent for urinary catheter irrigation A4321
| |
|
Irrigation syringe, bulb or piston, each A4322
| |
|
Male external catheter with integral collection chamber, any type, each A4326
| |
|
Female external urinary collection device meatal cup, each A4327
| |
|
Female external urinary collection device pouch, each A4328
| |
|
Perianal fecal collection pouch with adhesive, each A4330
| |
|
Extension drainage tubing, any type, any length, with connectoradaptor, for use with urinary leg bag or urostomy pouch, each A4331
| |
|
Lubricant, individual sterile packet, each A4332
| |
|
Urinary catheter anchoring device, adhesive skin attachment, each A4333
| |
|
Urinary catheter anchoring device, leg strap, each A4334
| |
|
Incontinence supply miscellaneous A4335
| |
|
Incontinence supply, urethral insert, any type, each A4336
| |
|
Incontinence supply, rectal insert, any type, each A4337
| |
|
Indwelling catheter foley type, two-way latex with coating (teflon, silicone, silicone elastomer, or hydrophilic, etc), each A4338
| |
|
Indwelling catheter specialty type, (eg, coude, mushroom, wing, etc), each A4340
| |
|
Indwelling catheter, foley type, two-way, all silicone, each A4344
| |
|
Indwelling catheter foley type, three way for continuous irrigation, each A4346
| |
|
Male external catheter, with or without adhesive, disposable, each A4349
| |
|
Intermittent urinary catheter straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc), each A4351
| |
|
Intermittent urinary catheter coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc), each A4352
| |
|
Intermittent urinary catheter, with insertion supplies A4353
| |
|
Insertion tray with drainage bag but without catheter A4354
| |
|
Irrigation tubing set for continuous bladder irrigation through a three-way indwelling foley catheter, each A4355
| |
|
anchoring,device A5200, A4333, A4334 |
|
|
cap,disposable,(dialysis) A4860
| |
|
external,collection,device A4327 - A4330 , A4347, A7048 |
|
|
Female external urinary collection device meatal cup, each A4327
| |
|
Female external urinary collection device pouch, each A4328
| |
|
Perianal fecal collection pouch with adhesive, each A4330
| |
|
indwelling, A4338 - A4346 |
|
|
Indwelling catheter foley type, two-way latex with coating (teflon, silicone, silicone elastomer, or hydrophilic, etc), each A4338
| |
|
Indwelling catheter specialty type, (eg, coude, mushroom, wing, etc), each A4340
| |
|
Indwelling catheter, foley type, two-way, all silicone, each A4344
| |
|
Indwelling catheter foley type, three way for continuous irrigation, each A4346
| |
|
insertion,tray A4354
| |
|
insulin,infusion,catheter A4224
| |
|
intermittent,with,insertion,supplies A4353
| |
|
irrigation,supplies A4355
| |
|
male,external A4324, A4325, A4348 |
|
|
oropharyngeal,suction A4628
| |
|
starter,set A432 |
|
|
trachea,(suction) A4609, A4610, A4624 |
|
|
transtracheal,oxygen A4608
| |
|
Catheterization,specimen,collection P9612, P9615 |
|
|
Cefazolin,sodium J0690
| |
|
Cefepime,HCl J0692
| |
|
Cefotaxime,sodium J0698
| |
|
Ceftaroline,fosamil J0712
| |
|
Ceftazidime J0713, J0714 |
|
|
Ceftolozane,mg,and,tazobactam,mg J0695 |
|
|
Ceftizoxime,sodium J0715
| |
|
Ceftriaxone,sodium J0696
| |
|
Cefuroxime,sodium J0697
| |
|
CellCept, K041 |
|
|
Cellular,therapy M0075
| |
|
Cement,ostomy A4364
| |
|
Centrifuge, A4650
| |
|
Centruroides,Immune,F(ab) J0716
| |
|
Cephalin,Floculation,blood P2028
| |
|
Cephalothin,sodium J1890
| |
|
Cephapirin,sodium J0710
| |
|
Certolizumab,pegol J0717
| |
|
halo, L0810 - L0830 |
|
|
Halo procedure, cervical halo incorporated into jacket vest L0810
| |
|
Halo procedure, cervical halo incorporated into plaster body jacket L0820
| |
|
Halo procedure, cervical halo incorporated into milwaukee type orthosis L0830
| |
|
head,harnesshalter E0942
| |
|
orthosis, L0100 - L0200 |
|
|
Cranial cervical orthosis, congenital torticollis type, with or without soft interface material, adjustable range of motion joint, custom fabricated L0112
| |
|
Cervical, multiple post collar, occipitalmandibular supports, adjustable L0180
| |
|
Cranial cervical orthosis, torticollis type, with or without joint, with or without soft interface material, prefabricated, includes fitting and adjustment L0113
| |
|
Cervical, multiple post collar, occipitalmandibular supports, adjustable cervical bars (somi, guilford, taylor types) L0190
| |
|
Cervical, multiple post collar, occipitalmandibular supports, adjustable cervical bars, and thoracic extension L0200
| |
|
Cervical, flexible, non-adjustable, prefabricated, off-the-shelf (foam collar) L0120
| |
|
Cervical, flexible, thermoplastic collar, molded to patient L0130
| |
|
Cervical, semi-rigid, adjustable (plastic collar) L0140
| |
|
Cervical, semi-rigid, adjustable molded chin cup (plastic collar with mandibularoccipital piece) L0150
| |
|
Cervical, semi-rigid, wire frame occipitalmandibular support, prefabricated, off-the-shelf L0160
| |
|
Cervical, collar, molded to patient model L0170
| |
|
Cervical, collar, semi-rigid thermoplastic foam, two-piece, prefabricated, off-the-shelf L0172
| |
|
Cervical, collar, semi-rigid, thermoplastic foam, two piece with thoracic extension, prefabricated, off-the-shelf L0174
| |
|
traction E0855, E0856 |
|
|
Cervical,cap,contraceptive A4261
| |
|
Cervical-thoracic-lumbar-sacral,orthosis,(CTLSO) L0700, L0710 |
|
|
Cetuximab, J9055
| |
|
adjustable,dialysis E1570
| |
|
lift, E0627
| |
|
rollabout, E1031
| |
|
sitz,bath E0160 - E0162 |
|
|
Sitz type bath or equipment, portable, used with or without commode E0160
| |
|
Sitz type bath or equipment, portable, used with or without commode, with faucet attachments E0161
| |
|
Sitz bath chair E0162
| |
|
administration,(hospital,reporting Q0083 - Q0085 |
|
|
Chemotherapy administration by other than infusion technique only (eg, subcutaneous, intramuscular, push), per visit Q0083
| |
|
Chemotherapy administration by infusion technique only, per visit Q0084
| |
|
Chemotherapy administration by both infusion technique and other technique(s) (eg, subcutaneous, intramuscular, push), per visit Q0085
| |
|
drug,oral,not,otherwise,classified J8999
| |
|
drugs,(see,also,drug,by,name) J9000 - J9999 |
|
|
hose,replacement A7026
| |
|
vest,replacement A7025
| |
|
for,intravenous,infusion J0744
| |
|
octic,suspension J7342
| |
|
dialysis, A4918
| |
|
external,urethral A4356
| |
|
Chelation,therapy M0300
| |
|
Chemical,endarterectomy M0300
| |
|
Chemistry,and,toxicology,tests P2028 - P3001 |
|
|
Screening papanicolaou smear, cervical or vaginal, up to three smears, by technician under physician supervision P3000
| |
|
Cephalin floculation, blood P2028
| |
|
Congo red, blood P2029
| |
|
Screening papanicolaou smear, cervical or vaginal, up to three smears, requiring interpretation by physician P3001
| |
|
Hair analysis (excluding arsenic) P2031
| |
|
Thymol turbidity, blood P2033
| |
|
Mucoprotein, blood (seromucoid) (medical necessity procedure) P2038
| |
|
Chest,shell,(cuirass) E0457
| |
|
Chest,Wall,Oscillation,System E0483
| |
|
Chest,wrap E0459
| |
|
Chin,cup,cervical L0150
| |
|
Chloramphenicol,sodium,succinate J0720
| |
|
Chlordiazepoxide,HCl J1990
| |
|
Chloromycetin,Sodium,Succinate J0720
| |
|
Chloroprocaine,HCl J2400
| |
|
Chloroquine,HCl J0390
| |
|
Chlorothiazide,sodium J1205
| |
|
Chlorpromazine,HCl J3230
| |
|
Chorionic,gonadotropin J0725
| |
|
Chromic,phosphate,suspension P32, A9564 |
|
|
Chromium,CR-51,sodium,chromate A9553
| |
|
Cidofovir, J0740
| |
|
Cilastatin,sodium,imipenem J0743
| |
|
Cinacalcet, J0604
| |
|
Cisplatin, J9060
| |
|
Cladribine, J9065
| |
|
Cleanser,wound A6260
| |
|
Cleansing,agent,dialysis,equipment A479 |
|
|
Clofarabine, J9027
| |
|
Clonidine, J0735
| |
|
Clotting,time,tube A4771
| |
|
Clubfoot,wedge L3380
| |
|
Cochlear,prosthetic,implant L8614
| |
|
accessories, L8615 - L8617 |
|
|
Headsetheadpiece for use with cochlear implant device, replacement L8615
| |
|
Microphone for use with cochlear implant device, replacement L8616
| |
|
Transmitting coil for use with cochlear implant device, replacement L8617
| |
|
batteries, L8621 - L8624 |
|
|
Zinc air battery for use with cochlear implant device and auditory osseointegrated sound processors, replacement, each L8621
| |
|
Alkaline battery for use with cochlear implant device, any size, replacement, each L8622
| |
|
Lithium ion battery for use with cochlear implant device speech processor, other than ear level, replacement, each L8623
| |
|
Lithium ion battery for use with cochlear implant or auditory osseointegrated device speech processor, ear level, replacement, each L8624
| |
|
replacement L8619, L8627 - L8629 |
|
|
Cochlear implant, external speech processor, component, replacement L8627
| |
|
Cochlear implant, external controller component, replacement L8628
| |
|
Transmitting coil and cable, integrated, for use with cochlear implant device, replacement L8629
| |
|
Cochlear implant, external speech processor, component, replacement L8627
| |
|
Cochlear implant, external controller component, replacement L8628
| |
|
Transmitting coil and cable, integrated, for use with cochlear implant device, replacement L8629
| |
|
Codeine,phosphate J0745
| |
|
Colistimethate,sodium J0770
| |
|
skin,test G002 |
|
|
urinary,tract,implant L8603
| |
|
wound,dressing A6020 - A6024 |
|
|
Collagen dressing, sterile, size 16 sq in or less, each A6021
| |
|
Collagen dressing, sterile, size more than 16 sq in but less than or equal to 48 sq in, each A6022
| |
|
Collagen dressing, sterile, size more than 48 sq in, each A6023
| |
|
Collagen dressing wound filler, sterile, per 6 inches A6024
| |
|
multiple,post L0180 - L0200 |
|
|
Collagenase,Clostridium,Histolyticum J0775
| |
|
Collar, |
|
|
nonadjust,(foam) L0120
| |
|
Coly-Mycin,M J0770
| |
|
Comfort,items A919 |
|
|
Commode, E0160 - E0175 |
|
|
Sitz type bath or equipment, portable, used with or without commode E0160
| |
|
Sitz type bath or equipment, portable, used with or without commode, with faucet attachments E0161
| |
|
Sitz bath chair E0162
| |
|
Commode chair, mobile or stationary, with fixed arms E0163
| |
|
Commode chair, mobile or stationary, with detachable arms E0165
| |
|
Pail or pan for use with commode chair, replacement only E0167
| |
|
Commode chair, extra wide andor heavy duty, stationary or mobile, with or without arms, any type, each E0168
| |
|
Commode chair with integrated seat lift mechanism, electric, any type E0170
| |
|
Commode chair with integrated seat lift mechanism, non-electric, any type E0171
| |
|
Seat lift mechanism placed over or on top of toilet, any type E0172
| |
|
Foot rest, for use with commode chair, each E0175
| |
|
chair, E0170 - E0171 |
|
|
Commode chair with integrated seat lift mechanism, electric, any type E0170
| |
|
Commode chair with integrated seat lift mechanism, non-electric, any type E0171
| |
|
lift E0625, E0172 |
|
|
pail, E0167
| |
|
seat,wheelchair E0968
| |
|
receiver, A9278
| |
|
sensor, A9276
| |
|
transmitter, A9277
| |
|
Composite,dressing A6200 - A6205 |
|
|
Composite dressing, sterile, pad size 16 sq in or less, with any size adhesive border, each dressing A6203
| |
|
Composite dressing, sterile, pad size more than 16 sq in but less than or equal to 48 sq in, with any size adhesive border, each dressing A6204
| |
|
Composite dressing, sterile, pad size more than 48 sq in, with any size adhesive border, each dressing A6205
| |
|
Compressed,gas,system E0424 - E0480 |
|
|
Stationary compressed gaseous oxygen system, rental includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, and tubing E0424
| |
|
Stationary compressed gas system, purchase includes regulator, flowmeter, humidifier, nebulizer, cannula or mask, and tubing E0425
| |
|
Portable gaseous oxygen system, purchase includes regulator, flowmeter, humidifier, cannula or mask, and tubing E0430
| |
|
Portable gaseous oxygen system, rental includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
| |
|
Portable liquid oxygen system, rental home liquefier used to fill portable liquid oxygen containers, includes portable containers, regulator, flowmeter, humidifier, cannula or mask and tubing, with or without supply reservoir and contents gauge E0433
| |
|
Portable liquid oxygen system, rental includes portable container, supply reservoir, humidifier, flowmeter, refill adaptor, contents gauge, cannula or mask, and tubing E0434
| |
|
Portable liquid oxygen system, purchase includes portable container, supply reservoir, flowmeter, humidifier, contents gauge, cannula or mask, tubing and refill adaptor E0435
| |
|
Stationary liquid oxygen system, rental includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, tubing E0439
| |
|
Stationary liquid oxygen system, purchase includes use of reservoir, contents indicator, regulator, flowmeter, humidifier, nebulizer, cannula or mask, and tubing E0440
| |
|
Stationary oxygen contents, gaseous, 1 month's supply 1 unit E0441
| |
|
Stationary oxygen contents, liquid, 1 month's supply 1 unit E0442
| |
|
Portable oxygen contents, gaseous, 1 month's supply 1 unit E0443
| |
|
Portable oxygen contents, liquid, 1 month's supply 1 unit E0444
| |
|
Oximeter device for measuring blood oxygen levels non-invasively E0445
| |
|
Topical oxygen delivery system, not otherwise specified, includes all supplies and accessories E0446
| |
|
Oxygen tent, excluding croup or pediatric tents E0455
| |
|
Chest shell (cuirass) E0457
| |
|
Chest wrap E0459
| |
|
Rocking bed with or without side rails E0462
| |
|
Home ventilator, any type, used with invasive interface, (eg, tracheostomy tube) E0465
| |
|
Home ventilator, any type, used with non-invasive interface, (eg, mask, chest shell) E0466
| |
|
Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, eg, nasal or facial mask (intermittent assist device with continuous positive airway pressure device) E0470
| |
|
Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, eg, nasal or facial mask (intermittent assist device with continuous positive airway pressure device) E0471
| |
|
Respiratory assist device, bi-level pressure capability, with backup rate feature, used with invasive interface, eg, tracheostomy tube (intermittent assist device with continuous positive airway pressure device) E0472
| |
|
Percussor, electric or pneumatic, home model E0480
| |
|
Compression,bandage A446 |
|
|
Compression,burn,garment A6501 - A6512 |
|
|
Compression burn garment, bodysuit (head to foot), custom fabricated A6501
| |
|
Compression burn garment, chin strap, custom fabricated A6502
| |
|
Compression burn garment, facial hood, custom fabricated A6503
| |
|
Compression burn garment, glove to wrist, custom fabricated A6504
| |
|
Compression burn garment, glove to elbow, custom fabricated A6505
| |
|
Compression burn garment, glove to axilla, custom fabricated A6506
| |
|
Compression burn garment, foot to knee length, custom fabricated A6507
| |
|
Compression burn garment, foot to thigh length, custom fabricated A6508
| |
|
Compression burn garment, upper trunk to waist including arm openings (vest), custom fabricated A6509
| |
|
Compression burn garment, trunk, including arms down to leg openings (leotard), custom fabricated A6510
| |
|
Compression burn garment, lower trunk including leg openings (panty), custom fabricated A6511
| |
|
Compression burn garment, not otherwise classified A6512
| |
|
Compression,stockings A6530 - A6549 |
|
|
Gradient compression stocking, below knee, 18-30 mmhg, each A6530
| |
|
Gradient compression stocking, below knee, 30-40 mmhg, each A6531
| |
|
Gradient compression stocking, below knee, 40-50 mmhg, each A6532
| |
|
Gradient compression stocking, thigh length, 18-30 mmhg, each A6533
| |
|
Gradient compression stocking, thigh length, 30-40 mmhg, each A6534
| |
|
Gradient compression stocking, thigh length, 40-50 mmhg, each A6535
| |
|
Gradient compression stocking, full lengthchap style, 18-30 mmhg, each A6536
| |
|
Gradient compression stocking, full lengthchap style, 30-40 mmhg, each A6537
| |
|
Gradient compression stocking, full lengthchap style, 40-50 mmhg, each A6538
| |
|
Gradient compression stocking, waist length, 18-30 mmhg, each A6539
| |
|
Gradient compression stocking, waist length, 30-40 mmhg, each A6540
| |
|
Gradient compression stocking, waist length, 40-50 mmhg, each A6541
| |
|
Gradient compression stocking, garter belt A6544
| |
|
Gradient compression wrap, non-elastic, below knee, 30-50 mm hg, each A6545
| |
|
Gradient compression stockingsleeve, not otherwise specified A6549
| |
|
Compressor E0565, E0570, E0571, E0572, E0650 - E0652 |
|
|
Pneumatic compressor, non-segmental home model E0650
| |
|
Pneumatic compressor, segmental home model without calibrated gradient pressure E0651
| |
|
Pneumatic compressor, segmental home model with calibrated gradient pressure E0652
| |
|
Pneumatic compressor, non-segmental home model E0650
| |
|
Pneumatic compressor, segmental home model without calibrated gradient pressure E0651
| |
|
Pneumatic compressor, segmental home model with calibrated gradient pressure E0652
| |
|
Conductivity,meter,bath,dialysis E1550
| |
|
Congo,red,blood P2029
| |
|
Contact,layer A6206 - A6208 |
|
|
Contact layer, sterile, 16 sq in or less, each dressing A6206
| |
|
Contact layer, sterile, more than 16 sq in but less than or equal to 48 sq in, each dressing A6207
| |
|
Contact layer, sterile, more than 48 sq in, each dressing A6208
| |
|
Contact,lens V2500 - V2599 |
|
|
Contact lens, pmma, spherical, per lens V2500
| |
|
Contact lens, pmma, toric or prism ballast, per lens V2501
| |
|
Contact lens, pmma, bifocal, per lens V2502
| |
|
Contact lens, pmma, color vision deficiency, per lens V2503
| |
|
Contact lens, gas permeable, spherical, per lens V2510
| |
|
Contact lens, gas permeable, toric, prism ballast, per lens V2511
| |
|
Contact lens, gas permeable, bifocal, per lens V2512
| |
|
Contact lens, gas permeable, extended wear, per lens V2513
| |
|
Contact lens, hydrophilic, spherical, per lens V2520
| |
|
Contact lens, hydrophilic, toric, or prism ballast, per lens V2521
| |
|
Contact lens, hydrophilic, bifocal, per lens V2522
| |
|
Contact lens, hydrophilic, extended wear, per lens V2523
| |
|
Contact lens, scleral, gas impermeable, per lens (for contact lens modification, see 92325) V2530
| |
|
Contact lens, scleral, gas permeable, per lens (for contact lens modification, see 92325) V2531
| |
|
Contact lens, other type V2599
| |
|
Continent,device A5081, A5082, A5083 |
|
|
Continuous,glucose,monitoring |
|
|
Continuous,passive,motion,exercise,device E0936
| |
|
Continuous,positive,airway,pressure,(CPAP),device E0601
| |
|
compressor, K026 |
|
|
cervical,cap A4261
| |
|
condoms A4267, A4268 |
|
|
diaphragm, A4266
| |
|
intratubal,occlusion,device A4264
| |
|
intrauterine,copper J7300
| |
|
intrauterine,levonorgestrel,releasing J7297, J7298, J7301, J7296 |
|
|
patch, J7304
| |
|
spermicide, A4269
| |
|
vaginal,ring J7303
| |
|
Contracts,maintenance,ESRD A4890
| |
|
Contrast |
|
|
injection,during,MRI A464 |
|
|
low,osmolar A4644 - A4646 |
|
|
Consultation S0285, S0311, T1040, T1041 |
|
|
Corneal,tissue,processing V2785
| |
|
Corset,spinal,orthosis L0970 - L0976 |
|
|
Tlso, corset front L0970
| |
|
Lso, corset front L0972
| |
|
Tlso, full corset L0974
| |
|
Lso, full corset L0976
| |
|
Corticorelin,ovine,triflutate J0795
| |
|
Corticotropin, J0800
| |
|
Corvert,see,Ibutilide |
|
|
Cosyntropin J0833, J0834 |
|
|
Cough,stimulating,device A7020, E0482 |
|
|
Cover, |
|
|
alginate,dressing A6196 - A6198 |
|
|
Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq in or less, each dressing A6196
| |
|
Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 16 sq in but less than or equal to 48 sq in, each dressing A6197
| |
|
Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 48 sq in, each dressing A6198
| |
|
foam,dressing A6209 - A6214 |
|
|
Foam dressing, wound cover, sterile, pad size 16 sq in or less, without adhesive border, each dressing A6209
| |
|
Foam dressing, wound cover, sterile, pad size more than 16 sq in but less than or equal to 48 sq in, without adhesive border, each dressing A6210
| |
|
Foam dressing, wound cover, sterile, pad size more than 48 sq in, without adhesive border, each dressing A6211
| |
|
Foam dressing, wound cover, sterile, pad size 16 sq in or less, with any size adhesive border, each dressing A6212
| |
|
Foam dressing, wound cover, sterile, pad size more than 16 sq in but less than or equal to 48 sq in, with any size adhesive border, each dressing A6213
| |
|
Foam dressing, wound cover, sterile, pad size more than 48 sq in, with any size adhesive border, each dressing A6214
| |
|
hydrogel,dressing A6242 - A6248 |
|
|
Hydrogel dressing, wound cover, sterile, pad size 16 sq in or less, without adhesive border, each dressing A6242
| |
|
Hydrogel dressing, wound cover, sterile, pad size more than 16 sq in but less than or equal to 48 sq in, without adhesive border, each dressing A6243
| |
|
Hydrogel dressing, wound cover, sterile, pad size more than 48 sq in, without adhesive border, each dressing A6244
| |
|
Hydrogel dressing, wound cover, sterile, pad size 16 sq in or less, with any size adhesive border, each dressing A6245
| |
|
Hydrogel dressing, wound cover, sterile, pad size more than 16 sq in but less than or equal to 48 sq in, with any size adhesive border, each dressing A6246
| |
|
Hydrogel dressing, wound cover, sterile, pad size more than 48 sq in, with any size adhesive border, each dressing A6247
| |
|
Hydrogel dressing, wound filler, gel, per fluid ounce A6248
| |
|
non-contact,wound,warming,cover,and,accessory A6000, E0231, E0232 |
|
|
specialty,absorptive,dressing A6251 - A6256 |
|
|
Specialty absorptive dressing, wound cover, sterile, pad size 16 sq in or less, without adhesive border, each dressing A6251
| |
|
Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq in but less than or equal to 48 sq in, without adhesive border, each dressing A6252
| |
|
Specialty absorptive dressing, wound cover, sterile, pad size more than 48 sq in, without adhesive border, each dressing A6253
| |
|
Specialty absorptive dressing, wound cover, sterile, pad size 16 sq in or less, with any size adhesive border, each dressing A6254
| |
|
Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq in but less than or equal to 48 sq in, with any size adhesive border, each dressing A6255
| |
|
Specialty absorptive dressing, wound cover, sterile, pad size more than 48 sq in, with any size adhesive border, each dressing A6256
| |
|
CPAP,(continuous,positive,airway,pressure),device E0601
| |
|
headgear, K018 |
|
|
humidifier, A7046
| |
|
intermittent,assist E045 |
|
|
Cradle,bed E0280
| |
|
Crib, E0300
| |
|
Cromolyn,sodium,inhalation,solution,unit,dose J7631, J7632 |
|
|
Crotalidae,polyvalent,immune,fab J0840
| |
|
Crutches, E0110 - E0118 |
|
|
Crutches, forearm, includes crutches of various materials, adjustable or fixed, pair, complete with tips and handgrips E0110
| |
|
Crutch forearm, includes crutches of various materials, adjustable or fixed, each, with tip and handgrips E0111
| |
|
Crutches underarm, wood, adjustable or fixed, pair, with pads, tips and handgrips E0112
| |
|
Crutch underarm, wood, adjustable or fixed, each, with pad, tip and handgrip E0113
| |
|
Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips E0114
| |
|
Crutch, underarm, other than wood, adjustable or fixed, with pad, tip, handgrip, with or without shock absorber, each E0116
| |
|
Crutch, underarm, articulating, spring assisted, each E0117
| |
|
Crutch substitute, lower leg platform, with or without wheels, each E0118
| |
|
accessories A4635 - A4637 , K0102 |
|
|
Underarm pad, crutch, replacement, each A4635
| |
|
Replacement, handgrip, cane, crutch, or walker, each A4636
| |
|
Replacement, tip, cane, crutch, walker, each A4637
| |
|
Cryoprecipitate,each,unit P9012
| |
|
CTLSO L1000 - L1120 , L0700, L0710 |
|
|
Cervical-thoracic-lumbar-sacral orthosis (ctlso) (milwaukee), inclusive of furnishing initial orthosis, including model L1000
| |
|
Cervical thoracic lumbar sacral orthosis, immobilizer, infant size, prefabricated, includes fitting and adjustment L1001
| |
|
Tension based scoliosis orthosis and accessory pads, includes fitting and adjustment L1005
| |
|
Addition to cervical-thoracic-lumbar-sacral orthosis (ctlso) or scoliosis orthosis, axilla sling L1010
| |
|
Addition to ctlso or scoliosis orthosis, kyphosis pad L1020
| |
|
Addition to ctlso or scoliosis orthosis, kyphosis pad, floating L1025
| |
|
Addition to ctlso or scoliosis orthosis, lumbar bolster pad L1030
| |
|
Addition to ctlso or scoliosis orthosis, lumbar or lumbar rib pad L1040
| |
|
Addition to ctlso or scoliosis orthosis, sternal pad L1050
| |
|
Addition to ctlso or scoliosis orthosis, thoracic pad L1060
| |
|
Addition to ctlso or scoliosis orthosis, trapezius sling L1070
| |
|
Addition to ctlso or scoliosis orthosis, outrigger L1080
| |
|
Addition to ctlso or scoliosis orthosis, outrigger, bilateral with vertical extensions L1085
| |
|
Addition to ctlso or scoliosis orthosis, lumbar sling L1090
| |
|
Addition to ctlso or scoliosis orthosis, ring flange, plastic or leather L1100
| |
|
Addition to ctlso or scoliosis orthosis, ring flange, plastic or leather, molded to patient model L1110
| |
|
Addition to ctlso, scoliosis orthosis, cover for upright, each L1120
| |
|
Cuirass, E0457
| |
|
Culture,sensitivity,study P7001
| |
|
Cushion,wheelchair E097 |
|
|
Cyanocobalamin,Cobalt C057, A9559 |
|
|
Cycler,dialysis,machine E1594
| |
|
Cyclophosphamide, J9070
| |
|
Cyclophosphamide,oral J8530
| |
|
Cyclosporine J7502, J7515, J7516 |
|
|
Cytarabine, J9100
| |
|
Cytarabine,liposome J9098
| |
|
Cytomegalovirus,immune,globulin,(human) J0850
| |
