|
Tables,bed E0274, E0315 |
|
|
Tacrolimus,oral J7503, J7507, J7508 |
|
|
Tacrolimus,parenteral J7525
| |
|
Taliglucerase, J3060
| |
|
Talimogene,laheroareovec J9325
| |
|
Taxi,non,emergency,transportation A0100
| |
|
Technetium,TC,Arcitumomab A9568 |
|
|
Technetium,TC,Bicisate A9557 |
|
|
Technetium,TC,Depreotide A9536 |
|
|
Technetium,TC,Disofenin A9510 |
|
|
Technetium,TC,Exametazine A9521 |
|
|
Technetium,TC,Exametazine,labeled,autologous,white,blood,cells A9569 |
|
|
Technetium,TC,Fanolesomab A9566 |
|
|
Technetium,TC,Glucepatate A9550 |
|
|
Technetium,TC,-,Labeled,red,blood,cells A9560 |
|
|
Technetium,TC,Macroaggregated,albumin A9540 |
|
|
Technetium,TC,Mebrofenin A9537 |
|
|
Technetium,TC,Mertiatide A9562 |
|
|
Technetium,TC,Oxidronate A9561 |
|
|
Technetium,TC,Pentetate A9539, A9567 |
|
|
Technetium,TC,Pertechnetate A9512 |
|
|
Technetium,TC,Pyrophosphate A9538 |
|
|
Technetium,TC,Sestamibi A9500 |
|
|
Technetium,TC,Succimer A9551 |
|
|
Technetium,TC,Sulfur,colloid A9541 |
|
|
Technetium,TC,Teboroxime A9501 |
|
|
Technetium,TC,Tetrofosmin A9502 |
|
|
Technetium,TC,Tilmanocept A9520 |
|
|
Tedizolid J3090 |
|
|
TEEV, J090 |
|
|
Telavancin, J3095
| |
|
Telehealth, Q3014
| |
|
Telehealth,transmission T1014
| |
|
Temozolomide,injection J9328
| |
|
Temozolomide,oral J8700
| |
|
Temsirolimus, J9330
| |
|
Tenecteplase, J3101
| |
|
Teniposide, Q2017
| |
|
TENS A4595, E0720 - E0749 |
|
|
Transcutaneous electrical nerve stimulation (tens) device, two lead, localized stimulation E0720
| |
|
Transcutaneous electrical nerve stimulation (tens) device, four or more leads, for multiple nerve stimulation E0730
| |
|
Form fitting conductive garment for delivery of tens or nmes (with conductive fibers separated from the patient's skin by layers of fabric) E0731
| |
|
Non-implanted pelvic floor electrical stimulator, complete system E0740
| |
|
Neuromuscular stimulator for scoliosis E0744
| |
|
Neuromuscular stimulator, electronic shock unit E0745
| |
|
Electromyography (emg), biofeedback device E0746
| |
|
Osteogenesis stimulator, electrical, non-invasive, other than spinal applications E0747
| |
|
Osteogenesis stimulator, electrical, non-invasive, spinal applications E0748
| |
|
Osteogenesis stimulator, electrical, surgically implanted E0749
| |
|
Transcutaneous electrical nerve stimulation (tens) device, two lead, localized stimulation E0720
| |
|
Transcutaneous electrical nerve stimulation (tens) device, four or more leads, for multiple nerve stimulation E0730
| |
|
Form fitting conductive garment for delivery of tens or nmes (with conductive fibers separated from the patient's skin by layers of fabric) E0731
| |
|
Non-implanted pelvic floor electrical stimulator, complete system E0740
| |
|
Neuromuscular stimulator for scoliosis E0744
| |
|
Neuromuscular stimulator, electronic shock unit E0745
| |
|
Electromyography (emg), biofeedback device E0746
| |
|
Osteogenesis stimulator, electrical, non-invasive, other than spinal applications E0747
| |
|
Osteogenesis stimulator, electrical, non-invasive, spinal applications E0748
| |
|
Osteogenesis stimulator, electrical, surgically implanted E0749
| |
|
Tent,oxygen E0455
| |
|
Terbutaline,sulfate J3105
| |
|
Terbutaline,sulfate,inhalation,solution,concentrated J7680
| |
|
Terbutaline,sulfate,inhalation,solution,unit,dose J7681
| |
|
Teriparatide, J3110
| |
|
Terminal,devices L6700 - L6895 |
|
|
Terminal device, passive handmitt, any material, any size L6703
| |
|
Addition to upper extremity prosthesis, glove for terminal device, any material, prefabricated, includes fitting and adjustment L6890
| |
|
Addition to upper extremity prosthesis, glove for terminal device, any material, custom fabricated L6895
| |
|
Terminal device, sportrecreationalwork attachment, any material, any size L6704
| |
|
Terminal device, hook, mechanical, voluntary opening, any material, any size, lined or unlined L6706
| |
|
Terminal device, hook, mechanical, voluntary closing, any material, any size, lined or unlined L6707
| |
|
Terminal device, hand, mechanical, voluntary opening, any material, any size L6708
| |
|
Terminal device, hand, mechanical, voluntary closing, any material, any size L6709
| |
|
Terminal device, hook, mechanical, voluntary opening, any material, any size, lined or unlined, pediatric L6711
| |
|
Terminal device, hook, mechanical, voluntary closing, any material, any size, lined or unlined, pediatric L6712
| |
|
Terminal device, hand, mechanical, voluntary opening, any material, any size, pediatric L6713
| |
|
Terminal device, hand, mechanical, voluntary closing, any material, any size, pediatric L6714
| |
|
Terminal device, multiple articulating digit, includes motor(s), initial issue or replacement L6715
| |
|
Terminal device, hook or hand, heavy duty, mechanical, voluntary opening, any material, any size, lined or unlined L6721
| |
|
Terminal device, hook or hand, heavy duty, mechanical, voluntary closing, any material, any size, lined or unlined L6722
| |
|
Addition to terminal device, modifier wrist unit L6805
| |
|
Addition to terminal device, precision pinch device L6810
| |
|
Electric hand, switch or myoelectric controlled, independently articulating digits, any grasp pattern or combination of grasp patterns, includes motor(s) L6880
| |
|
Automatic grasp feature, addition to upper limb electric prosthetic terminal device L6881
| |
|
Microprocessor control feature, addition to upper limb prosthetic terminal device L6882
| |
|
Replacement socket, below elbowwrist disarticulation, molded to patient model, for use with or without external power L6883
| |
|
Replacement socket, above elbowelbow disarticulation, molded to patient model, for use with or without external power L6884
| |
|
Replacement socket, shoulder disarticulationinterscapular thoracic, molded to patient model, for use with or without external power L6885
| |
|
cypionate,and,estradiol,cypionate J1071
| |
|
enanthate, J3121
| |
|
undecanoate, J3145
| |
|
occupational, H530 |
|
|
scoliosis, L1200 - L1290 |
|
|
spinal, L0430 - L0492 |
|
|
care,kit A4629
| |
|
filter, A4481
| |
|
speaking,valve L8501
| |
|
supplies A4623, A4629, A7523 - A7524 |
|
|
Tracheostomy shower protector, each A7523
| |
|
Tracheostoma stentstudbutton, each A7524
| |
|
tube, A7520 - A7522 |
|
|
Tetanus,immune,globulin,human J1670
| |
|
Tetracycline, J0120
| |
|
Thallous,Chloride,TL A9505 |
|
|
Theophylline, J2810
| |
|
Therapeutic,lightbox A4634, E0203 |
|
|
Thermometer, A4931 - A4932 |
|
|
Oral thermometer, reusable, any type, each A4931
| |
|
Rectal thermometer, reusable, any type, each A4932
| |
|
Thermometer,dialysis A491 |
|
|
Thiamine,HCl J3411
| |
|
Thiethylperazine,maleate J3280
| |
|
Thiotepa, J9340
| |
|
Thoracic-hip-knee-ankle,(THKAO) L1500 - L1520 |
|
|
Thoracic-lumbar-sacral,orthosis |
|
|
Thoracic,orthosis L021 |
|
|
Thymol,turbidity,blood P2033
| |
|
Thyrotropin,Alfa J3240
| |
|
Tigecycline, J3243
| |
|
Tinzarparin,sodium J1655
| |
|
Tip,(cane,crutch,walker),replacement A4637
| |
|
Tirofiban, J3246
| |
|
Tisagenlecleucel, Q204 |
|
|
Tissue,marker A4648
| |
|
TLSO L0430 - L0492 , L1200 - L1290 |
|
|
Thoracic-lumbar-sacral-orthosis (tlso), inclusive of furnishing initial orthosis only L1200
| |
|
Addition to tlso, (low profile), lateral thoracic extension L1210
| |
|
Addition to tlso, (low profile), anterior thoracic extension L1220
| |
|
Addition to tlso, (low profile), milwaukee type superstructure L1230
| |
|
Addition to tlso, (low profile), lumbar derotation pad L1240
| |
|
Addition to tlso, (low profile), anterior asis pad L1250
| |
|
Addition to tlso, (low profile), anterior thoracic derotation pad L1260
| |
|
Addition to tlso, (low profile), abdominal pad L1270
| |
|
Addition to tlso, (low profile), rib gusset (elastic), each L1280
| |
|
Addition to tlso, (low profile), lateral trochanteric pad L1290
| |
|
Tlso, flexible, provides trunk support, upper thoracic region, produces intracavitary pressure to reduce load on the intervertebral disks with rigid stays or panel(s), includes shoulder straps and closures, prefabricated, off-the-shelf L0450
| |
|
Tlso, flexible, provides trunk support, extends from sacrococcygeal junction to above t-9 vertebra, restricts gross trunk motion in the sagittal plane, produces intracavitary pressure to reduce load on the intervertebral disks with rigid stays or panel(s), includes shoulder straps and closures, prefabricated, off-the-shelf L0455
| |
|
Tlso, flexible, provides trunk support, upper thoracic region, produces intracavitary pressure to reduce load on the intervertebral disks with rigid stays or panel(s), includes shoulder straps and closures, custom fabricated L0452
| |
|
Tlso, flexible, provides trunk support, thoracic region, rigid posterior panel and soft anterior apron, extends from the sacrococcygeal junction and terminates just inferior to the scapular spine, restricts gross trunk motion in the sagittal plane, produces intracavitary pressure to reduce load on the intervertebral disks, includes straps and closures, prefabricated, off-the-shelf L0457
| |
|
Tlso flexible, provides trunk support, extends from sacrococcygeal junction to above t-9 vertebra, restricts gross trunk motion in the sagittal plane, produces intracavitary pressure to reduce load on the intervertebral disks with rigid stays or panel(s), includes shoulder straps and closures, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise L0454
| |
|
Tlso, sagittal control, rigid posterior frame and flexible soft anterior apron with straps, closures and padding, restricts gross trunk motion in sagittal plane, produces intracavitary pressure to reduce load on intervertebral disks, prefabricated, off-the-shelf L0467
| |
|
Tlso, flexible, provides trunk support, thoracic region, rigid posterior panel and soft anterior apron, extends from the sacrococcygeal junction and terminates just inferior to the scapular spine, restricts gross trunk motion in the sagittal plane, produces intracavitary pressure to reduce load on the intervertebral disks, includes straps and closures, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise L0456
| |
|
Tlso, sagittal-coronal control, rigid posterior frame and flexible soft anterior apron with straps, closures and padding, extends from sacrococcygeal junction over scapulae, lateral strength provided by pelvic, thoracic, and lateral frame pieces, restricts gross trunk motion in sagittal and coronal planes, produces intracavitary pressure to reduce load on intervertebral disks, prefabricated, off-the-shelf L0469
| |
|
Tlso, triplanar control, modular segmented spinal system, two rigid plastic shells, posterior extends from the sacrococcygeal junction and terminates just inferior to the scapular spine, anterior extends from the symphysis pubis to the xiphoid, soft liner, restricts gross trunk motion in the sagittal, coronal, and transverse planes, lateral strength is provided by overlapping plastic and stabilizing closures, includes straps and closures, prefabricated, includes fitting and adjustment L0458
| |
|
Tlso, triplanar control, modular segmented spinal system, two rigid plastic shells, posterior extends from the sacrococcygeal junction and terminates just inferior to the scapular spine, anterior extends from the symphysis pubis to the sternal notch, soft liner, restricts gross trunk motion in the sagittal, coronal, and transverse planes, lateral strength is provided by overlapping plastic and stabilizing closures, includes straps and closures, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise L0460
| |
|
Tlso, triplanar control, modular segmented spinal system, three rigid plastic shells, posterior extends from the sacrococcygeal junction and terminates just inferior to the scapular spine, anterior extends from the symphysis pubis to the sternal notch, soft liner, restricts gross trunk motion in the sagittal, coronal, and transverse planes, lateral strength is provided by overlapping plastic and stabilizing closures, includes straps and closures, prefabricated, includes fitting and adjustment L0462
| |
|
Tlso, triplanar control, modular segmented spinal system, four rigid plastic shells, posterior extends from sacrococcygeal junction and terminates just inferior to scapular spine, anterior extends from symphysis pubis to the sternal notch, soft liner, restricts gross trunk motion in sagittal, coronal, and transverse planes, lateral strength is provided by overlapping plastic and stabilizing closures, includes straps and closures, prefabricated, includes fitting and adjustment L0464
| |
|
Tlso, sagittal control, rigid posterior frame and flexible soft anterior apron with straps, closures and padding, restricts gross trunk motion in sagittal plane, produces intracavitary pressure to reduce load on intervertebral disks, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise L0466
| |
|
Tlso, sagittal-coronal control, rigid posterior frame and flexible soft anterior apron with straps, closures and padding, extends from sacrococcygeal junction over scapulae, lateral strength provided by pelvic, thoracic, and lateral frame pieces, restricts gross trunk motion in sagittal, and coronal planes, produces intracavitary pressure to reduce load on intervertebral disks, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise L0468
| |
|
Tlso, triplanar control, rigid posterior frame and flexible soft anterior apron with straps, closures and padding, extends from sacrococcygeal junction to scapula, lateral strength provided by pelvic, thoracic, and lateral frame pieces, rotational strength provided by subclavicular extensions, restricts gross trunk motion in sagittal, coronal, and transverse planes, provides intracavitary pressure to reduce load on the intervertebral disks, includes fitting and shaping the frame, prefabricated, includes fitting and adjustment L0470
| |
|
Tlso, triplanar control, hyperextension, rigid anterior and lateral frame extends from symphysis pubis to sternal notch with two anterior components (one pubic and one sternal), posterior and lateral pads with straps and closures, limits spinal flexion, restricts gross trunk motion in sagittal, coronal, and transverse planes, includes fitting and shaping the frame, prefabricated, includes fitting and adjustment L0472
| |
|
Tlso, triplanar control, one piece rigid plastic shell without interface liner, with multiple straps and closures, posterior extends from sacrococcygeal junction and terminates just inferior to scapular spine, anterior extends from symphysis pubis to sternal notch, anterior or posterior opening, restricts gross trunk motion in sagittal, coronal, and transverse planes, includes a carved plaster or cad-cam model, custom fabricated L0480
| |
|
Tlso, triplanar control, one piece rigid plastic shell with interface liner, multiple straps and closures, posterior extends from sacrococcygeal junction and terminates just inferior to scapular spine, anterior extends from symphysis pubis to sternal notch, anterior or posterior opening, restricts gross trunk motion in sagittal, coronal, and transverse planes, includes a carved plaster or cad-cam model, custom fabricated L0482
| |
|
Tlso, triplanar control, two piece rigid plastic shell without interface liner, with multiple straps and closures, posterior extends from sacrococcygeal junction and terminates just inferior to scapular spine, anterior extends from symphysis pubis to sternal notch, lateral strength is enhanced by overlapping plastic, restricts gross trunk motion in the sagittal, coronal, and transverse planes, includes a carved plaster or cad-cam model, custom fabricated L0484
| |
|
Tlso, triplanar control, two piece rigid plastic shell with interface liner, multiple straps and closures, posterior extends from sacrococcygeal junction and terminates just inferior to scapular spine, anterior extends from symphysis pubis to sternal notch, lateral strength is enhanced by overlapping plastic, restricts gross trunk motion in the sagittal, coronal, and transverse planes, includes a carved plaster or cad-cam model, custom fabricated L0486
| |
|
Tlso, triplanar control, one piece rigid plastic shell with interface liner, multiple straps and closures, posterior extends from sacrococcygeal junction and terminates just inferior to scapular spine, anterior extends from symphysis pubis to sternal notch, anterior or posterior opening, restricts gross trunk motion in sagittal, coronal, and transverse planes, prefabricated, includes fitting and adjustment L0488
| |
|
Tlso, sagittal-coronal control, one piece rigid plastic shell, with overlapping reinforced anterior, with multiple straps and closures, posterior extends from sacrococcygeal junction and terminates at or before the t-9 vertebra, anterior extends from symphysis pubis to xiphoid, anterior opening, restricts gross trunk motion in sagittal and coronal planes, prefabricated, includes fitting and adjustment L0490
| |
|
Tlso, sagittal-coronal control, modular segmented spinal system, two rigid plastic shells, posterior extends from the sacrococcygeal junction and terminates just inferior to the scapular spine, anterior extends from the symphysis pubis to the xiphoid, soft liner, restricts gross trunk motion in the sagittal and coronal planes, lateral strength is provided by overlapping plastic and stabilizing closures, includes straps and closures, prefabricated, includes fitting and adjustment L0491
| |
|
Tlso, sagittal-coronal control, modular segmented spinal system, three rigid plastic shells, posterior extends from the sacrococcygeal junction and terminates just inferior to the scapular spine, anterior extends from the symphysis pubis to the xiphoid, soft liner, restricts gross trunk motion in the sagittal and coronal planes, lateral strength is provided by overlapping plastic and stabilizing closures, includes straps and closures, prefabricated, includes fitting and adjustment L0492
| |
|
Thoracic-lumbar-sacral-orthosis (tlso), inclusive of furnishing initial orthosis only L1200
| |
|
Addition to tlso, (low profile), lateral thoracic extension L1210
| |
|
Addition to tlso, (low profile), anterior thoracic extension L1220
| |
|
Addition to tlso, (low profile), milwaukee type superstructure L1230
| |
|
Addition to tlso, (low profile), lumbar derotation pad L1240
| |
|
Addition to tlso, (low profile), anterior asis pad L1250
| |
|
Addition to tlso, (low profile), anterior thoracic derotation pad L1260
| |
|
Addition to tlso, (low profile), abdominal pad L1270
| |
|
Addition to tlso, (low profile), rib gusset (elastic), each L1280
| |
|
Addition to tlso, (low profile), lateral trochanteric pad L1290
| |
|
Tobramycin,inhalation,solution,unit,dose J7682, J7685 |
|
|
Tobramycin,sulfate J3260
| |
|
Tocilizumab, J3262
| |
|
Toilet,accessories E0167 - E0179 , E0243, E0244, E0625 |
|
|
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
| |
|
Tolazoline,HCl J2670
| |
|
Toll,non,emergency,transport A0170
| |
|
Topical,hyperbaric,oxygen,chamber A4575
| |
|
Topotecan J8705, J9351 |
|
|
Torsemide, J3265
| |
|
Trabectedin, J9352
| |
|
Tracheostoma,heat,moisture,exchange,system A7501 - A7509 |
|
|
Tracheostoma valve, including diaphragm, each A7501
| |
|
Replacement diaphragmfaceplate for tracheostoma valve, each A7502
| |
|
Filter holder or filter cap, reusable, for use in a tracheostoma heat and moisture exchange system, each A7503
| |
|
Filter for use in a tracheostoma heat and moisture exchange system, each A7504
| |
|
Housing, reusable without adhesive, for use in a heat and moisture exchange system andor with a tracheostoma valve, each A7505
| |
|
Adhesive disc for use in a heat and moisture exchange system andor with tracheostoma valve, any type each A7506
| |
|
Filter holder and integrated filter without adhesive, for use in a tracheostoma heat and moisture exchange system, each A7507
| |
|
Housing and integrated adhesive, for use in a tracheostoma heat and moisture exchange system andor with a tracheostoma valve, each A7508
| |
|
Filter holder and integrated filter housing, and adhesive, for use as a tracheostoma heat and moisture exchange system, each A7509
| |
|
Tracheotomy,mask,or,collar A7525 - A7526 |
|
|
Tracheostomy mask, each A7525
| |
|
Tracheostomy tube collarholder, each A7526
| |
|
Traction,device,ambulatory E0830
| |
|
Traction,equipment E0840 - E0948 |
|
|
Traction frame, attached to footboard, pelvic traction E0890
| |
|
Traction frame, attached to footboard, extremity traction, (eg, buck's) E0870
| |
|
Traction frame, attached to headboard, cervical traction E0840
| |
|
Trapeze bars, aka patient helper, attached to bed, with grab bar E0910
| |
|
Traction equipment, overdoor, cervical E0860
| |
|
Traction stand, free standing, pelvic traction, (eg, buck's) E0900
| |
|
Traction stand, free standing, extremity traction, (eg, buck's) E0880
| |
|
Traction equipment, cervical, free-standing standframe, pneumatic, applying traction force to other than mandible E0849
| |
|
Trapeze bar, heavy duty, for patient weight capacity greater than 250 pounds, attached to bed, with grab bar E0911
| |
|
Traction stand, free standing, cervical traction E0850
| |
|
Trapeze bar, heavy duty, for patient weight capacity greater than 250 pounds, free standing, complete with grab bar E0912
| |
|
Cervical traction equipment not requiring additional stand or frame E0855
| |
|
Fracture frame, attached to bed, includes weights E0920
| |
|
Fracture frame, free standing, includes weights E0930
| |
|
Cervical traction device, with inflatable air bladder(s) E0856
| |
|
Continuous passive motion exercise device for use on knee only E0935
| |
|
Continuous passive motion exercise device for use other than knee E0936
| |
|
Trapeze bar, free standing, complete with grab bar E0940
| |
|
Gravity assisted traction device, any type E0941
| |
|
Cervical head harnesshalter E0942
| |
|
Pelvic beltharnessboot E0944
| |
|
Extremity beltharness E0945
| |
|
Fracture, frame, dual with cross bars, attached to bed, (eg, balken, 4 poster) E0946
| |
|
Fracture frame, attachments for complex pelvic traction E0947
| |
|
Fracture frame, attachments for complex cervical traction E0948
| |
|
Transcutaneous,electrical,nerve,stimulator,(TENS) E0720 - E0770 |
|
|
Transcutaneous electrical nerve stimulation (tens) device, two lead, localized stimulation E0720
| |
|
Transcutaneous electrical nerve stimulation (tens) device, four or more leads, for multiple nerve stimulation E0730
| |
|
Form fitting conductive garment for delivery of tens or nmes (with conductive fibers separated from the patient's skin by layers of fabric) E0731
| |
|
Non-implanted pelvic floor electrical stimulator, complete system E0740
| |
|
Neuromuscular stimulator for scoliosis E0744
| |
|
Neuromuscular stimulator, electronic shock unit E0745
| |
|
Electromyography (emg), biofeedback device E0746
| |
|
Osteogenesis stimulator, electrical, non-invasive, other than spinal applications E0747
| |
|
Osteogenesis stimulator, electrical, non-invasive, spinal applications E0748
| |
|
Osteogenesis stimulator, electrical, surgically implanted E0749
| |
|
Electronic salivary reflex stimulator (intra-oralnon-invasive) E0755
| |
|
Osteogenesis stimulator, low intensity ultrasound, non-invasive E0760
| |
|
Non-thermal pulsed high frequency radiowaves, high peak power electromagnetic energy treatment device E0761
| |
|
Transcutaneous electrical joint stimulation device system, includes all accessories E0762
| |
|
Functional neuromuscular stimulation, transcutaneous stimulation of sequential muscle groups of ambulation with computer control, used for walking by spinal cord injured, entire system, after completion of training program E0764
| |
|
Fda approved nerve stimulator, with replaceable batteries, for treatment of nausea and vomiting E0765
| |
|
Electrical stimulation device used for cancer treatment, includes all accessories, any type E0766
| |
|
Electrical stimulation or electromagnetic wound treatment device, not otherwise classified E0769
| |
|
Functional electrical stimulator, transcutaneous stimulation of nerve andor muscle groups, any type, complete system, not otherwise specified E0770
| |
|
Transducer,protector,dialysis E1575
| |
|
Transfer,(shoe,orthosis) L3600 - L3640 |
|
|
Transfer of an orthosis from one shoe to another, caliper plate, existing L3600
| |
|
Transfer of an orthosis from one shoe to another, caliper plate, new L3610
| |
|
Transfer of an orthosis from one shoe to another, solid stirrup, existing L3620
| |
|
Transfer of an orthosis from one shoe to another, solid stirrup, new L3630
| |
|
Transfer of an orthosis from one shoe to another, dennis browne splint (riveton), both shoes L3640
| |
|
Transfer,system,with,seat E1035
| |
|
Transparent,film,(for,dressing) A6257 - A6259 |
|
|
Transparent film, sterile, 16 sq in or less, each dressing A6257
| |
|
Transparent film, sterile, more than 16 sq in but less than or equal to 48 sq in, each dressing A6258
| |
|
Transparent film, sterile, more than 48 sq in, each dressing A6259
| |
|
ambulance A0021 - A0999 , Q3019, Q3020 |
|
|
Ambulance service, outside state per mile, transport (medicaid only) A0021
| |
|
Non-emergency transportation, per mile - vehicle provided by volunteer (individual or organization), with no vested interest A0080
| |
|
Non-emergency transportation, per mile - vehicle provided by individual (family member, self, neighbor) with vested interest A0090
| |
|
Non-emergency transportation taxi A0100
| |
|
Non-emergency transportation and bus, intra or inter state carrier A0110
| |
|
Non-emergency transportation mini-bus, mountain area transports, or other transportation systems A0120
| |
|
Non-emergency transportation wheelchair van A0130
| |
|
Non-emergency transportation and air travel (private or commercial) intra or inter state A0140
| |
|
Non-emergency transportation per mile - case worker or social worker A0160
| |
|
Transportation ancillary parking fees, tolls, other A0170
| |
|
Non-emergency transportation ancillary lodging-recipient A0180
| |
|
Non-emergency transportation ancillary meals-recipient A0190
| |
|
Non-emergency transportation ancillary lodging escort A0200
| |
|
Non-emergency transportation ancillary meals-escort A0210
| |
|
Ambulance service, neonatal transport, base rate, emergency transport, one way A0225
| |
|
Bls mileage (per mile) A0380
| |
|
Bls routine disposable supplies A0382
| |
|
Bls specialized service disposable supplies defibrillation (used by als ambulances and bls ambulances in jurisdictions where defibrillation is permitted in bls ambulances) A0384
| |
|
Als mileage (per mile) A0390
| |
|
Als specialized service disposable supplies defibrillation (to be used only in jurisdictions where defibrillation cannot be performed in bls ambulances) A0392
| |
|
Als specialized service disposable supplies iv drug therapy A0394
| |
|
Als specialized service disposable supplies esophageal intubation A0396
| |
|
Als routine disposable supplies A0398
| |
|
Ambulance waiting time (als or bls), one half (12) hour increments A0420
| |
|
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation A0422
| |
|
Extra ambulance attendant, ground (als or bls) or air (fixed or rotary winged) (requires medical review) A0424
| |
|
Ground mileage, per statute mile A0425
| |
|
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) A0426
| |
|
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) A0427
| |
|
Ambulance service, basic life support, non-emergency transport, (bls) A0428
| |
|
Ambulance service, basic life support, emergency transport (bls-emergency) A0429
| |
|
Ambulance service, conventional air services, transport, one way (fixed wing) A0430
| |
|
Ambulance service, conventional air services, transport, one way (rotary wing) A0431
| |
|
Paramedic intercept (pi), rural area, transport furnished by a volunteer ambulance company which is prohibited by state law from billing third party payers A0432
| |
|
Advanced life support, level 2 (als 2) A0433
| |
|
Specialty care transport (sct) A0434
| |
|
Fixed wing air mileage, per statute mile A0435
| |
|
Rotary wing air mileage, per statute mile A0436
| |
|
Noncovered ambulance mileage, per mile (eg, for miles traveled beyond closest appropriate facility) A0888
| |
|
Ambulance response and treatment, no transport A0998
| |
|
Unlisted ambulance service A0999
| |
|
corneal,tissue V2785
| |
|
EKG,(portable) R0076
| |
|
handicapped, A0130
| |
|
non,emergency A0080 - A0210 , T2001 - T2005 |
|
|
Non-emergency transportation patient attendantescort T2001
| |
|
Non-emergency transportation per diem T2002
| |
|
Non-emergency transportation encountertrip T2003
| |
|
Non-emergency transport commercial carrier, multi-pass T2004
| |
|
Non-emergency transportation stretcher van T2005
| |
|
Non-emergency transportation, per mile - vehicle provided by volunteer (individual or organization), with no vested interest A0080
| |
|
Non-emergency transportation, per mile - vehicle provided by individual (family member, self, neighbor) with vested interest A0090
| |
|
Non-emergency transportation taxi A0100
| |
|
Non-emergency transportation and bus, intra or inter state carrier A0110
| |
|
Non-emergency transportation mini-bus, mountain area transports, or other transportation systems A0120
| |
|
Non-emergency transportation wheelchair van A0130
| |
|
Non-emergency transportation and air travel (private or commercial) intra or inter state A0140
| |
|
Non-emergency transportation per mile - case worker or social worker A0160
| |
|
Transportation ancillary parking fees, tolls, other A0170
| |
|
Non-emergency transportation ancillary lodging-recipient A0180
| |
|
Non-emergency transportation ancillary meals-recipient A0190
| |
|
Non-emergency transportation ancillary lodging escort A0200
| |
|
Non-emergency transportation ancillary meals-escort A0210
| |
|
Non-emergency transportation patient attendantescort T2001
| |
|
Non-emergency transportation per diem T2002
| |
|
Non-emergency transportation encountertrip T2003
| |
|
Non-emergency transport commercial carrier, multi-pass T2004
| |
|
Non-emergency transportation stretcher van T2005
| |
|
service,including,ambulance A0021 - A0999 , T2006 |
|
|
Ambulance service, outside state per mile, transport (medicaid only) A0021
| |
|
Non-emergency transportation, per mile - vehicle provided by volunteer (individual or organization), with no vested interest A0080
| |
|
Non-emergency transportation, per mile - vehicle provided by individual (family member, self, neighbor) with vested interest A0090
| |
|
Non-emergency transportation taxi A0100
| |
|
Non-emergency transportation and bus, intra or inter state carrier A0110
| |
|
Non-emergency transportation mini-bus, mountain area transports, or other transportation systems A0120
| |
|
Non-emergency transportation wheelchair van A0130
| |
|
Non-emergency transportation and air travel (private or commercial) intra or inter state A0140
| |
|
Non-emergency transportation per mile - case worker or social worker A0160
| |
|
Transportation ancillary parking fees, tolls, other A0170
| |
|
Non-emergency transportation ancillary lodging-recipient A0180
| |
|
Non-emergency transportation ancillary meals-recipient A0190
| |
|
Non-emergency transportation ancillary lodging escort A0200
| |
|
Non-emergency transportation ancillary meals-escort A0210
| |
|
Ambulance service, neonatal transport, base rate, emergency transport, one way A0225
| |
|
Bls mileage (per mile) A0380
| |
|
Bls routine disposable supplies A0382
| |
|
Bls specialized service disposable supplies defibrillation (used by als ambulances and bls ambulances in jurisdictions where defibrillation is permitted in bls ambulances) A0384
| |
|
Als mileage (per mile) A0390
| |
|
Als specialized service disposable supplies defibrillation (to be used only in jurisdictions where defibrillation cannot be performed in bls ambulances) A0392
| |
|
Als specialized service disposable supplies iv drug therapy A0394
| |
|
Als specialized service disposable supplies esophageal intubation A0396
| |
|
Als routine disposable supplies A0398
| |
|
Ambulance waiting time (als or bls), one half (12) hour increments A0420
| |
|
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation A0422
| |
|
Extra ambulance attendant, ground (als or bls) or air (fixed or rotary winged) (requires medical review) A0424
| |
|
Ground mileage, per statute mile A0425
| |
|
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) A0426
| |
|
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) A0427
| |
|
Ambulance service, basic life support, non-emergency transport, (bls) A0428
| |
|
Ambulance service, basic life support, emergency transport (bls-emergency) A0429
| |
|
Ambulance service, conventional air services, transport, one way (fixed wing) A0430
| |
|
Ambulance service, conventional air services, transport, one way (rotary wing) A0431
| |
|
Paramedic intercept (pi), rural area, transport furnished by a volunteer ambulance company which is prohibited by state law from billing third party payers A0432
| |
|
Advanced life support, level 2 (als 2) A0433
| |
|
Specialty care transport (sct) A0434
| |
|
Fixed wing air mileage, per statute mile A0435
| |
|
Rotary wing air mileage, per statute mile A0436
| |
|
Noncovered ambulance mileage, per mile (eg, for miles traveled beyond closest appropriate facility) A0888
| |
|
Ambulance response and treatment, no transport A0998
| |
|
Unlisted ambulance service A0999
| |
|
taxi,non,emergency A0100
| |
|
toll,non,emergency A0170
| |
|
volunteer,non,emergency A0080, A0090 |
|
|
x-ray,(portable) R0070, R0075 |
|
|
Transtracheal,oxygen,catheter A7018
| |
|
Trapeze,bar E0910 - E0912 , E0940 |
|
|
Trapeze bars, aka patient helper, attached to bed, with grab bar E0910
| |
|
Trapeze bar, heavy duty, for patient weight capacity greater than 250 pounds, attached to bed, with grab bar E0911
| |
|
Trapeze bar, heavy duty, for patient weight capacity greater than 250 pounds, free standing, complete with grab bar E0912
| |
|
insertion, A4310 - A4316 |
|
|
Insertion tray without drainage bag and without catheter (accessories only) A4310
| |
|
Insertion tray without drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc) A4311
| |
|
Insertion tray without drainage bag with indwelling catheter, foley type, two-way, all silicone A4312
| |
|
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, A4320
| |
|
surgical,(see,also,kits) A4550
| |
|
wheelchair, E0950
| |
|
Treprostinil, J3285
| |
|
Triamcinolone, J3301 - J3303 |
|
|
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
| |
|
Injection, triamcinolone diacetate, per 5 mg J3302
| |
|
Injection, triamcinolone hexacetonide, per 5 mg J3303
| |
|
acetonide J3300, J3301 |
|
|
diacetate, J3302
| |
|
hexacetonide, J3303
| |
|
inhalation,solution,concentrated J7683
| |
|
inhalation,solution,unit,dose J7684
| |
|
anchoring,device A5200
| |
|
blood A4750, A4755 |
|
|
corrugated,tubing,non-disposable,used,with,large,volume,nebulizer,10,feet A4337
| |
|
drainage,extension A4331
| |
|
gastrostomy B4087, B4088 |
|
|
irrigation, A4355
| |
|
larynectomy, A462 |
|
|
nasogastric B4081, B4082 |
|
|
oxygen, A4616
| |
|
serum,clotting,time A4771
| |
|
stomach, B4083
| |
|
suction,pump,each A7002
| |
|
tire K0091, K0093, K0095, K0097 |
|
|
tracheostomy, A462 |
|
|
urinary,drainage K028 |
|
|
Triflupromazine,HCI J3400
| |
|
Trifocal,glass,or,plastic V2300 - V2399 |
|
|
Sphere, trifocal, plano to plus or minus 400d, per lens V2300
| |
|
Sphere, trifocal, plus or minus 412 to plus or minus 700d, per lens V2301
| |
|
Sphere, trifocal, plus or minus 712 to plus or minus 2000, per lens V2302
| |
|
Spherocylinder, trifocal, plano to plus or minus 400d sphere, 12-200d cylinder, per lens V2303
| |
|
Spherocylinder, trifocal, plano to plus or minus 400d sphere, 225-400d cylinder, per lens V2304
| |
|
Spherocylinder, trifocal, plano to plus or minus 400d sphere, 425 to 600 cylinder, per lens V2305
| |
|
Spherocylinder, trifocal, plano to plus or minus 400d sphere, over 600d cylinder, per lens V2306
| |
|
Spherocylinder, trifocal, plus or minus 425 to plus or minus 700d sphere, 12 to 200d cylinder, per lens V2307
| |
|
Spherocylinder, trifocal, plus or minus 425 to plus or minus 700d sphere, 212 to 400d cylinder, per lens V2308
| |
|
Spherocylinder, trifocal, plus or minus 425 to plus or minus 700d sphere, 425 to 600d cylinder, per lens V2309
| |
|
Spherocylinder, trifocal, plus or minus 425 to plus or minus 700d sphere, over 600d cylinder, per lens V2310
| |
|
Spherocylinder, trifocal, plus or minus 725 to plus or minus 1200d sphere, 25 to 225d cylinder, per lens V2311
| |
|
Spherocylinder, trifocal, plus or minus 725 to plus or minus 1200d sphere, 225 to 400d cylinder, per lens V2312
| |
|
Spherocylinder, trifocal, plus or minus 725 to plus or minus 1200d sphere, 425 to 600d cylinder, per lens V2313
| |
|
Spherocylinder, trifocal, sphere over plus or minus 1200d, per lens V2314
| |
|
Lenticular, (myodisc), per lens, trifocal V2315
| |
|
Aniseikonic lens, trifocal V2318
| |
|
Trifocal seg width over 28 mm V2319
| |
|
Trifocal add over 325d V2320
| |
|
Lenticular lens, per lens, trifocal V2321
| |
|
Specialty trifocal (by report) V2399
| |
|
Trimethobenzamide,HCl J3250
| |
|
Trimetrexate,glucuoronate J3305
| |
|
Triptorelin,pamoate J3315
| |
|
Truss, L8300 - L8330 |
|
|
Truss, single with standard pad L8300
| |
|
Truss, double with standard pads L8310
| |
|
Truss, addition to standard pad, water pad L8320
| |
|
Truss, addition to standard pad, scrotal pad L8330
| |
