Note:Medical/surgical supplies dispensed in a doctor's office or other non-inpatient setting, or by a certified home health aide as part of an at-home visit, are not covered as separate billable items. MEDICAL AND SURGICAL SUPPLIES - Child Health Plus Members EmblemHealth does not cover most medical/surgical supplies for Child Health Plus members.
Durable Medical Equipment HCPCS Codes Colorado */
Lithium Nitrate, Crystal, Reagent L1120 7790-69-4 Lithium Nitrate, Crystal, Reagent is the lithium salt of nitric acid and an inorganic compound. Lithium Aluminum Hydride, Powder L1102 16853-85-3 Lithium Aluminum Hydride, Powder is used as a reducing agent in organic synthesis.
surgical dressing holder, reusable, each a4465 non-elastic binder extremity a4481 trach, stoma filter any type, any size, each a4555 electrode-tranducer, use w-elec stim device for ca a4556 a4557 lead wire (eg, apnea monitor) per pair a4558 conductive paste or gel for use with tens/nmes a4561 a4565 a4566 shoulder sling or vest design abd restrainer with/ a4595
L1101 7439-93-2. Lithium Metal, 3.2 mm Diameter, Wire, Reagent, a chemical element, is a soft, silver-white metal. It has a high electrode potential and is an important component of the electrolyte and of one of the electrodes in batteries of rechargeabl
Durable Medical Equipment Fee Schedule Effective 04/01/20 - 03/31/21 HCPCS DESCRIPTION WV Medicaid Fee Purchase or Rental A4206 Syringe With Needle, Sterile 1cc Or Less, Each$ 0.27 Per BMS
l1120 add ctlso scolio ortho covr uprt ea l1200 tlso incl furnish init orthotc only surgical boot each infant l3209 surgical boot each child l3211 surgical boot each junior. l3212 hand rest repl glove for above l6920 wrst disartc otto bock/=swtch cntrl l6925 wrst dsrtc otto bock/=myoelc cntrl
disposable drug delivery system, flow rate 50 ml or more per hour a4306 disposable drug delivery system, flow rate 5 ml or less per hour a4221 filter holder and integrated filter without adhesive, for use in a tracheostoma heat and moisture exchange system a7508 t4536 adult sized disposable incontinence product, brief/diaper, small, each
gradient pressure aid (sleeve and glove s8424 gradient pressure aid (sleeve), ready ma s8427 gradient pressure aid (glove), ready mad s8428 gradient pressure aid (gauntlet), ready s8460 camisole,post-mastectomy s8999 resuscitation bag (for use by patient on t4521 adult sized disposable incontinence prod t4522 t4523 t4524 t4529
Montana Healthcare Programs Fee Schedule Durable Medical Equipment Services Proposed January 1, 2020 Proc
7.5503 609.94000000000005 121.99. 7.5503 609.94000000000005 121.99. 7.5503 609.94000000000005 121.99. 7.5503 609.94000000000005 121.99. 3.9546999999999999 319.48
moisture exchanger, disposable, for use with invasive mechanical ventilation 01/01/1999 a4490 surgical stockings above knee length, each a4495 surgical stockings thigh length, each a4500 surgical stockings below knee length, each a4520 incontinence garment, any type, (e.g. brief, diaper), each. a4553 non-disposable underpads, all sizes a4554
Non-sterile gloves A4928 Surgical mask A4929 Tourniquet for dialysis, ea A4930 Sterile, gloves per pair A4931 Reusable oral thermometer Disposable canister for pump A7001 Nondisposable pump canister A7002 Tubing used w suction pump L1120 Covers for upright each L1200 Furnsh initial orthosis only L1210 Lateral thoracic extension
Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) April 2018 Fee Schedule. HCPCS Mod Mod2 JURIS CATG TN (NR) Description. A4354
Prosthetics, Orthotics, and Disposable Supplies PA=Prepayment authorization required Maryland Medicaid DMS/DME Program Approved List of Items Above Knee Length surgical stocking 4 per yr A4495 Thigh Length surgical stocking A4500 Below Knee Length surgical stocking Gloves, non-sterile (100 per box) 5 bx mo A4930 Gloves, sterile, per pair
Lithium Borohydride, also known as Lithium tetrahydroborate or Lithium hydroborate, is a tetrahydroborate used as a reducing agent for esters in organic synthesis. Ungraded products supplied by Spectrum are indicative of a grade suitable
Disposable ext urethral dev A4361 Ostomy face plate A4362 Solid skin barrier A4363 Ostomy clamp, replacement L1120 Covers for upright each L1200 Furnsh initial orthosis only L1210 Lateral thoracic extension Gloves, non-ster/100 A4928 Surgical mask/20 A4930 Gloves, sterile/pair A9270 Non
NOTE:The following proposals are subject to change and will not become effective until further notice by the North Carolina Industrial Commission.