Healthcare Common Procedure Coding System. (HCPCS)



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Title / ConceptCUI
BALLISTOCARDIOGRAMC0004700
BallistocardiogramC0004700
CANE, INCLUDES CANES OF ALL MATERIALS, ADJUSTABLE OR FIXED, WITH TIPC0006856
Cane adjust/fixed with tipC0006856
NON-PRESCRIPTION DRUGSC0013231
Misc/exper non-prescript druC0013231
Factor viiiC0015506
FACTOR VIII (ANTIHEMOPHILIC FACTOR, HUMAN) PER I.U.C0015506
EMERGENCY SERVICESC0013961
Emergency ServicesC0013961
EMPLOYEE ASSISTANCE PROGRAMC0013995
Employee assistance programC0013995
ELECTRODES, (E.G., APNEA MONITOR), PER PAIRC0013812
Electrodes, pairC0013812
HEMODIALYSIS MACHINEC0019005
Hemodialysis machineC0019005
Artificial larynxC0023081
ARTIFICIAL LARYNX, ANY TYPEC0023081
Mental health service, nosC0025355
MENTAL HEALTH SERVICES, NOT OTHERWISE SPECIFIEDC0025355
NURSE MIDWIFEC0028655
Nurse midwifeC0028655
OSSICULA IMPLANTC0029395
Ossicular implantC0029395
Safety equipmentC0033612
SAFETY EQUIPMENT (E.G., BELT, HARNESS OR VEST)C0033612
SplintC0038009
SPLINTC0038009
TOPOGRAPHIC BRAIN MAPPINGC0040469
Topographic brain mappingC0040469
DiaphragmC0042241
DIAPHRAGM FOR CONTRACEPTIVE USEC0042241
Vena cava filterC0080306
VENA CAVA FILTERC0080306
Breast prosthesis NOSC0178391
BREAST PROSTHESIS, NOT OTHERWISE SPECIFIEDC0178391
Bed boardC0179261
BED BOARDC0179261
Air fluidized bedC0179267
AIR FLUIDIZED BEDC0179267
ROCKING BED WITH OR WITHOUT SIDE RAILSC0179282
Rocking bed w/ or w/o side rC0179282
Ostomy beltC0179289
OSTOMY BELT, EACHC0179289
HOT WATER BOTTLEC0179381
Hot water bottleC0179381
BREATHING CIRCUITSC0179423
Breathing circuitsC0179423
CANNULA, NASALC0179574
Cannula nasalC0179574
CATHETER, OCCLUSIONC0179777
Catheter, occlusionC0179777
CATHETER, URETERALC0179799
Catheter, ureteralC0179799
SITZ BATH CHAIRC0179870
Sitz bath chairC0179870
CONTINUOUS AIRWAY PRESSURE (CPAP) DEVICEC0180105
Cont airway pressure deviceC0180105
DIALYZER (ARTIFICIAL KIDNEYS), ALL TYPES, ALL SIZES, FOR HEMODIALYSIS, EACHC0180409
Dialyzer, eachC0180409
FACE TENTC0180824
Face tentC0180824
Hemostats for dialysis, eachC0180950
HEMOSTATS, EACHC0180950
AQUEOUS SHUNTC0181041
Aqueous shunt prosthesisC0181041
GUIDE WIREC0181089
Guide wireC0181089
Replacement air bubble detecC0181175
AIR BUBBLE DETECTOR FOR HEMODIALYSIS, EACH, REPLACEMENTC0181175
BLOOD PUMP FOR HEMODIALYSIS, REPLACEMENTC0181177
Replacement blood pumpC0181177
IV HANGER, EACHC0181391
Iv hangerC0181391
IV POLEC0181395
Iv poleC0181395
OSTOMY IRRIGATION SETC0181413
Ostomy irrigation setC0181413
ANTERIOR CHAMBER INTRAOCULAR LENSC0181608
Anter chamber intraocul lensC0181608
POSTERIOR CHAMBER INTRAOCULAR LENSC0181611
Post chmbr intraocular lensC0181611
TRACHEOSTOMY MASK, EACHC0181759
Tracheostomy maskC0181759
NEBULIZER, ULTRASONIC, LARGE VOLUMEC0181946
Nebulizer ultrasonicC0181946
PHOTOTHERAPY (BILIRUBIN) LIGHT WITH PHOTOMETERC0182262
Phototherapy light w/ photomC0182262
AIR PRESSURE MATTRESSC0182382
Air pressure mattressC0182382
REPLACEMENT PAD FOR USE WITH MEDICALLY NECESSARY ALTERNATING PRESSURE PAD OWNED BY PATIENTC0182383
Alternating pressure padC0182383
GEL PRESSURE MATTRESSC0182389
Gel pressure mattressC0182389
SURGICAL TRAYSC0182414
Surgical traysC0182414
PROSTHESIS, PENILE, INFLATABLEC0182504
Prosthesis, penile, inflatabC0182504
PUMP FOR ALTERNATING PRESSURE PAD, FOR REPLACEMENT ONLYC0182538
Replace pump, alt press padC0182538
REGULATORC0182953
Oxygen supplies regulatorC0182953
SLINGSC0183346
SlingsC0183346
OVER-BED TABLEC0183811
Over-bed tableC0183811
MUCUS TRAPC0184050
Mucus trapC0184050
Wheelchair wheelC0184422
WHEEL, SINGLEC0184422
ROUTINE VENIPUNCTURE FOR COLLECTION OF SPECIMEN(S)C0191013
Drawing blood for specimenC0191013
CHEMOTHERAPY ADMINISTRATION, INTRAVENOUS; PUSH TECHNIQUEC0191103
Chemotx adm, IV pushC0191103
CHEMOTHERAPY ADMINISTRATION, INTRAVENOUS; INFUSION TECHNIQUE, UP TO ONE HOURC0191104
Chemotx adm, IV inf up to 1hC0191104
GASTROINTESTINAL FAT ABSORPTION STUDYC0203755
Gastrointestinal fat absorptC0203755
LEFT ANTERIOR DESCENDING CORONARY ARTERYC0226032
Left ant des coronary arteryC0226032
LEFT CIRCUMFLEX CORONARY ARTERYC0226037
Lft circum coronary arteryC0226037
UPPER RIGHT, EYELIDC0229256
Upper right eyelidC0229256
UPPER LEFT, EYELIDC0229257
Upper left eyelidC0229257
LOWER RIGHT, EYELIDC0229259
Lower right eyelidC0229259
LOWER LEFT, EYELIDC0229260
Lower left eyelidC0229260
CLINICAL PSYCHOLOGISTC0237412
Clinical psychologistC0237412
MENTAL HEALTH PROGRAMC0237807
Mental health programC0237807
HORMONAL ANTI-NEOPLASTICC0282559
Hormonal anti-neoplasticC0282559
RESTRAINTS, ANY TYPE (BODY, CHEST, WRIST OR ANKLE)C0337184
Restraints any typeC0337184
Wheelchair brake extensionC0392237
MANUAL WHEELCHAIR ACCESSORY, WHEEL LOCK BRAKE EXTENSION (HANDLE), EACHC0392237
Photorefractive keratectomyC0395416
PHOTOREFRACTIVE KERATECTOMY (PRK)C0395416
SURFACE ELECTROMYOGRAPHY (EMG)C0430815
Surface EMGC0430815
BREAST PUMP, MANUAL, ANY TYPEC0441146
Manual breast pumpC0441146
WALKER, RIGID (PICKUP), ADJUSTABLE OR FIXED HEIGHTC0438860
Walker rigid adjust/fixed htC0438860
BLOOD LEAK DETECTOR FOR HEMODIALYSIS, EACH, REPLACEMENTC0491044
Replace blood leak detectorC0491044
STOMACH TUBE - LEVINE TYPEC0491127
Enteral stomach tube levineC0491127
Wheelchair anti-tipping deviC0492053
MANUAL WHEELCHAIR ACCESSORY, ANTI-TIPPING DEVICE, EACHC0492053
PAD FOR WATER CIRCULATING HEAT UNITC0492117
Pad water circulating heat uC0492117
CERVICAL CAP FOR CONTRACEPTIVE USEC0493327
Cervical cap contraceptiveC0493327
ALD unspecifiedC0493583
ASSISTIVE LISTENING DEVICE, NOT OTHERWISE SPECIFIEDC0493583
ANESTHESIA SERVICES PERFORMED PERSONALLY BY ANESTHESIOLOGISTC0497584
Anesthesia perf by anesgstC0497584
MEDICAL SUPERVISION BY A PHYSICIAN: MORE THAN FOUR CONCURRENT ANESTHESIA PROCEDURESC0497587
MD supervision, >4 anes procC0497587
CLINICAL SOCIAL WORKERC0497591
Clinical social workerC0497591
PHYSICIAN, TEAM MEMBER SERVICEC0497594
Physician, team member svcC0497594
DETERMINATION OF REFRACTIVE STATE WAS NOT PERFORMED IN THE COURSE OF DIAGNOSTIC OPHTHALMOLOGICAL EXAMINATIONC0497596
No dtmn of refractive stateC0497596
ITEM FURNISHED IN CONJUNCTION WITH A UROLOGICAL, OSTOMY, OR TRACHEOSTOMY SUPPLYC0497598
Uro, ostomy or trach itemC0497598
ITEM FURNISHED IN CONJUNCTION WITH A PROSTHETIC DEVICE, PROSTHETIC OR ORTHOTICC0497599
Item w prosthetic/orthoticC0497599
ITEM FURNISHED IN CONJUNCTION WITH A SURGICAL DRESSINGC0497600
Item w a surgical dressingC0497600
THE BENEFICIARY HAS BEEN INFORMED OF THE PURCHASE AND RENTAL OPTIONS AND HAS ELECTED TO PURCHASE THE ITEMC0497602
Bene electd to purchase itemC0497602
THE BENEFICIARY HAS BEEN INFORMED OF THE PURCHASE AND RENTAL OPTIONS AND HAS ELECTED TO RENT THE ITEMC0497603
Bene elected to rent itemC0497603
THE BENEFICIARY HAS BEEN INFORMED OF THE PURCHASE AND RENTAL OPTIONS AND AFTER 30 DAYS HAS NOT INFORMED THE SUPPLIER OF HIS/HER DECISIONC0497604
Bene undecided on purch/rentC0497604
PROCEDURE CODE CHANGE (USE `CC` WHEN THE PROCEDURE CODE SUBMITTED WAS CHANGED EITHER FOR ADMINISTRATIVE REASONS OR BECAUSE AN INCORRECT CODE WAS FILED)C0497605
Procedure code changeC0497605
SUBSEQUENT CLAIMS FOR A DEFINED COURSE OF THERAPY, E.G., EPO, SODIUM HYALURONATE, INFLIXIMABC0497607
Subsequent claimC0497607
EMERGENCY RESERVE SUPPLY (FOR ESRD BENEFIT ONLY)C0497608
Emer reserve supply (ESRD)C0497608
SERVICE PROVIDED AS PART OF MEDICAID EARLY PERIODIC SCREENING DIAGNOSIS AND TREATMENT (EPSDT) PROGRAMC0497609
Medicaid EPSDT program svcC0497609
LEFT HAND, SECOND DIGITC0497611
Left hand, second digitC0497611
LEFT HAND, THIRD DIGITC0497612
Left hand, third digitC0497612
LEFT HAND, FOURTH DIGITC0497613
Left hand, fourth digitC0497613
LEFT HAND, FIFTH DIGITC0497614
Left hand, fifth digitC0497614
RIGHT HAND, THUMBC0497615
Right hand, thumbC0497615
RIGHT HAND, SECOND DIGITC0497616
Right hand, second digitC0497616
RIGHT HAND, THIRD DIGITC0497617
Right hand, third digitC0497617
RIGHT HAND, FOURTH DIGITC0497618
Right hand, fourth digitC0497618
RIGHT HAND, FIFTH DIGITC0497619
Right hand, fifth digitC0497619
LEFT HAND, THUMBC0497620
Left hand, thumbC0497620
SERVICE PROVIDED AS PART OF FAMILY PLANNING PROGRAMC0497621
Svc part of family plan pgmC0497621
WAIVER OF LIABILITY STATEMENT ON FILEC0497622
Waiver of Liability on fileC0497622
THIS SERVICE HAS BEEN PERFORMED IN PART BY A RESIDENT UNDER THE DIRECTION OF A TEACHING PHYSICIANC0497624
Resident/teaching phys servC0497624
THIS SERVICE HAS BEEN PERFORMED BY A RESIDENT WITHOUT THE PRESENCE OF A TEACHING PHYSICIAN UNDER THE PRIMARY CARE EXCEPTIONC0497625
Resident prim care exceptionC0497625
LOWER EXTREMITY PROSTHESIS FUNCTIONAL LEVEL 0 - DOES NOT HAVE THE ABILITY OR POTENTIAL TO AMBULATE OR TRANSFER SAFELY WITH OR WITHOUT ASSISTANCE AND A PROSTHESIS DOES NOT ENHANCE THEIR QUALITY OF LIFE OR MOBILITY.C0497626
Lwr ext prost functnl lvl 0C0497626
LOWER EXTREMITY PROSTHESIS FUNCTIONAL LEVEL 1 - HAS THE ABILITY OR POTENTIAL TO USE A PROSTHESIS FOR TRANSFERS OR AMBULATION ON LEVEL SURFACES AT FIXED CADENCE. TYPICAL OF THE LIMITED AND UNLIMITED HOUSEHOLD AMBULATOR.C0497627
Lwr ext prost functnl lvl 1C0497627
LOWER EXTREMITY PROSTHESIS FUNCTIONAL LEVEL 2 - HAS THE ABILITY OR POTENTIAL FOR AMBULATION WITH THE ABILITY TO TRAVERSE LOW LEVEL ENVIRONMENTAL BARRIERS SUCH AS CURBS, STAIRS OR UNEVEN SURFACES. TYPICAL OF THE LIMITED COMMUNITY AMBULATOR.C0497628
Lwr ext prost functnl lvl 2C0497628
LOWER EXTREMITY PROSTHESIS FUNCTIONAL LEVEL 3 - HAS THE ABILITY OR POTENTIAL FOR AMBULATION WITH VARIABLE CADENCE. TYPICAL OF THE COMMUNITY AMBULATOR WHO HAS THE ABILITY TO TRANSVERSE MOST ENVIRONMENTAL BARRIERS AND MAY HAVE VOCATIONAL, THERAPEUTIC, OR EXERCISE ACTIVITY THAT DEMANDS PROSTHETIC UTILIZATION BEYOND SIMPLE LOCOMOTION.C0497629
Lwr ext prost functnl lvl 3C0497629
LOWER EXTREMITY PROSTHESIS FUNCTIONAL LEVEL 4 - HAS THE ABILITY OR POTENTIAL FOR PROSTHETIC AMBULATION THAT EXCEEDS THE BASIC AMBULATION SKILLS, EXHIBITING HIGH IMPACT, STRESS, OR ENERGY LEVELS, TYPICAL OF THE PROSTHETIC DEMANDS OF THE CHILD, ACTIVE ADULT, OR ATHLETE.C0497630
Lwr ext prost functnl lvl 4C0497630
ADD ON OPTION/ACCESSORY FOR WHEELCHAIRC0497631
Wheelchair add-on option/accC0497631
DMEPOS ITEM, INITIAL CLAIM, PURCHASE OR FIRST MONTH RENTALC0497638
DMEPOS ini clm, pur/1 mo rntC0497638
DMEPOS ITEM, SECOND OR THIRD MONTH RENTALC0497639
DMEPOS 2nd or 3rd mo rentalC0497639
DMEPOS ITEM, PARENTERAL ENTERAL NUTRITION (PEN) PUMP OR CAPPED RENTAL, MONTHS FOUR TO FIFTEENC0497640
DMEPOS PEN pmp or 4-15mo rntC0497640
REPLACEMENT OF FACIAL PROSTHESIS INCLUDING NEW IMPRESSION/MOULAGEC0497643
Rplc facial prosth new impC0497643
REPLACEMENT OF FACIAL PROSTHESIS USING PREVIOUS MASTER MODELC0497644
Rplc facial prosth old modC0497644
LEASE/RENTAL (USE THE `LL` MODIFIER WHEN DME EQUIPMENT RENTAL IS TO BE APPLIED AGAINST THE PURCHASE PRICE)C0497645
Lease/rental (appld to pur)C0497645
LABORATORY ROUND TRIPC0497646
Laboratory round tripC0497646
FDA-MONITORED INTRAOCULAR LENS IMPLANTC0497647
FDA-monitored IOL implantC0497647
LEFT SIDE (USED TO IDENTIFY PROCEDURES PERFORMED ON THE LEFT SIDE OF THE BODY)C0497648
Left sideC0497648
SIX MONTH MAINTENANCE AND SERVICING FEE FOR REASONABLE AND NECESSARY PARTS AND LABOR WHICH ARE NOT COVERED UNDER ANY MANUFACTURER OR SUPPLIER WARRANTYC0497650
6-mo maint/svc fee parts/lbrC0497650
NEW WHEN RENTED (USE THE `NR` MODIFIER WHEN DME WHICH WAS NEW AT THE TIME OF RENTAL IS SUBSEQUENTLY PURCHASED)C0497651
New when rentedC0497651
NEW EQUIPMENTC0497652
New equipmentC0497652
PROGRESSIVE ADDITION LENSESC0497653
Progressive addition lensesC0497653
HCFA/ORD DEMONSTRATION PROJECT PROCEDURE/SERVICEC0497654
HCFA/ORD demo procedure/svcC0497654
LIVE KIDNEY DONOR SURGERY AND RELATED SERVICESC0497655
Liver donor surgery/servicesC0497655
SERVICE FOR ORDERING/REFERRING PHYSICIAN QUALIFIES AS A SERVICE EXEMPTIONC0497656
Svc exempt - ordrg/rfrng MDC0497656
SERVICE FURNISHED BY A SUBSTITUTE PHYSICIAN UNDER A RECIPROCAL BILLING ARRANGEMENTC0497657
Subst MD svc, recip bill arrC0497657
SERVICE FURNISHED BY A LOCUM TENENS PHYSICIANC0497658
Locum tenens MD serviceC0497658
ONE CLASS A FINDINGC0497659
One Class A findingC0497659
TWO CLASS B FINDINGSC0497660
Two Class B findingsC0497660
ONE CLASS B AND TWO CLASS C FINDINGSC0497661
1 Class B & 2 Class C fndngsC0497661
FDA INVESTIGATIONAL DEVICE EXEMPTIONC0497662
FDA investigational deviceC0497662
PHYSICIAN PROVIDING SERVICE IN A RURAL HPSAC0497663
MD prvdg svc in rural HPSAC0497663
SINGLE CHANNEL MONITORINGC0497664
Single channel monitoringC0497664
RECORDING AND STORAGE IN SOLID STATE MEMORY BY A DIGITAL RECORDERC0497665
Rcrdg/strg in sld st memoryC0497665
PRESCRIBED AMOUNT OF OXYGEN IS LESS THAN 1 LITER PER MINUTE (LPM)C0497666
Prescribed oxygen < 1 LPMC0497666
PRESCRIBED AMOUNT OF OXYGEN EXCEEDS 4 LITERS PER MINUTE (LPM) AND PORTABLE OXYGEN IS PRESCRIBEDC0497667
Prscrbd oxygen >4 LPM & portC0497667
PRESCRIBED AMOUNT OF OXYGEN IS GREATER THAN 4 LITERS PER MINUTE(LPM)C0497668
Prescribed oxygen > 4 LPMC0497668
OXYGEN CONSERVING DEVICE IS BEING USED WITH AN OXYGEN DELIVERY SYSTEMC0497669
Oxygen cnsrvg dvc w del sysC0497669
MEDICAL DIRECTION OF TWO, THREE, OR FOUR CONCURRENT ANESTHESIA PROCEDURES INVOLVING QUALIFIED INDIVIDUALSC0497671
Med dir 2-4 cncrnt anes procC0497671
AMBULANCE SERVICE PROVIDED UNDER ARRANGEMENT BY A PROVIDER OF SERVICESC0497672
Ambulance arr by providerC0497672
AMBULANCE SERVICE FURNISHED DIRECTLY BY A PROVIDER OF SERVICESC0497673
Ambulance furn by providerC0497673
DOCUMENTATION IS ON FILE SHOWING THAT THE LABORATORY TEST(S) WAS ORDERED INDIVIDUALLY OR ORDERED AS A CPT-RECOGNIZED PANEL OTHER THAN AUTOMATED PROFILE CODES 80002-80019, G0058, G0059, AND G0060.C0497675
Individually ordered lab tstC0497675
MONITORED ANESTHESIA CARE SERVICEC0497677
Monitored anesthesia careC0497677
RECORDING AND STORAGE ON TAPE BY AN ANALOG TAPE RECORDERC0497678
Rcrdg/strg tape analog recdrC0497678
PHYSICIAN PROVIDING SERVICE IN AN URBAN HPSAC0497679
MD providing svc urban HPSAC0497679
CLIA WAIVED TESTC0497680
CLIA waived testC0497680
CRNA SERVICE: WITH MEDICAL DIRECTION BY A PHYSICIANC0497681
CRNA svc w/ MD med directionC0497681
CRNA SERVICE: WITHOUT MEDICAL DIRECTION BY A PHYSICIANC0497682
CRNA svc w/o med dir by MDC0497682
REPLACEMENT AND REPAIR -RP MAY BE USED TO INDICATE REPLACEMENT OF DME, ORTHOTIC AND PROSTHETIC DEVICES WHICH HAVE BEEN IN USE FOR SOMETIME. THE CLAIM SHOWS THE CODE FOR THE PART, FOLLOWED BY THE `RP` MODIFIER AND THE CHARGE FOR THE PART.C0497683
Replacement & repair(DMEPOS)C0497683
RENTAL (USE THE `RR` MODIFIER WHEN DME IS TO BE RENTED)C0497684
Rental (DME)C0497684
RIGHT SIDE (USED TO IDENTIFY PROCEDURES PERFORMED ON THE RIGHT SIDE OF THE BODY)C0497685
Right sideC0497685
SECOND OPINION ORDERED BY A PROFESSIONAL REVIEW ORGANIZATION (PRO) PER SECTION 9401, P.L. 99-272 (100% REIMBURSEMENT - NO MEDICARE DEDUCTIBLE OR COINSURANCE)C0497686
2nd opinion ordered by PROC0497686
AMBULATORY SURGICAL CENTER (ASC) FACILITY SERVICEC0497687
ASC facility serviceC0497687
LEFT FOOT, SECOND DIGITC0497689
Left foot, second digitC0497689
LEFT FOOT, THIRD DIGITC0497690
Left foot, third digitC0497690
LEFT FOOT, FOURTH DIGITC0497691
Left foot, fourth digitC0497691
LEFT FOOT, FIFTH DIGITC0497692
Left foot, fifth digitC0497692
RIGHT FOOT, GREAT TOEC0497693
Right foot, great toeC0497693
RIGHT FOOT, SECOND DIGITC0497694
Right foot, second digitC0497694
RIGHT FOOT, THIRD DIGITC0497695
Right foot, third digitC0497695
RIGHT FOOT, FOURTH DIGITC0497696
Right foot, fourth digitC0497696
RIGHT FOOT, FIFTH DIGITC0497697
Right foot, fifth digitC0497697
LEFT FOOT, GREAT TOEC0497698
Left foot, great toeC0497698
TECHNICAL COMPONENT. UNDER CERTAIN CIRCUMSTANCES, A CHARGE MAY BE MADE FOR THE TECHNICAL COMPONENT ALONE. UNDER THOSE CIRCUMSTANCES THE TECHNICAL COMPONENT CHARGE IS IDENTIFIED BY ADDING MODIFIER `TC` TO THE USUAL PROCEDURE NUMBER. TECHNICAL COMPONENT CHARGES ARE INSTITUTIONAL CHARGES AND NOT BILLED SEPARATELY BY PHYSICIANS. HOWEVER, PORTABLE X-RAY SUPPLIERS ONLY BILL FOR TECHNICAL COMPONENT AND SHOULD UTILIZE MODIFIER TC. THE CHARGE DATA FROM PORTABLE X-RAY SUPPLIERS WILL THEN BE USED TO BUILD CUSTOMARY AND PREVAILING PROFILES.C0497699
Technical componentC0497699
USED DURABLE MEDICAL EQUIPMENTC0497701
Used durable med equipmentC0497701
APHAKIC PATIENTC0497702
Aphakic patientC0497702
AMBULANCE SERVICE, OUTSIDE STATE PER MILE, TRANSPORT (MEDICAID ONLY)C0497707
Outside state ambulance servC0497707
NON-EMERGENCY TRANSPORTATION, PER MILE - VEHICLE PROVIDED BY VOLUNTEER (INDIVIDUAL OR ORGANIZATION), WITH NO VESTED INTERESTC0497713
Noninterest escort in non erC0497713
NON-EMERGENCY TRANSPORTATION, PER MILE - VEHICLE PROVIDED BY INDIVIDUAL (FAMILY MEMBER, SELF, NEIGHBOR) WITH VESTED INTERESTC0497714
Interest escort in non erC0497714
NON-EMERGENCY TRANSPORTATION; TAXIC0497715
Nonemergency transport taxiC0497715
NON-EMERGENCY TRANSPORTATION AND BUS, INTRA OR INTER STATE CARRIERC0497716
Nonemergency transport busC0497716
NON-EMERGENCY TRANSPORTATION: MINI-BUS, MOUNTAIN AREA TRANSPORTS, OR OTHER TRANSPORTATION SYSTEMSC0497717
Noner transport mini-busC0497717
NON-EMERGENCY TRANSPORTATION: WHEEL-CHAIR VANC0497718
Noner transport wheelch vanC0497718
NON-EMERGENCY TRANSPORTATION AND AIR TRAVEL (PRIVATE OR COMMERCIAL) INTRA OR INTER STATEC0497719
Nonemergency transport airC0497719
NON-EMERGENCY TRANSPORTATION: PER MILE - CASE WORKER OR SOCIAL WORKERC0497721
Noner transport case workerC0497721
TRANSPORTATION ANCILLARY: PARKING FEES, TOLLS, OTHERC0497722
Transport parking fees/tollsC0497722
NON-EMERGENCY TRANSPORTATION: ANCILLARY: LODGING-RECIPIENTC0497723
Noner transport lodgng recipC0497723
NON-EMERGENCY TRANSPORTATION: ANCILLARY: MEALS-RECIPIENTC0497724
Noner transport meals recipC0497724
NON-EMERGENCY TRANSPORTATION: ANCILLARY: LODGING ESCORTC0497725
Noner transport lodgng escrtC0497725
NON-EMERGENCY TRANSPORTATION: ANCILLARY: MEALS-ESCORTC0497726
Noner transport meals escortC0497726
AMBULANCE SERVICE, NEONATAL TRANSPORT, BASE RATE, EMERGENCY TRANSPORT, ONE WAYC0497732
Neonatal emergency transportC0497732
BLS MILEAGE (PER MILE)C0497757
Basic life support mileageC0497757
BLS ROUTINE DISPOSABLE SUPPLIESC0497758
Basic support routine supplsC0497758
BLS SPECIALIZED SERVICE DISPOSABLE SUPPLIES; DEFIBRILLATION (USED BY ALS AMBULANCES AND BLS AMBULANCES IN JURISDICTIONS WHERE DEFIBRILLATION IS PERMITTED IN BLS AMBULANCES)C0497759
Bls defibrillation suppliesC0497759
ALS MILEAGE (PER MILE)C0497760
Advanced life support mileagC0497760
ALS SPECIALIZED SERVICE DISPOSABLE SUPPLIES; DEFIBRILLATION (TO BE USED ONLY IN JURISDICTIONS WHERE DEFIBRILLATION CANNOT BE PERFORMED IN BLS AMBULANCES)C0497761
Als defibrillation suppliesC0497761
ALS SPECIALIZED SERVICE DISPOSABLE SUPPLIES; IV DRUG THERAPYC0497762
Als IV drug therapy suppliesC0497762
ALS SPECIALIZED SERVICE DISPOSABLE SUPPLIES; ESOPHAGEAL INTUBATIONC0497763
Als esophageal intub supplsC0497763
ALS ROUTINE DISPOSABLE SUPPLIESC0497764
Als routine disposble supplsC0497764
AMBULANCE WAITING TIME (ALS OR BLS), ONE HALF (1/2) HOUR INCREMENTSC0497765
Ambulance waiting 1/2 hrC0497765
AMBULANCE (ALS OR BLS) OXYGEN AND OXYGEN SUPPLIES, LIFE SUSTAINING SITUATIONC0497766
Ambulance 02 life sustainingC0497766
EXTRA AMBULANCE ATTENDANT, GROUND (ALS OR BLS) OR AIR (FIXED OR ROTARY WINGED); (REQUIRES MEDICAL REVIEW)C0497767
Extra ambulance attendantC0497767
NONCOVERED AMBULANCE MILEAGE, PER MILE (E.G., FOR MILES TRAVELED BEYOND CLOSEST APPROPRIATE FACILITY)C0497768
Noncovered ambulance mileageC0497768
UNLISTED AMBULANCE SERVICEC0497769
Unlisted ambulance serviceC0497769
1 CC sterile syringe&needleC0497777
SYRINGE WITH NEEDLE, STERILE, 1 CC OR LESS, EACHC0497777
SYRINGE WITH NEEDLE, STERILE 3CC, EACHC0497779
3 CC sterile syringe&needleC0497779
SYRINGE WITH NEEDLE, STERILE 5CC OR GREATER, EACHC0497780
5+ CC sterile syringe&needleC0497780
NEEDLE-FREE INJECTION DEVICE, EACHC0497781
Nonneedle injection deviceC0497781
SUPPLIES FOR SELF-ADMINISTERED INJECTIONSC0497782
Supp for self-adm injectionsC0497782
NON-CORING NEEDLE OR STYLET WITH OR WITHOUT CATHETERC0497783
Non coring needle or styletC0497783
SYRINGE, STERILE, 20 CC OR GREATER, EACHC0497784
20+ CC syringe onlyC0497784
NEEDLE, STERILE, ANY SIZE, EACHC0497786
Sterile needleC0497786
REFILL KIT FOR IMPLANTABLE INFUSION PUMPC0497787
Infusion pump refill kitC0497787
SUPPLIES FOR MAINTENANCE OF DRUG INFUSION CATHETER, PER WEEK (LIST DRUG SEPARATELY)C0497788
Maint drug infus cath per wkC0497788
INFUSION SUPPLIES FOR EXTERNAL DRUG INFUSION PUMP, PER CASSETTE OR BAG (LIST DRUGS SEPARATELY)C0497789
Infusion supplies with pumpC0497789
INFUSION SET FOR EXTERNAL INSULIN PUMP, NON NEEDLE CANNULA TYPEC0497790
Infus insulin pump non needlC0497790
INFUSION SET FOR EXTERNAL INSULIN PUMP, NEEDLE TYPEC0497791
Infusion insulin pump needleC0497791
SYRINGE WITH NEEDLE FOR EXTERNAL INSULIN PUMP, STERILE, 3CCC0497792
Syringe w/needle insulin 3ccC0497792
ALCOHOL OR PEROXIDE, PER PINTC0497793
Alcohol or peroxide per pintC0497793
ALCOHOL WIPES, PER BOXC0497794
Alcohol wipes per boxC0497794
BETADINE OR PHISOHEX SOLUTION, PER PINTC0497795
Betadine/phisohex solutionC0497795
BETADINE OR IODINE SWABS/WIPES, PER BOXC0497796
Betadine/iodine swabs/wipesC0497796
URINE TEST OR REAGENT STRIPS OR TABLETS (100 TABLETS OR STRIPS)C0497797
Urine reagent strips/tabletsC0497797
BLOOD GLUCOSE TEST OR REAGENT STRIPS FOR HOME BLOOD GLUCOSE MONITOR, PER 50 STRIPSC0497798
Blood glucose/reagent stripsC0497798
PLATFORMS FOR HOME BLOOD GLUCOSE MONITOR, 50 PER BOXC0497799
Glucose monitor platformsC0497799
NORMAL, LOW AND HIGH CALIBRATOR SOLUTION / CHIPSC0497800
Calibrator solution/chipsC0497800
LANCETS, PER BOX OF 100C0497801
Lancets per boxC0497801
LEVONORGESTREL (CONTRACEPTIVE) IMPLANTS SYSTEM, INCLUDING IMPLANTS AND SUPPLIESC0497802
Levonorgestrel implantC0497802
TEMPORARY, ABSORBABLE LACRIMAL DUCT IMPLANT, EACHC0497803
Temporary tear duct plugC0497803
PERMANENT, LONG TERM, NON-DISSOLVABLE LACRIMAL DUCT IMPLANT, EACHC0497804
Permanent tear duct plugC0497804
PARAFFIN, PER POUNDC0497805
ParaffinC0497805
DISPOSABLE ENDOSCOPE SHEATH, EACHC0497806
Disposable endoscope sheathC0497806
IMPLANTABLE ACCESS CATHETER, (E,G., VENOUS, ARTERIAL, EPIDURAL SUBARACHNOID, OR PERITONEAL, ETC.) EXTERNAL ACCESSC0497807
Cath impl vasc access portalC0497807
IMPLANTABLE ACCESS TOTAL CATHETER, PORT/RESERVOIR (E.G., VENOUS, ARTERIAL, EPIDURAL, SUBARACHNOID, PERITONEAL, ETC.)C0497808
Implantable access syst percC0497808
DISPOSABLE DRUG DELIVERY SYSTEM, FLOW RATE OF 50 ML OR GREATER PER HOURC0497809
Drug delivery system >=50 MLC0497809
DISPOSABLE DRUG DELIVERY SYSTEM, FLOW RATE OF LESS THAN 50 ML PER HOURC0497810
Drug delivery system <=50 mlC0497810
INSERTION TRAY WITHOUT DRAINAGE BAG AND WITHOUT CATHETER (ACCESSORIES ONLY)C0497811
Insert tray w/o bag/cathC0497811
INSERTION TRAY WITHOUT DRAINAGE BAG WITH INDWELLING CATHETER, FOLEY TYPE, TWO-WAY LATEX WITH COATING (TEFLON, SILICONE, SILICONE ELASTOMER OR HYDROPHILIC, ETC.)C0497812
Catheter w/o bag 2-way latexC0497812
INSERTION TRAY WITHOUT DRAINAGE BAG WITH INDWELLING CATHETER, FOLEY TYPE, TWO-WAY, ALL SILICONEC0497813
Cath w/o bag 2-way siliconeC0497813
INSERTION TRAY WITHOUT DRAINAGE BAG WITH INDWELLING CATHETER, FOLEY TYPE, THREE-WAY, FOR CONTINUOUS IRRIGATIONC0497814
Catheter w/bag 3-wayC0497814
INSERTION TRAY WITH DRAINAGE BAG WITH INDWELLING CATHETER, FOLEY TYPE, TWO-WAY LATEX WITH COATING (TEFLON, SILICONE, SILICONE ELASTOMER OR HYDROPHILIC, ETC.)C0497815
Cath w/drainage 2-way latexC0497815
INSERTION TRAY WITH DRAINAGE BAG WITH INDWELLING CATHETER, FOLEY TYPE, TWO-WAY, ALL SILICONEC0497816
Cath w/drainage 2-way silcneC0497816
INSERTION TRAY WITH DRAINAGE BAG WITH INDWELLING CATHETER, FOLEY TYPE, THREE-WAY, FOR CONTINUOUS IRRIGATIONC0497817
Cath w/drainage 3-wayC0497817
IRRIGATION TRAY WITH BULB OR PISTON SYRINGE, ANY PURPOSEC0497818
Irrigation trayC0497818
THERAPEUTIC AGENT FOR URINARY CATHETER IRRIGATIONC0497819
Cath therapeutic irrig agentC0497819
IRRIGATION SYRINGE, BULB OR PISTON, EACHC0497820
Irrigation syringeC0497820
MALE EXTERNAL CATHETER WITH INTEGRAL COLLECTION CHAMBER, ANY TYPE, EACHC0497822
Male external catheterC0497822
FEMALE EXTERNAL URINARY COLLECTION DEVICE; MEATAL CUP, EACHC0497823
Fem urinary collect dev cupC0497823
FEMALE EXTERNAL URINARY COLLECTION DEVICE; POUCH, EACHC0497824
Fem urinary collect pouchC0497824
PERIANAL FECAL COLLECTION POUCH WITH ADHESIVE, EACHC0497826
Stool collection pouchC0497826
INCONTINENCE SUPPLY; MISCELLANEOUSC0497827
Incontinence supplyC0497827
INDWELLING CATHETER; FOLEY TYPE, TWO-WAY LATEX WITH COATING (TEFLON, SILICONE, SILICONE ELASTOMER, OR HYDROPHILIC, ETC.), EACHC0497828
Indwelling catheter latexC0497828
INDWELLING CATHETER; SPECIALTY TYPE, EG; COUDE, MUSHROOM, WING, ETC.), EACHC0497829
Indwelling catheter specialC0497829
INDWELLING CATHETER, FOLEY TYPE, TWO-WAY, ALL SILICONE, EACHC0497830
Cath indw foley 2 way silicnC0497830
INDWELLING CATHETER; FOLEY TYPE, THREE WAY FOR CONTINUOUS IRRIGATION, EACHC0497831
Cath indw foley 3 wayC0497831
MALE EXTERNAL CATHETER WITH OR WITHOUT ADHESIVE, WITH OR WITHOUT ANTI-REFLUX DEVICE; PER DOZENC0497832
Male external catheterC0497832
INTERMITTENT URINARY CATHETER; STRAIGHT TIP, WITH OR WITHOUT COATING (TEFLON, SILICONE, SILICONE ELASTOMER, OR HYDROPHILIC, ETC.), EACHC0497833
Straight tip urine catheterC0497833
INTERMITTENT URINARY CATHETER; COUDE (CURVED) TIP, WITH OR WITHOUT COATING (TEFLON, SILICONE, SILICONE ELASTOMERIC, OR HYDROPHILIC, ETC.), EACHC0497834
Coude tip urinary catheterC0497834
INTERMITTENT URINARY CATHETER, WITH INSERTION SUPPLIESC0497835
Intermittent urinary cathC0497835
INSERTION TRAY WITH DRAINAGE BAG BUT WITHOUT CATHETERC0497836
Cath insertion tray w/bagC0497836
IRRIGATION TUBING SET FOR CONTINUOUS BLADDER IRRIGATION THROUGH A THREE-WAY INDWELLING FOLEY CATHETER, EACHC0497837
Bladder irrigation tubingC0497837
EXTERNAL URETHRAL CLAMP OR COMPRESSION DEVICE (NOT TO BE USED FOR CATHETER CLAMP), EACHC0497838
Ext ureth clmp or compr dvcC0497838
BEDSIDE DRAINAGE BAG, DAY OR NIGHT, WITH OR WITHOUT ANTI-REFLUX DEVICE, WITH OR WITHOUT TUBE, EACHC0497839
Bedside drainage bagC0497839
URINARY DRAINAGE BAG, LEG OR ABDOMEN, VINYL, WITH OR WITHOUT TUBE, WITH STRAPS, EACHC0497840
Urinary leg or abdomen bagC0497840
URINARY SUSPENSORY WITHOUT LEG BAG, EACHC0497841
Urinary suspensory w/o leg bC0497841
OSTOMY FACEPLATE, EACHC0497842
Ostomy face plateC0497842
SKIN BARRIER; SOLID, 4 X 4 OR EQUIVALENT; EACHC0497843
Solid skin barrierC0497843
ADHESIVE REMOVER WIPES, ANY TYPE, PER 50C0497846
Adhesive remover wipesC0497846
OSTOMY FILTER, ANY TYPE, EACHC0497847
Ostomy filterC0497847
IRRIGATION SUPPLY; SLEEVE, EACHC0497848
Irrigation supply sleeveC0497848
OSTOMY IRRIGATION SUPPLY; BAG, EACHC0497849
Ostomy irrigation bagC0497849
OSTOMY IRRIGATION SUPPLY; CONE/CATHETER, INCLUDING BRUSHC0497850
Ostomy irrig cone/cath w brsC0497850
LUBRICANT, PER OUNCEC0497851
Lubricant per ounceC0497851
ADHESIVE REMOVER OR SOLVENT (FOR TAPE, CEMENT OR OTHER ADHESIVE), PER OUNCEC0497855
Adhesive remover per ounceC0497855
NON-ELASTIC BINDER FOR EXTREMITYC0497857
Non-elastic extremity binderC0497857
GRAVLEE JET WASHERC0497858
Gravlee jet washerC0497858
VABRA ASPIRATORC0497859
Vabra aspiratorC0497859
TRACHEOSTOMA FILTER, ANY TYPE, ANY SIZE, EACHC0497860
Tracheostoma filterC0497860
SURGICAL STOCKINGS ABOVE KNEE LENGTH, EACHC0497861
Above knee surgical stockingC0497861
SURGICAL STOCKINGS THIGH LENGTH, EACHC0497862
Thigh length surg stockingC0497862
SURGICAL STOCKINGS BELOW KNEE LENGTH, EACHC0497863
Below knee surgical stockingC0497863
SURGICAL STOCKINGS FULL LENGTH, EACHC0497864
Full length surg stockingC0497864
DISPOSABLE UNDERPADS, ALL SIZESC0497865
Disposable underpadsC0497865
LEAD WIRES, (E.G., APNEA MONITOR), PER PAIRC0497866
Lead wires, pairC0497866
CONDUCTIVE GEL OR PASTE, FOR USE WITH ELECTRICAL DEVICE (E.G., TENS, NMES), PER OZC0497867
Conductive gel or pasteC0497867
TOPICAL HYPERBARIC OXYGEN CHAMBER, DISPOSABLEC0497868
Hyperbaric o2 chamber dispsC0497868
CAST SUPPLIES (E.G. PLASTER)C0497869
Cast supplies (plaster)C0497869
SPECIAL CASTING MATERIAL (E.G. FIBERGLASS)C0497871
Special casting materialC0497871
ELECTRICAL STIMULATOR SUPPLIES, 2 LEAD, PER MONTH, (E.G. TENS, NMES)C0497872
TENS suppl 2 lead per monthC0497872
BATTERY, HEAVY DUTY; REPLACEMENT FOR PATIENT OWNED VENTILATORC0497874
Heavy duty batteryC0497874
BATTERY CABLES; REPLACEMENT FOR PATIENT-OWNED VENTILATORC0497875
Battery cablesC0497875
BATTERY CHARGER; REPLACEMENT FOR PATIENT-OWNED VENTILATORC0497876
Battery chargerC0497876
TUBING (OXYGEN), PER FOOTC0497877
Tubing (oxygen) per footC0497877
MOUTH PIECEC0497878
Mouth pieceC0497878
VARIABLE CONCENTRATION MASKC0497879
Variable concentration maskC0497879
TRACHEOSTOMY, INNER CANNULAC0497882
Tracheostomy inner cannulaC0497882
TRACHEAL SUCTION CATHETER, ANY TYPE OTHER THAN CLOSED SYSTEM, EACHC0497883
Tracheal suction tubeC0497883
TRACHEOSTOMY CARE KIT FOR NEW TRACHEOSTOMYC0497884
Trach care kit for new trachC0497884
TRACHEOSTOMY CLEANING BRUSH, EACHC0497885
Tracheostomy cleaning brushC0497885
SPACER, BAG OR RESERVOIR, WITH OR WITHOUT MASK, FOR USE WITH METERED DOSE INHALERC0497886
Spacer bag/reservoirC0497886
REPLACEMENT BATTERIES, MEDICALLY NECESSARY, TRANSCUTANEOUS ELECTRICAL STIMULATOR, OWNED BY PATIENTC0497887
Repl bat t.e.n.s. own by ptC0497887
UNDERARM PAD, CRUTCH, REPLACEMENT, EACHC0497889
Underarm crutch padC0497889
REPLACEMENT, HANDGRIP, CANE, CRUTCH, OR WALKER, EACHC0497890
Handgrip for cane etcC0497890
REPLACEMENT, TIP, CANE, CRUTCH, WALKER, EACH.C0497891
Repl tip cane/crutch/walkerC0497891
RADIOPHARMACEUTICAL, DIAGNOSTIC, NOT OTHERWISE CLASSIFIEDC0497893
Radiopharm dx agent nocC0497893
INDIUM IN-111 SATUMOMAB PENDETIDE, DIAGNOSTIC, PER STUDY DOSE, UP TO 6 MILLICURIESC0497894
In111 satumomabC0497894
SUPPLY OF PARAMAGNETIC CONTRAST MATERIAL, EG., GADOLINIUMC0497895
Supp- paramagnetic contr matC0497895
SURGICAL SUPPLY; MISCELLANEOUSC0497896
Surgical suppliesC0497896
SPHYGMOMANOMETER/BLOOD PRESSURE APPARATUS WITH CUFF AND STETHOSCOPEC0497899
Sphyg/bp app w cuff and stetC0497899
AUTOMATIC BLOOD PRESSURE MONITORC0497901
Automatic bp monitor, dialC0497901
ACTIVATED CARBON FILTER FOR HEMODIALYSIS, EACHC0497902
Activated carbon filter, eaC0497902
FISTULA CANNULATION SET FOR HEMODIALYSIS, EACHC0497906
Fistula cannulation set, eaC0497906
SHUNT ACCESSORY, FOR HEMODIALYSIS, ANY TYPE, EACHC0497908
Shunt accessoryC0497908
BLOOD TUBING, ARTERIAL OR VENOUS, FOR HEMODIALYSIS, EACHC0497909
Art or venous blood tubingC0497909
BLOOD TUBING, ARTERIAL AND VENOUS COMBINED, FOR HEMODIALYSIS, EACHC0497910
Comb art/venous blood tubingC0497910
DIALYSATE CONCENTRATE, POWDER, ADDITIVE FOR PERITONEAL DIALYSIS, PER PACKETC0497912
Dialysate conc pow per packC0497912
OCCULT BLOOD TEST STRIPS, FOR DIALYSIS, PER 50C0497916
Occult blood test stripsC0497916
AMMONIA TEST STRIPS, FOR DIALYSIS, PER 50C0497917
Ammonia test stripsC0497917
DISPOSABLE CATHETER TIPS FOR PERITONEAL DIALYSIS, PER 10C0497922
Disposable catheter tipsC0497922
PLUMBING AND/OR ELECTRICAL WORK FOR HOME HEMODIALYSIS EQUIPMENTC0497923
Plumb/elec wk hm hemo equipC0497923
CONTRACTS, REPAIR AND MAINTENANCE, FOR HEMODIALYSIS EQUIPMENTC0497925
Repair/maint cont hemo equipC0497925
MISCELLANEOUS DIALYSIS SUPPLIES, NOT OTHERWISE SPECIFIEDC0497931
Misc dialysis supplies nocC0497931
VENOUS PRESSURE CLAMP, FOR HEMODIALYSIS, EACHC0497933
Venous pressure clampC0497933
GLOVES, NON-STERILE, PER 100C0497937
Non-sterile glovesC0497937
OSTOMY POUCH, CLOSED; WITH BARRIER ATTACHED (1 PIECE), EACHC0497938
Pouch clsd w barr attachedC0497938
OSTOMY POUCH, CLOSED; WITHOUT BARRIER ATTACHED (1 PIECE), EACHC0497939
Clsd ostomy pouch w/o barrC0497939
OSTOMY POUCH, CLOSED; FOR USE ON FACEPLATE, EACHC0497940
Clsd ostomy pouch faceplateC0497940
OSTOMY POUCH, CLOSED; FOR USE ON BARRIER WITH FLANGE (2 PIECE), EACHC0497941
Clsd ostomy pouch w/flangeC0497941
STOMA CAPC0497942
Stoma capC0497942
OSTOMY POUCH, DRAINABLE; WITH BARRIER ATTACHED, (1 PIECE), EACHC0497943
Pouch drainable w barrier atC0497943
OSTOMY POUCH, DRAINABLE; WITHOUT BARRIER ATTACHED (1 PIECE), EACHC0497944
Drnble ostomy pouch w/o barrC0497944
OSTOMY POUCH, DRAINABLE; FOR USE ON BARRIER WITH FLANGE (2 PIECE SYSTEM), EACHC0497945
Drain ostomy pouch w/flangeC0497945
OSTOMY POUCH, URINARY; WITH BARRIER ATTACHED (1 PIECE), EACHC0497948
Urinary pouch w/barrierC0497948
OSTOMY POUCH, URINARY; WITHOUT BARRIER ATTACHED (1 PIECE), EACHC0497949
Urinary pouch w/o barrierC0497949
OSTOMY POUCH, URINARY; FOR USE ON BARRIER WITH FLANGE (2 PIECE), EACHC0497950
Urinary pouch on barr w/flngC0497950
CONTINENT DEVICE; PLUG FOR CONTINENT STOMAC0497953
Continent stoma plugC0497953
CONTINENT DEVICE; CATHETER FOR CONTINENT STOMAC0497954
Continent stoma catheterC0497954
OSTOMY ACCESSORY; CONVEX INSERTC0497955
Ostomy accessory convex inseC0497955
BEDSIDE DRAINAGE BOTTLE WITH OR WITHOUT TUBING, RIGID OR EXPANDABLE, EACHC0497956
Bedside drain btl w/wo tubeC0497956
URINARY SUSPENSORY WITH LEG BAG, WITH OR WITHOUT TUBE, EACHC0497957
Urinary suspensoryC0497957
URINARY LEG BAG; LATEXC0497958
Urinary leg bagC0497958
SKIN BARRIER, WIPES OR SWABS, PER BOX 50C0497959
Skin barrier wipes box pr 50C0497959
SKIN BARRIER; SOLID, 6 X 6 OR EQUIVALENT, EACHC0497960
Solid skin barrier 6x6C0497960
SKIN BARRIER; SOLID, 8 X 8 OR EQUIVALENT, EACHC0497961
Solid skin barrier 8x8C0497961
ADHESIVE OR NON-ADHESIVE; DISK OR FOAM PADC0497963
Disk/foam pad +or- adhesiveC0497963
APPLIANCE CLEANER, INCONTINENCE AND OSTOMY APPLIANCES, PER 16 OZ.C0497964
Appliance cleanerC0497964
GEL SHEET FOR DERMAL OR EPIDERMAL APPLICATION, (E.G., SILICONE, HYDROGEL, OTHER), EACHC0497967
Silicone gel sheet, eachC0497967
FOAM DRESSING, WOUND COVER, PAD SIZE 16 SQ. IN. OR LESS, WITHOUT ADHESIVE BORDER, EACH DRESSINGC0497968
Foam drsg <=16 sq in w/o bdrC0497968
GAUZE, NON-IMPREGNATED, NON-STERILE, PAD SIZE MORE THAN 48 SQ. IN., WITHOUT ADHESIVE BORDER, EACH DRESSINGC0497969
Non-sterile gauze > 48 sq inC0497969
GAUZE, NON-IMPREGNATED, PAD SIZE 16 SQ. IN. OR LESS, WITH ANY SIZE ADHESIVE BORDER, EACH DRESSINGC0497970
Gauze <= 16 sq in w/borderC0497970
GAUZE, IMPREGNATED, WATER OR NORMAL SALINE, PAD SIZE MORE THAT 16 SQ. IN. BUT LESS THAN OR EQUAL TO 48 SQ. IN., WITHOUT ADHESIVE BORDER, EACH DRESSINGC0497971
Gauze >16<=48 sq in watr/salC0497971
EXERCISE EQUIPMENTC0497977
Exercise equipmentC0497977
TECHNETIUM TC-99M MEDRONATE, DIAGNOSTIC, PER STUDY DOSE, UP TO 30 MILLICURIESC0497978
Tc99m medronateC0497978
ENTERAL FEEDING SUPPLY KIT; SYRINGE FED, PER DAYC0497979
Enter feed supkit syr by dayC0497979
ENTERAL FEEDING SUPPLY KIT; PUMP FED, PER DAYC0497980
Enteral feed supp pump per dC0497980
ENTERAL FEEDING SUPPLY KIT; GRAVITY FED, PER DAYC0497981
Enteral feed sup kit grav byC0497981
NASOGASTRIC TUBING WITH STYLETC0497982
Enteral ng tubing w/ styletC0497982
NASOGASTRIC TUBING WITHOUT STYLETC0497983
Enteral ng tubing w/o styletC0497983
PARENTERAL NUTRITION SOLUTION: CARBOHYDRATES (DEXTROSE), 50% OR LESS (500 ML = 1 UNIT) - HOMEMIXC0497986
Parenteral 50% dextrose soluC0497986
PARENTERAL NUTRITION SOLUTION; AMINO ACID, 3.5%, (500 ML = 1 UNIT) - HOMEMIXC0497987
Parenteral sol amino acid 3.C0497987
PARENTERAL NUTRITION SOLUTION; AMINO ACID, 5.5% THROUGH 7%, (500 ML = 1 UNIT) - HOMEMIXC0497988
Parenteral sol amino acid 5.C0497988
PARENTERAL NUTRITION SOLUTION; AMINO ACID, 7% THROUGH 8.5%, (500 ML = 1 UNIT) - HOMEMIXC0497989
Parenteral sol amino acid 7-C0497989
PARENTERAL NUTRITION SOLUTION: AMINO ACID, GREATER THAN 8.5% (500 ML = 1 UNIT) - HOMEMIXC0497990
Parenteral sol amino acid >C0497990
PARENTERAL NUTRITION SOLUTION; CARBOHYDRATES (DEXTROSE), GREATER THAN 50% (500 ML=1 UNIT) - HOMEMIXC0497991
Parenteral sol carb > 50%C0497991
PARENTERAL NUTRITION SOLUTION; LIPIDS, 10% WITH ADMINISTRATION SET (500 ML = 1 UNIT)C0497992
Parenteral sol lipids 10%C0497992
PARENTERAL NUTRITION SOLUTION, LIPIDS, 20% WITH ADMINISTRATION SET (500 ML = 1 UNIT)C0497993
Parenteral sol lipids 20%C0497993
PARENTERAL NUTRITION SOLUTION; COMPOUNDED AMINO ACID AND CARBOHYDRATES WITH ELECTROLYTES, TRACE ELEMENTS, AND VITAMINS, INCLUDING PREPARATION, ANY STRENGTH, 10 TO 51 GRAMS OF PROTEIN - PREMIXC0497994
Parenteral sol amino acid &C0497994
PARENTERAL NUTRITION SOLUTION; COMPOUNDED AMINO ACID AND CARBOHYDRATES WITH ELECTROLYTES, TRACE ELEMENTS, AND VITAMINS, INCLUDING PREPARATION, ANY STRENGTH, 52 TO 73 GRAMS OF PROTEIN - PREMIXC0497995
Parenteral sol 52-73 gm protC0497995
PARENTERAL NUTRITION SOLUTION; COMPOUNDED AMINO ACID AND CARBOHYDRATES WITH ELECTROLYTES, TRACE ELEMENTS AND VITAMINS, INCLUDING PREPARATION, ANY STRENGTH, 74 TO 100 GRAMS OF PROTEIN - PREMIXC0497996
Parenteral sol 74-100 gm proC0497996
PARENTERAL NUTRITION SOLUTION; COMPOUNDED AMINO ACID AND CARBOHYDRATES WITH ELECTROLYTES, TRACE ELEMENTS AND VITAMINS, INCLUDING PREPARATION, ANY STRENGTH, OVER 100 GRAMS OF PROTEIN - PREMIXC0497997
Parenteral sol > 100gm proteC0497997
PARENTERAL NUTRITION; ADDITIVES (VITAMINS, TRACE ELEMENTS, HEPARIN, ELECTROLYTES) HOMEMIX PER DAYC0497998
Parenteral nutrition additivC0497998
PARENTERAL NUTRITION SUPPLY KIT; PREMIX, PER DAYC0497999
Parenteral supply kit premixC0497999
PARENTERAL NUTRITION SUPPLY KIT; HOME MIX, PER DAYC0498000
Parenteral supply kit homemiC0498000
PARENTERAL NUTRITION ADMINISTRATION KIT, PER DAYC0498001
Parenteral administration kiC0498001
PARENTERAL NUTRITION SOLUTION: COMPOUNDED AMINO ACID AND CARBOHYDRATES WITH ELECTROLYTES, TRACE ELEMENTS, AND VITAMINS, INCLUDING PREPARATION, ANY STRENGTH, RENAL - AMIROSYN RF, NEPHRAMINE, RENAMINE - PREMIXC0498002
Parenteral sol renal-amirosyC0498002
PARENTERAL NUTRITION SOLUTION: COMPOUNDED AMINO ACID AND CARBOHYDRATES WITH ELECTROLYTES, TRACE ELEMENTS, AND VITAMINS, INCLUDING PREPARATION, ANY STRENGTH, HEPATIC - FREAMINE HBC, HEPATAMINE - PREMIXC0498003
Parenteral sol hepatic-freamC0498003
PARENTERAL NUTRITION SOLUTION: COMPOUNDED AMINO ACID AND CARBOHYDRATES WITH ELECTROLYTES, TRACE ELEMENTS, AND VITAMINS, INCLUDING PREPARATION, ANY STRENGTH, STRESS - BRANCH CHAIN AMINO ACIDS - PREMIXC0498004
Parenteral sol stres-brnch cC0498004
ENTERAL NUTRITION INFUSION PUMP - WITHOUT ALARMC0498005
Enter infusion pump w/o alrmC0498005
ENTERAL NUTRITION INFUSION PUMP - WITH ALARMC0498006
Enteral infusion pump w/ alaC0498006
PARENTERAL NUTRITION INFUSION PUMP, PORTABLEC0498007
Parenteral infus pump portabC0498007
PARENTERAL NUTRITION INFUSION PUMP, STATIONARYC0498008
Parenteral infus pump statioC0498008
NOC FOR ENTERAL SUPPLIESC0498009
Enteral supp not otherwise cC0498009
NOC FOR PARENTERAL SUPPLIESC0498010
Parenteral supp not othrws cC0498010
CANE, QUAD OR THREE PRONG, INCLUDES CANES OF ALL MATERIALS, ADJUSTABLE OR FIXED, WITH TIPSC0498350
Cane adjust/fixed quad/3 proC0498350
CRUTCHES, FOREARM, INCLUDES CRUTCHES OF VARIOUS MATERIALS, ADJUSTABLE OR FIXED, PAIR, COMPLETE WITH TIPS AND HANDGRIPSC0498351
Crutch forearm pairC0498351
CRUTCH FOREARM, INCLUDES CRUTCHES OF VARIOUS MATERIALS, ADJUSTABLE OR FIXED, EACH, WITH TIP AND HANDGRIPSC0498352
Crutch forearm eachC0498352
CRUTCHES UNDERARM, WOOD, ADJUSTABLE OR FIXED, PAIR, WITH PADS, TIPS AND HANDGRIPSC0498353
Crutch underarm pair woodC0498353
CRUTCH UNDERARM, WOOD, ADJUSTABLE OR FIXED, EACH, WITH PAD, TIP AND HANDGRIPC0498354
Crutch underarm each woodC0498354
CRUTCHES UNDERARM, OTHER THAN WOOD, ADJUSTABLE OR FIXED, PAIR, WITH PADS, TIPS AND HANDGRIPSC0498355
Crutch underarm pair no woodC0498355
CRUTCH, UNDERARM, OTHER THAN WOOD, ADJUSTABLE OR FIXED, WITH PAD, TIP, HANDGRIP, WITH OR WITHOUT SHOCK ABSORBER, EACHC0498356
Crutch underarm each no woodC0498356
WALKER, FOLDING (PICKUP), ADJUSTABLE OR FIXED HEIGHTC0498358
Walker folding adjust/fixedC0498358
WALKER, RIGID, WHEELED, ADJUSTABLE OR FIXED HEIGHTC0498359
Rigid wheeled walker adj/fixC0498359
WALKER, FOLDING, WHEELED, ADJUSTABLE OR FIXED HEIGHTC0498361
Walker folding wheeled w/o sC0498361
WALKER, HEAVY DUTY, MULTIPLE BRAKING SYSTEM, VARIABLE WHEEL RESISTANCEC0498364
Walker variable wheel resistC0498364
PLATFORM ATTACHMENT, FOREARM CRUTCH, EACHC0498365
Forearm crutch platform attaC0498365
PLATFORM ATTACHMENT, WALKER, EACHC0498366
Walker platform attachmentC0498366
WHEEL ATTACHMENT, RIGID PICK-UP WALKER, PER PAIRC0498367
Walker wheel attachment,pairC0498367
SEAT ATTACHMENT, WALKERC0498368
Walker seat attachmentC0498368
CRUTCH ATTACHMENT, WALKER, EACHC0498369
Walker crutch attachmentC0498369
LEG EXTENSIONS FOR WALKER, PER SET OF FOUR (4)C0498370
Walker leg extenders set of4C0498370
SITZ TYPE BATH OR EQUIPMENT, PORTABLE, USED WITH OR WITHOUT COMMODEC0498371
Sitz type bath or equipmentC0498371
SITZ TYPE BATH OR EQUIPMENT, PORTABLE, USED WITH OR WITHOUT COMMODE, WITH FAUCET ATTACHMENT/SC0498372
Sitz bath/equipment w/faucetC0498372
COMMODE CHAIR, MOBILE OR STATIONARY, WITH FIXED ARMSC0498373
Commode chair with fixed armC0498373
COMMODE CHAIR, MOBILE, WITH FIXED ARMSC0498374
Commode chair mobile fixed aC0498374
COMMODE CHAIR, MOBILE OR STATIONARY, WITH DETACHABLE ARMSC0498375
Commode chair with detacharmC0498375
COMMODE CHAIR, MOBILE, WITH DETACHABLE ARMSC0498376
Commode chair mobile detachC0498376
PAIL OR PAN FOR USE WITH COMMODE CHAIR, REPLACEMENT ONLYC0498377
Commode chair pail or panC0498377
FOOT REST, FOR USE WITH COMMODE CHAIR, EACHC0498378
Commode chair foot restC0498378
AIR PRESSURE PAD OR CUSHION, NONPOSITIONINGC0498379
Air pressre pad/cushion nonpC0498379
WATER PRESSURE PAD OR CUSHION, NONPOSITIONINGC0498380
Water press pad/cushion nonpC0498380
DRY PRESSURE PAD OR CUSHION, NONPOSITIONINGC0498381
Dry pressre pad/cushion nonpC0498381
POWERED PRESSURE REDUCING MATTRESS OVERLAY/PAD, ALTERNATING, WITH PUMP, INCLUDES HEAVY DUTYC0498382
Press pad alternating w/ pumC0498382
DRY PRESSURE MATTRESSC0498383
Dry pressure mattressC0498383
WATER PRESSURE MATTRESSC0498385
Water pressure mattressC0498385
SYNTHETIC SHEEPSKIN PADC0498386
Synthetic sheepskin padC0498386
LAMBSWOOL SHEEPSKIN PAD, ANY SIZEC0498387
Lambswool sheepskin padC0498387
HEEL OR ELBOW PROTECTOR, EACHC0498388
Protector heel or elbowC0498388
POWERED AIR FLOTATION BED (LOW AIR LOSS THERAPY)C0498389
Powered air flotation bedC0498389
HEAT LAMP, WITHOUT STAND (TABLE MODEL), INCLUDES BULB, OR INFRARED ELEMENTC0498391
Heat lamp without standC0498391
HEAT LAMP, WITH STAND, INCLUDES BULB, OR INFRARED ELEMENTC0498393
Heat lamp with standC0498393
ELECTRIC HEAT PAD, STANDARDC0498394
Electric heat pad standardC0498394
ELECTRIC HEAT PAD, MOISTC0498395
Electric heat pad moistC0498395
WATER CIRCULATING HEAT PAD WITH PUMPC0498396
Water circ heat pad w pumpC0498396
WATER CIRCULATING COLD PAD WITH PUMPC0498397
Water circ cold pad w pumpC0498397
HYDROCOLLATOR UNIT, INCLUDES PADSC0498398
Hydrocollator unitC0498398
ICE CAP OR COLLARC0498399
Ice cap or collarC0498399
PARAFFIN BATH UNIT, PORTABLE (SEE MEDICAL SUPPLY CODE A4265 FOR PARAFFIN)C0498400
Paraffin bath unit portableC0498400
PUMP FOR WATER CIRCULATING PADC0498401
Pump for water circulating pC0498401
NON-ELECTRIC HEAT PAD, MOISTC0498403
Heat pad non-electric moistC0498403
HYDROCOLLATOR UNIT, PORTABLEC0498404
Hydrocollator unit portableC0498404
BATH TUB WALL RAIL, EACHC0498405
Bath tub wall railC0498405
BATH TUB RAIL, FLOOR BASEC0498406
Bath tub rail floorC0498406
TOILET RAIL, EACHC0498407
Toilet railC0498407
RAISED TOILET SEATC0498408
Toilet seat raisedC0498408
TUB STOOL OR BENCHC0498409
Tub stool or benchC0498409
TRANSFER TUB RAIL ATTACHMENTC0498410
Transfer tub rail attachmentC0498410
HOSPITAL BED, FIXED HEIGHT, WITH ANY TYPE SIDE RAILS, WITH MATTRESSC0498412
Hosp bed fixed ht w/ mattresC0498412
HOSPITAL BED, FIXED HEIGHT, WITH ANY TYPE SIDE RAILS, WITHOUT MATTRESSC0498413
Hosp bed fixd ht w/o mattresC0498413
HOSPITAL BED, VARIABLE HEIGHT, HI-LO, WITH ANY TYPE SIDE RAILS, WITH MATTRESSC0498414
Hospital bed var ht w/ mattrC0498414
HOSPITAL BED, VARIABLE HEIGHT, HI-LO, WITH ANY TYPE SIDE RAILS, WITHOUT MATTRESSC0498415
Hospital bed var ht w/o mattC0498415
HOSPITAL BED, SEMI-ELECTRIC (HEAD AND FOOT ADJUSTMENT), WITH ANY TYPE SIDE RAILS, WITH MATTRESSC0498416
Hosp bed semi-electr w/ mattC0498416
HOSPITAL BED, SEMI-ELECTRIC (HEAD AND FOOT ADJUSTMENT), WITH ANY TYPE SIDE RAILS, WITHOUT MATTRESSC0498417
Hosp bed semi-electr w/o matC0498417
HOSPITAL BED, TOTAL ELECTRIC (HEAD, FOOT AND HEIGHT ADJUSTMENTS), WITH ANY TYPE SIDE RAILS, WITH MATTRESSC0498418
Hosp bed total electr w/ matC0498418
HOSPITAL BED, TOTAL ELECTRIC (HEAD, FOOT AND HEIGHT ADJUSTMENTS), WITH ANY TYPE SIDE RAILS, WITHOUT MATTRESSC0498419
Hosp bed total elec w/o mattC0498419
HOSPITAL BED, INSTITUTIONAL TYPE INCLUDES: OSCILLATING, CIRCULATING AND STRYKER FRAME, WITH MATTRESSC0498420
Hospital bed institutional tC0498420
MATTRESS, INNERSPRINGC0498421
Mattress innerspringC0498421
MATTRESS, FOAM RUBBERC0498422
Mattress foam rubberC0498422
BED PAN, STANDARD, METAL OR PLASTICC0498423
Bed pan standardC0498423
BED PAN, FRACTURE, METAL OR PLASTICC0498424
Bed pan fractureC0498424
HOSPITAL BED, FIXED HEIGHT, WITHOUT SIDE RAILS, WITH MATTRESSC0498425
Hosp bed fx ht w/o rails w/mC0498425
HOSPITAL BED, FIXED HEIGHT, WITHOUT SIDE RAILS, WITHOUT MATTRESSC0498426
Hosp bed fx ht w/o rail w/oC0498426
HOSPITAL BED, VARIABLE HEIGHT, HI-LO, WITHOUT SIDE RAILS, WITH MATTRESSC0498427
Hosp bed var ht w/o rail w/oC0498427
HOSPITAL BED, VARIABLE HEIGHT, HI-LO, WITHOUT SIDE RAILS, WITHOUT MATTRESSC0498428
Hosp bed var ht w/o rail w/C0498428
HOSPITAL BED, SEMI-ELECTRIC (HEAD AND FOOT ADJUSTMENT), WITHOUT SIDE RAILS, WITH MATTRESSC0498429
Hosp bed semi-elect w/ mattrC0498429
HOSPITAL BED, SEMI-ELECTRIC (HEAD AND FOOT ADJUSTMENT), WITHOUT SIDE RAILS, WITHOUT MATTRESSC0498430
Hosp bed semi-elect w/o mattC0498430
HOSPITAL BED, TOTAL ELECTRIC (HEAD, FOOT AND HEIGHT ADJUSTMENTS). WITHOUT SIDE RAILS, WITH MATTRESSC0498431
Hosp bed total elect w/ mattC0498431
HOSPITAL BED, TOTAL ELECTRIC (HEAD, FOOT AND HEIGHT ADJUSTMENTS), WITHOUT SIDE RAILS, WITHOUT MATTRESSC0498432
Hosp bed total elect w/o matC0498432
BED SIDE RAILS, HALF LENGTHC0498433
Rails bed side half lengthC0498433
BED SIDE RAILS, FULL LENGTHC0498434
Rails bed side full lengthC0498434
BED ACCESSORY: BOARD, TABLE, OR SUPPORT DEVICE, ANY TYPEC0498435
Bed accessory brd/tbl/supprtC0498435
URINAL; MALE, JUG-TYPE, ANY MATERIALC0498436
Urinal male jug-typeC0498436
URINAL; FEMALE, JUG-TYPE, ANY MATERIALC0498437
Urinal female jug-typeC0498437
CONTROL UNIT FOR ELECTRONIC BOWEL IRRIGATION/EVACUATION SYSTEMC0498438
Control unit bowel systemC0498438
DISPOSABLE PACK (WATER RESERVOIR BAG, SPECULUM, VALVING MECHANISM AND COLLECTION BAG/BOX) FOR USE WITH THE ELECTRONIC BOWEL IRRIGATION/EVACUATION SYSTEMC0498439
Disposable pack w/bowel systC0498439
STATIONARY COMPRESSED GASEOUS OXYGEN SYSTEM, RENTAL; INCLUDES CONTAINER, CONTENTS, REGULATOR, FLOWMETER, HUMIDIFIER, NEBULIZER, CANNULA OR MASK, AND TUBINGC0498440
Stationary compressed gas 02C0498440
STATIONARY COMPRESSED GAS SYSTEM, PURCHASE; INCLUDES REGULATOR, FLOWMETER, HUMIDIFIER, NEBULIZER, CANNULA OR MASK, AND TUBINGC0498441
Gas system stationary compreC0498441
PORTABLE GASEOUS OXYGEN SYSTEM, PURCHASE; INCLUDES REGULATOR, FLOWMETER, HUMIDIFIER, CANNULA OR MASK, AND TUBINGC0498442
Oxygen system gas portableC0498442
PORTABLE GASEOUS OXYGEN SYSTEM, RENTAL; INCLUDES PORTABLE CONTAINER, REGULATOR, FLOWMETER, HUMIDIFIER, CANNULA OR MASK, AND TUBINGC0498443
Portable gaseous 02C0498443
PORTABLE LIQUID OXYGEN SYSTEM, RENTAL; INCLUDES PORTABLE CONTAINER, SUPPLY RESERVOIR, HUMIDIFIER, FLOWMETER, REFILL ADAPTOR, CONTENTS GAUGE, CANNULA OR MASK, AND TUBINGC0498444
Portable liquid 02C0498444
PORTABLE LIQUID OXYGEN SYSTEM, PURCHASE; INCLUDES PORTABLE CONTAINER, SUPPLY RESERVOIR, FLOWMETER, HUMIDIFIER, CONTENTS GAUGE, CANNULA OR MASK, TUBING AND REFILL ADAPTORC0498445
Oxygen system liquid portablC0498445
STATIONARY LIQUID OXYGEN SYSTEM, RENTAL; INCLUDES CONTAINER, CONTENTS, REGULATOR, FLOWMETER, HUMIDIFIER, NEBULIZER, CANNULA OR MASK, & TUBINGC0498446
Stationary liquid 02C0498446
STATIONARY LIQUID OXYGEN SYSTEM, PURCHASE; INCLUDES USE OF RESERVOIR, CONTENTS INDICATOR, REGULATOR, FLOWMETER, HUMIDIFIER, NEBULIZER, CANNULA OR MASK, AND TUBINGC0498447
Oxygen system liquid stationC0498447
OXYGEN CONTENTS, GASEOUS (FOR USE WITH OWNED GASEOUS STATIONARY SYSTEMS OR WHEN BOTH A STATIONARY AND PORTABLE GASEOUS SYSTEM ARE OWNED), 1 MONTH`S SUPPLY = 1 UNITC0498448
Oxygen contents, gaseousC0498448
OXYGEN CONTENTS, LIQUID (FOR USE WITH OWNED LIQUID STATIONARY SYSTEMS OR WHEN BOTH A STATIONARY AND PORTABLE LIQUID SYSTEM ARE OWNED), 1 MONTH`S SUPPLY = 1 UNITC0498449
Oxygen contents, liquidC0498449
PORTABLE OXYGEN CONTENTS, GASEOUS (FOR USE ONLY WITH PORTABLE GASEOUS SYSTEMS WHEN NO STATIONARY GAS OR LIQUID SYSTEM IS USED), 1 MONTH`S SUPPLY = 1 UNITC0498450
Portable 02 contents, gasC0498450
PORTABLE OXYGEN CONTENTS, LIQUID (FOR USE ONLY WITH PORTABLE LIQUID SYSTEMS WHEN NO STATIONARY GAS OR LIQUID SYSTEM IS USED), 1 MONTH`S SUPPLY = 1 UNITC0498451
Portable 02 contents, liquidC0498451
VOLUME CONTROL VENTILATOR, WITHOUT PRESSURE SUPPORT MODE, MAY INCLUDE PRESSURE CONTROL MODE, USED WITH INVASIVE INTERFACE (E.G., TRACHEOSTOMY TUBE)C0498452
Vol control vent invasiv intC0498452
OXYGEN TENT, EXCLUDING CROUP OR PEDIATRIC TENTSC0498455
Oxygen tent excl croup/ped tC0498455
CHEST SHELL (CUIRASS)C0498456
Chest shellC0498456
CHEST WRAPC0498457
Chest wrapC0498457
NEGATIVE PRESSURE VENTILATOR; PORTABLE OR STATIONARYC0498458
Neg press vent portabl/statnC0498458
PERCUSSOR, ELECTRIC OR PNEUMATIC, HOME MODELC0498459
Percussor elect/pneum home mC0498459
IPPB MACHINE, ALL TYPES, WITH BUILT-IN NEBULIZATION; MANUAL OR AUTOMATIC VALVES; INTERNAL OR EXTERNAL POWER SOURCEC0498460
Ippb all typesC0498460
HUMIDIFIER, DURABLE FOR EXTENSIVE SUPPLEMENTAL HUMIDIFICATION DURING IPPB TREATMENTS OR OXYGEN DELIVERYC0498461
Humidif extens supple w ippbC0498461
HUMIDIFIER, DURABLE, GLASS OR AUTOCLAVABLE PLASTIC BOTTLE TYPE, FOR USE WITH REGULATOR OR FLOWMETERC0498462
Humidifier for use w/ regulaC0498462
HUMIDIFIER, DURABLE FOR SUPPLEMENTAL HUMIDIFICATION DURING IPPB TREATMENT OR OXYGEN DELIVERYC0498463
Humidifier supplemental w/ iC0498463
COMPRESSOR, AIR POWER SOURCE FOR EQUIPMENT WHICH IS NOT SELF- CONTAINED OR CYLINDER DRIVENC0498464
Compressor air power sourceC0498464
NEBULIZER, WITH COMPRESSORC0498465
Nebulizer with compressionC0498465
NEBULIZER, DURABLE, GLASS OR AUTOCLAVABLE PLASTIC, BOTTLE TYPE, FOR USE WITH REGULATOR OR FLOWMETERC0498466
Nebulizer for use w/ regulatC0498466
NEBULIZER, WITH COMPRESSOR AND HEATERC0498467
Nebulizer w/ compressor & heC0498467
RESPIRATORY SUCTION PUMP, HOME MODEL, PORTABLE OR STATIONARY, ELECTRICC0498468
Suction pump portab hom modlC0498468
VAPORIZER, ROOM TYPEC0498470
Vaporizer room typeC0498470
POSTURAL DRAINAGE BOARDC0498471
Drainage board posturalC0498471
PACEMAKER MONITOR, SELF-CONTAINED, (CHECKS BATTERY DEPLETION, INCLUDES AUDIBLE AND VISIBLE CHECK SYSTEMS)C0498474
Pacemaker monitr audible/visC0498474
PACEMAKER MONITOR, SELF CONTAINED, CHECKS BATTERY DEPLETION AND OTHER PACEMAKER COMPONENTS, INCLUDES DIGITAL/VISIBLE CHECK SYSTEMSC0498475
Pacemaker monitr digital/visC0498475
SLING OR SEAT, PATIENT LIFT, CANVAS OR NYLONC0498476
Patient lift sling or seatC0498476
PATIENT LIFT, BATHROOM OR TOILET, NOT OTHERWISE CLASSIFIEDC0498477
Patient lift bathroom or toiC0498477
SEAT LIFT MECHANISM INCORPORATED INTO A COMBINATION LIFT-CHAIR MECHANISMC0498478
Seat lift incorp lift-chairC0498478
SEPARATE SEAT LIFT MECHANISM FOR USE WITH PATIENT OWNED FURNITURE-ELECTRICC0498479
Seat lift for pt furn-electrC0498479
SEPARATE SEAT LIFT MECHANISM FOR USE WITH PATIENT OWNED FURNITURE-NON-ELECTRICC0498480
Seat lift for pt furn-non-elC0498480
PATIENT LIFT, HYDRAULIC OR MECHANICAL, INCLUDES ANY SEAT, SLING, STRAP(S) OR PAD(S)C0498481
Patient lift hydraulicC0498481
PATIENT LIFT, ELECTRIC WITH SEAT OR SLINGC0498482
Patient lift electricC0498482
PNEUMATIC COMPRESSOR, NON-SEGMENTAL HOME MODELC0498483
Pneuma compresor non-segmentC0498483
PNEUMATIC COMPRESSOR, SEGMENTAL HOME MODEL WITHOUT CALIBRATED GRADIENT PRESSUREC0498484
Pneum compressor segmentalC0498484
PNEUMATIC COMPRESSOR, SEGMENTAL HOME MODEL WITH CALIBRATED GRADIENT PRESSUREC0498485
Pneum compres w/cal pressureC0498485
NON-SEGMENTAL PNEUMATIC APPLIANCE FOR USE WITH PNEUMATIC COMPRESSOR, HALF ARMC0498486
Pneumatic appliance half armC0498486
NON-SEGMENTAL PNEUMATIC APPLIANCE FOR USE WITH PNEUMATIC COMPRESSOR, FULL LEGC0498487
Pneumatic appliance full legC0498487
NON-SEGMENTAL PNEUMATIC APPLIANCE FOR USE WITH PNEUMATIC COMPRESSOR, FULL ARMC0498488
Pneumatic appliance full armC0498488
NON-SEGMENTAL PNEUMATIC APPLIANCE FOR USE WITH PNEUMATIC COMPRESSOR, HALF LEGC0498489
Pneumatic appliance half legC0498489
SEGMENTAL PNEUMATIC APPLIANCE FOR USE WITH PNEUMATIC COMPRESSOR, FULL LEGC0498490
Seg pneumatic appl full legC0498490
SEGMENTAL PNEUMATIC APPLIANCE FOR USE WITH PNEUMATIC COMPRESSOR, FULL ARMC0498491
Seg pneumatic appl full armC0498491
SEGMENTAL PNEUMATIC APPLIANCE FOR USE WITH PNEUMATIC COMPRESSOR, HALF LEGC0498492
Seg pneumatic appli half legC0498492
SEGMENTAL GRADIENT PRESSURE PNEUMATIC APPLIANCE, FULL LEGC0498494
Pressure pneum appl full legC0498494
SEGMENTAL GRADIENT PRESSURE PNEUMATIC APPLIANCE, FULL ARMC0498495
Pressure pneum appl full armC0498495
SEGMENTAL GRADIENT PRESSURE PNEUMATIC APPLIANCE, HALF LEGC0498496
Pressure pneum appl half legC0498496
TRANSCUTANEOUS ELECTRICAL NERVE STIMULATION (TENS) DEVICE, TWO LEAD, LOCALIZED STIMULATIONC0498498
Tens two leadC0498498
TRANSCUTANEOUS ELECTRICAL NERVE STIMULATION (TENS) DEVICE, FOUR OR MORE LEADS, FOR MULTIPLE NERVE STIMULATIONC0498499
Tens four leadC0498499
FORM FITTING CONDUCTIVE GARMENT FOR DELIVERY OF TENS OR NMES (WITH CONDUCTIVE FIBERS SEPARATED FROM THE PATIENT`S SKIN BY LAYERS OF FABRIC)C0498500
Conductive garment for tens/C0498500
INCONTINENCE TREATMENT SYSTEM, PELVIC FLOOR STIMULATOR, MONITOR, SENSOR AND/OR TRAINERC0498501
Incontinence treatment systmC0498501
NEUROMUSCULAR STIMULATOR FOR SCOLIOSISC0498502
Neuromuscular stim for scoliC0498502
NEUROMUSCULAR STIMULATOR, ELECTRONIC SHOCK UNITC0498503
Neuromuscular stim for shockC0498503
ELECTROMYOGRAPHY (EMG), BIOFEEDBACK DEVICEC0498504
Electromyograph biofeedbackC0498504
OSTEOGENESIS STIMULATOR, ELECTRICAL, NON-INVASIVE, OTHER THAN SPINAL APPLICATIONSC0498505
Elec osteogen stim not spineC0498505
OSTEOGENESIS STIMULATOR, ELECTRICAL, NON-INVASIVE, SPINAL APPLICATIONSC0498506
Elec osteogen stim spinalC0498506
OSTEOGENESIS STIMULATOR, ELECTRICAL, SURGICALLY IMPLANTEDC0498507
Elec osteogen stim implantedC0498507
ELECTRONIC SALIVARY REFLEX STIMULATOR (INTRA-ORAL/NON-INVASIVE)C0498510
Electronic salivary reflex sC0498510
OSTEOGENESIS STIMULATOR, LOW INTENSITY ULTRASOUND, NON-INVASIVEC0498511
Osteogen ultrasound stimltorC0498511
AMBULATORY INFUSION PUMP, SINGLE OR MULTIPLE CHANNELS, ELECTRIC OR BATTERY OPERATED, WITH ADMINISTRATIVE EQUIPMENT, WORN BY PATIENTC0498513
External ambulatory infus puC0498513
INFUSION PUMP, IMPLANTABLE, NON-PROGRAMMABLE (INCLUDES ALL COMPONENTS, E.G., PUMP, CATHETER, CONNECTORS, ETC.)C0498514
Non-programble infusion pumpC0498514
EXTERNAL AMBULATORY INFUSION PUMP, INSULINC0498515
Ext amb infusn pump insulinC0498515
PARENTERAL INFUSION PUMP, STATIONARY, SINGLE OR MULTI-CHANNELC0498516
Parenteral infusion pump staC0498516
TRACTION FRAME, ATTACHED TO HEADBOARD, CERVICAL TRACTIONC0498517
Tract frame attach headboardC0498517
TRACTION STAND, FREE STANDING, CERVICAL TRACTIONC0498518
Traction stand free standingC0498518
TRACTION EQUIPMENT, OVERDOOR, CERVICALC0498519
Tract equip cervical tractC0498519
TRACTION FRAME, ATTACHED TO FOOTBOARD, EXTREMITY TRACTION, (E.G. BUCK`S)C0498520
Tract frame attach footboardC0498520
TRACTION STAND, FREE STANDING, EXTREMITY TRACTION, (E.G., BUCK`S)C0498521
Trac stand free stand extremC0498521
TRACTION FRAME, ATTACHED TO FOOTBOARD, PELVIC TRACTIONC0498522
Traction frame attach pelvicC0498522
TRACTION STAND, FREE STANDING, PELVIC TRACTION, (E.G., BUCK`S)C0498523
Trac stand free stand pelvicC0498523
TRAPEZE BARS, A/K/A PATIENT HELPER, ATTACHED TO BED, WITH GRAB BARC0498524
Trapeze bar attached to bedC0498524
FRACTURE FRAME, ATTACHED TO BED, INCLUDES WEIGHTSC0498525
Fracture frame attached to bC0498525
FRACTURE FRAME, FREE STANDING, INCLUDES WEIGHTSC0498526
Fracture frame free standingC0498526
CONTINUOUS PASSIVE MOTION EXERCISE DEVICE FOR USE ON KNEE ONLYC0498527
Cont pas motion exercise devC0498527
TRAPEZE BAR, FREE STANDING, COMPLETE WITH GRAB BARC0498528
Trapeze bar free standingC0498528
GRAVITY ASSISTED TRACTION DEVICE, ANY TYPEC0498529
Gravity assisted traction deC0498529
CERVICAL HEAD HARNESS/HALTERC0498530
Cervical head harness/halterC0498530
PELVIC BELT/HARNESS/BOOTC0498531
Pelvic belt/harness/bootC0498531
EXTREMITY BELT/HARNESSC0498532
Belt/harness extremityC0498532
FRACTURE, FRAME, DUAL WITH CROSS BARS, ATTACHED TO BED, (E.G. BALKEN, 4 POSTER)C0498533
Fracture frame dual w crossC0498533
FRACTURE FRAME, ATTACHMENTS FOR COMPLEX PELVIC TRACTIONC0498534
Fracture frame attachmnts peC0498534
FRACTURE FRAME, ATTACHMENTS FOR COMPLEX CERVICAL TRACTIONC0498535
Fracture frame attachmnts ceC0498535
HEEL LOOP/HOLDER, ANY TYPE, WITH OR WITHOUT ANKLE STRAP, EACHC0498536
Loop heelC0498536
TOE LOOP/HOLDER, ANY TYPE, EACHC0498537
Toe loop/holder, eachC0498537
PNEUMATIC TIRE, EACHC0498538
Pneumatic tireC0498538
SEMI-PNEUMATIC CASTER, EACHC0498539
Wheelchair semi-pneumatic caC0498539
MANUAL WHEELCHAIR ACCESSORY, ONE-ARM DRIVE ATTACHMENT, EACHC0498540
Whlchr att- conv 1 arm driveC0498540
MANUAL WHEELCHAIR ACCESSORY, ADAPTER FOR AMPUTEE, EACHC0498541
Amputee adapterC0498541
1" CUSHION, FOR WHEELCHAIRC0498542
Wheelchair 1 inch cushionC0498542
2" CUSHION, FOR WHEELCHAIRC0498543
Wheelchair 2 inch cushionC0498543
3" CUSHION, FOR WHEELCHAIRC0498544
Wheelchair 3 inch cushionC0498544
4" CUSHION, FOR WHEELCHAIRC0498545
Wheelchair 4 inch cushionC0498545
MANUAL WHEELCHAIR ACCESSORY, HAND RIM WITH PROJECTIONS, ANY TYPE, EACHC0498547
Manual wc hand rim w projectC0498547
COMMODE SEAT, WHEELCHAIRC0498548
Wheelchair commode seatC0498548
NARROWING DEVICE, WHEELCHAIRC0498549
Wheelchair narrowing deviceC0498549
NO.2 FOOTPLATES, EXCEPT FOR ELEVATING LEG RESTC0498550
Wheelchair no. 2 footplatesC0498550
WHEELCHAIR ACCESSORY, TRANSFER BOARD OR DEVICE, EACHC0498551
Transfer board or deviceC0498551
WHEELCHAIR ACCESSORY, ADJUSTABLE HEIGHT, DETACHABLE ARMREST, COMPLETE ASSEMBLY, EACHC0498552
W/Ch access det adj armrestC0498552
MANUAL WHEELCHAIR ACCESSORY, ANTI-ROLLBACK DEVICE, EACHC0498553
W/Ch access anti-rollbackC0498553
WEDGE CUSHION, WHEELCHAIRC0498556
Wheelchair wedge cushionC0498556
WHEELCHAIR ACCESSORY, POSITIONING BELT/SAFETY BELT/PELVIC STRAP, EACHC0498557
W/C acc,saf belt pelv strapC0498557
SAFETY VEST, WHEELCHAIRC0498559
Wheelchair safety vestC0498559
WHEELCHAIR ACCESSORY, ELEVATING LEG REST, COMPLETE ASSEMBLY, EACHC0498560
Wheelchair elevating leg resC0498560
MANUAL WHEELCHAIR ACCESSORY, SOLID SEAT INSERTC0498562
Wheelchair solid seat insertC0498562
ARM REST, EACHC0498564
Wheelchair arm restC0498564
WHEELCHAIR ACCESSORY, CALF REST/PAD, EACHC0498565
Wheelchair calf restC0498565
TIRE, SOLID, EACHC0498566
Wheelchair tire solidC0498566
CASTER WITH A FORKC0498567
Wheelchair caster w/ a forkC0498567
CASTER WITHOUT FORKC0498568
Wheelchair caster w/o a forkC0498568
PNEUMATIC TIRE WITH WHEELC0498569
Wheelchr pneumatic tire w/whC0498569
TIRE, PNEUMATIC CASTERC0498570
Wheelchair tire pneumatic caC0498570
ROLLABOUT CHAIR, ANY AND ALL TYPES WITH CASTORS 5" OR GREATERC0498571
Rollabout chair with castersC0498571
FULLY-RECLINING WHEELCHAIR, FIXED FULL LENGTH ARMS, SWING AWAY DETACHABLE ELEVATING LEG RESTSC0498572
Whelchr fxd full length armsC0498572
FULLY-RECLINING WHEELCHAIR, DETACHABLE ARMS, DESK OR FULL LENGTH, SWING AWAY DETACHABLE ELEVATING LEGRESTSC0498573
Wheelchair detachable armsC0498573
FULLY-RECLINING WHEELCHAIR, DETACHABLE ARMS (DESK OR FULL LENGTH) SWING AWAY DETACHABLE FOOTRESTC0498576
Wheelchair detachable foot rC0498576
HEMI-WHEELCHAIR, FIXED FULL LENGTH ARMS, SWING AWAY DETACHABLE ELEVATING LEG RESTC0498577
Hemi-wheelchair fixed armsC0498577
HEMI-WHEELCHAIR, DETACHABLE ARMS DESK OR FULL LENGTH ARMS, SWING AWAY DETACHABLE ELEVATING LEG RESTSC0498578
Hemi-wheelchair detachable aC0498578
HEMI-WHEELCHAIR, FIXED FULL LENGTH ARMS, SWING AWAY DETACHABLE FOOT RESTSC0498579
Hemi-wheelchair fixed armsC0498579
HEMI-WHEELCHAIR DETACHABLE ARMS DESK OR FULL LENGTH, SWING AWAY DETACHABLE FOOTRESTSC0498580
Hemi-wheelchair detachable aC0498580
HIGH STRENGTH LIGHTWEIGHT WHEELCHAIR, FIXED FULL LENGTH ARMS, SWING AWAY DETACHABLE ELEVATING LEG RESTSC0498581
Wheelchair lightwt fixed armC0498581
HIGH STRENGTH LIGHTWEIGHT WHEELCHAIR, DETACHABLE ARMS DESK OR FULL LENGTH, SWING AWAY DETACHABLE ELEVATING LEG RESTSC0498582
Wheelchair lightweight det aC0498582
HIGH STRENGTH LIGHTWEIGHT WHEELCHAIR, FIXED LENGTH ARMS, SWING AWAY DETACHABLE FOOTRESTC0498583
Wheelchair lightwt fixed armC0498583
HIGH STRENGTH LIGHTWEIGHT WHEELCHAIR, DETACHABLE ARMS DESK OR FULL LENGTH, SWING AWAY DETACHABLE FOOT RESTSC0498584
Wheelchair lightweight det aC0498584
WIDE HEAVY DUTY WHEEL CHAIR, DETACHABLE ARMS (DESK OR FULL LENGTH), SWING AWAY DETACHABLE ELEVATING LEG RESTSC0498586
Wheelchair wide w/ leg restsC0498586
WIDE HEAVY DUTY WHEELCHAIR, DETACHABLE ARMS DESK OR FULL LENGTH ARMS, SWING AWAY DETACHABLE FOOTRESTSC0498587
Wheelchair wide w/ foot restC0498587
SEMI-RECLINING WHEELCHAIR, FIXED FULL LENGTH ARMS, SWING AWAY DETACHABLE ELEVATING LEG RESTSC0498588
Whchr s-recl fxd arm leg resC0498588
SEMI-RECLINING WHEELCHAIR, DETACHABLE ARMS (DESK OR FULL LENGTH) ELEVATING LEG RESTC0498589
Wheelchair semi-recl detachC0498589
STANDARD WHEELCHAIR, FIXED FULL LENGTH ARMS, FIXED OR SWING AWAY DETACHABLE FOOTRESTSC0498590
Whlchr stand fxd arm ft restC0498590
WHEELCHAIR, DETACHABLE ARMS, DESK OR FULL LENGTH, SWING AWAY DETACHABLE FOOTRESTSC0498591
Wheelchair standard detach aC0498591
WHEELCHAIR, DETACHABLE ARMS, DESK OR FULL LENGTH SWING AWAY DETACHABLE ELEVATING LEGRESTSC0498592
Wheelchair standard w/ leg rC0498592
WHEELCHAIR, FIXED FULL LENGTH ARMS, SWING AWAY DETACHABLE ELEVATING LEGRESTSC0498593
Wheelchair fixed armsC0498593
AMPUTEE WHEELCHAIR, FIXED FULL LENGTH ARMS, SWING AWAY DETACHABLE ELEVATING LEGRESTSC0498594
Whlchr ampu fxd arm leg restC0498594
AMPUTEE WHEELCHAIR, FIXED FULL LENGTH ARMS, WITHOUT FOOTRESTS OR LEGRESTC0498595
Wheelchair amputee w/o leg rC0498595
AMPUTEE WHEELCHAIR, DETACHABLE ARMS (DESK OR FULL LENGTH) WITHOUT FOOTRESTS OR LEGRESTC0498596
Wheelchair amputee detach arC0498596
AMPUTEE WHEELCHAIR, DETACHABLE ARMS (DESK OR FULL LENGTH) SWING AWAY DETACHABLE FOOTRESTSC0498597
Wheelchair amputee w/ foot rC0498597
AMPUTEE WHEELCHAIR, DETACHABLE ARMS (DESK OR FULL LENGTH) SWING AWAY DETACHABLE ELEVATING LEGRESTSC0498598
Wheelchair amputee w/ leg reC0498598
HEAVY DUTY WHEELCHAIR, FIXED FULL LENGTH ARMS, SWING AWAY DETACHABLE ELEVATING LEGRESTSC0498599
Wheelchair amputee heavy dutC0498599
AMPUTEE WHEELCHAIR, FIXED FULL LENGTH ARMS, SWING AWAY DETACHABLE FOOTRESTC0498600
Wheelchair amputee fixed armC0498600
MOTORIZED WHEELCHAIR, FIXED FULL LENGTH ARMS, SWING AWAY DETACHABLE ELEVATING LEG RESTSC0498601
Whlchr moto ful arm leg restC0498601
MOTORIZED WHEELCHAIR, DETACHABLE ARMS DESK OR FULL LENGTH SWING AWAY, DETACHABLE ELEVATING LEG RESTC0498602
Wheelchair motorized w/ detC0498602
MOTORIZED WHEELCHAIR, FIXED FULL LENGTH ARMS, SWING AWAY DETACHABLE FOOT RESTSC0498603
Wheelchair motorized w fullC0498603
MOTORIZED WHEELCHAIR, DETACHABLE ARMS DESK OR FULL LENGTH, SWING AWAY DETACHABLE FOOT RESTSC0498604
Wheelchair motorized w/ detC0498604
WHEELCHAIR; SPECIALLY SIZED OR CONSTRUCTED, (INDICATE BRAND NAME, MODEL NUMBER, IF ANY) AND JUSTIFICATIONC0498605
Whlchr special size/constrcC0498605
WHEELCHAIR WITH FIXED ARM, FOOTRESTSC0498606
Wheelchair spec size w footC0498606
WHEELCHAIR WITH FIXED ARM, ELEVATING LEGRESTSC0498607
Wheelchair spec size w/ legC0498607
WHEELCHAIR WITH DETACHABLE ARMS, FOOTRESTSC0498608
Wheelchair spec size w footC0498608
WHEELCHAIR WITH DETACHABLE ARMS, ELEVATING LEGRESTSC0498609
Wheelchair spec size w/ legC0498609
WHEELCHAIR ACCESSORY, MANUAL SEMI-RECLINING BACK, (RECLINE GREATER THAN 15 DEGREES, BUT LESS THAN 80 DEGREES), EACHC0498610
Manual semi-reclining backC0498610
WHEELCHAIR ACCESSORY, MANUAL FULLY RECLINING BACK, (RECLINE GREATER THAN 80 DEGREES), EACHC0498611
Manual fully reclining backC0498611
SPECIAL HEIGHT ARMS FOR WHEELCHAIRC0498612
Wheelchair spec sz spec ht aC0498612
SPECIAL BACK HEIGHT FOR WHEELCHAIRC0498613
Wheelchair spec sz spec ht bC0498613
POWER OPERATED VEHICLE (THREE OR FOUR WHEEL NONHIGHWAY) SPECIFY BRAND NAME AND MODEL NUMBERC0498614
Power operated vehicleC0498614
LIGHTWEIGHT WHEELCHAIR, DETACHABLE ARMS, (DESK OR FULL LENGTH) SWING AWAY DETACHABLE, ELEVATING LEGRESTC0498615
Whchr litwt det arm leg restC0498615
LIGHTWEIGHT WHEELCHAIR, FIXED FULL LENGTH ARMS, SWING AWAY DETACHABLE FOOTRESTC0498616
Wheelchair lightwt fixed armC0498616
LIGHTWEIGHT WHEELCHAIR, DETACHABLE ARMS (DESK OR FULL LENGTH) SWING AWAY DETACHABLE FOOTRESTC0498617
Wheelchair lightwt foot restC0498617
LIGHTWEIGHT WHEELCHAIR, FIXED FULL LENGTH ARMS, SWING AWAY DETACHABLE ELEVATING LEGRESTSC0498618
Wheelchair lightweight leg rC0498618
HEAVY DUTY WHEELCHAIR, DETACHABLE ARMS (DESK OR FULL LENGTH) ELEVATING LEGRESTSC0498619
Whchr h-duty det arm leg resC0498619
HEAVY DUTY WHEELCHAIR, FIXED FULL LENGTH ARMS, SWING AWAY DETACHABLE FOOTRESTC0498620
Wheelchair heavy duty fixedC0498620
HEAVY DUTY WHEELCHAIR, DETACHABLE ARMS (DESK OR FULL LENGTH) SWING AWAY DETACHABLE FOOTRESTC0498621
Wheelchair hvy duty detach aC0498621
HEAVY DUTY WHEELCHAIR, FIXED FULL LENGTH ARMS, ELEVATING LEGRESTC0498622
Wheelchair heavy duty fixedC0498622
SPECIAL WHEELCHAIR SEAT HEIGHT FROM FLOORC0498623
Wheelchair special seat heigC0498623
SPECIAL WHEELCHAIR SEAT DEPTH, BY UPHOLSTERYC0498624
Wheelchair special seat deptC0498624
SPECIAL WHEELCHAIR SEAT DEPTH AND/OR WIDTH, BY CONSTRUCTIONC0498625
Wheelchair spec seat depth/wC0498625
WHIRLPOOL, PORTABLE (OVERTUB TYPE)C0498626
Whirlpool portableC0498626
WHIRLPOOL, NON-PORTABLE (BUILT-IN TYPE)C0498627
Whirlpool non-portableC0498627
REPAIR OR NONROUTINE SERVICE FOR DURABLE MEDICAL EQUIPMENT REQUIRING THE SKILL OF A TECHNICIAN, LABOR COMPONENT, PER 15 MINUTESC0498628
Repair for DME, per 15 minC0498628
STAND/RACKC0498630
Oxygen supplies stand/rackC0498630
IMMERSION EXTERNAL HEATER FOR NEBULIZERC0498631
Oxy suppl heater for nebulizC0498631
 
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