A0384 — Bls specialized service disposable supplies; defibrillation (used by als ambulances and bls ambulances in jurisdictions where defibrillation is permitted in bls ambulances)
A0392 — Als specialized service disposable supplies; defibrillation (to be used only in jurisdictions where defibrillation cannot be performed in bls ambulances)
A0394 — Als specialized service disposable supplies; iv drug therapy
A0396 — Als specialized service disposable supplies; esophageal intubation
A0428 — Ambulance service, basic life support, non-emergency transport, (bls)
A0429 — Ambulance service, basic life support, emergency transport (bls-emergency)
A0430 — Ambulance service, conventional air services, transport, one way (fixed wing)
A0431 — Ambulance service, conventional air services, transport, one way (rotary wing)
A0432 — Paramedic intercept (pi), rural area, transport furnished by a volunteer ambulance company which is prohibited by state law from billing third party payers
A4221 — Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately)
A4222 — Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)
A4223 — Infusion supplies not used with external infusion pump, per cassette or bag (list drugs separately)
A4224 — Supplies for maintenance of insulin infusion catheter, per week
A4225 — Supplies for external insulin infusion pump, syringe type cartridge, sterile, each
A4226 — Supplies for maintenance of insulin infusion pump with dosage rate adjustment using therapeutic continuous glucose sensing, per week
A4230 — Infusion set for external insulin pump, non needle cannula type
A4231 — Infusion set for external insulin pump, needle type
A4232 — Syringe with needle for external insulin pump, sterile, 3 cc
A4233 — Replacement battery, alkaline (other than j cell), for use with medically necessary home blood glucose monitor owned by patient, each
A4234 — Replacement battery, alkaline, j cell, for use with medically necessary home blood glucose monitor owned by patient, each
A4235 — Replacement battery, lithium, for use with medically necessary home blood glucose monitor owned by patient, each
A4236 — Replacement battery, silver oxide, for use with medically necessary home blood glucose monitor owned by patient, each
A4238 — Supply allowance for adjunctive, non-implanted continuous glucose monitor (CGM), includes all supplies and accessories, 1 month supply = 1 unit of service
A4239 — Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (CGM), includes all supplies and accessories, 1 month supply = 1 unit of service
A4305 — Disposable drug delivery system, flow rate of 50 ml or greater per hour
A4306 — Disposable drug delivery system, flow rate of less than 50 ml per hour
A4310 — Insertion tray without drainage bag and without catheter (accessories only)
A4311 — Insertion tray without drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)
A4312 — Insertion tray without drainage bag with indwelling catheter, foley type, two-way, all silicone
A4313 — Insertion tray without drainage bag with indwelling catheter, foley type, three-way, for continuous irrigation
A4314 — Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)
A4315 — Insertion tray with drainage bag with indwelling catheter, foley type, two-way, all silicone
A4316 — Insertion tray with drainage bag with indwelling catheter, foley type, three-way, for continuous irrigation
A4320 — Irrigation tray with bulb or piston syringe, any purpose
A4321 — Therapeutic agent for urinary catheter irrigation
A4341 — Indwelling intraurethral drainage device with valve, patient inserted, replacement only, each
A4342 — Accessories for patient inserted indwelling intraurethral drainage device with valve, replacement only, each
A4344 — Indwelling catheter, foley type, two-way, all silicone or polyurethane, each
A4346 — Indwelling catheter; foley type, three way for continuous irrigation, each
A4349 — Male external catheter, with or without adhesive, disposable, each
A4351 — Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each
A4352 — Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each
A4353 — Intermittent urinary catheter, with insertion supplies
A4354 — Insertion tray with drainage bag but without catheter
A4355 — Irrigation tubing set for continuous bladder irrigation through a three-way indwelling foley catheter, each
A4356 — External urethral clamp or compression device (not to be used for catheter clamp), each
A4357 — Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each
A4358 — Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each
A4360 — Disposable external urethral clamp or compression device, with pad and/or pouch, each
A4720 — Dialysate solution, any concentration of dextrose, fluid volume greater than 249 cc, but less than or equal to 999 cc, for peritoneal dialysis
A4721 — Dialysate solution, any concentration of dextrose, fluid volume greater than 999 cc but less than or equal to 1999 cc, for peritoneal dialysis
A4722 — Dialysate solution, any concentration of dextrose, fluid volume greater than 1999 cc but less than or equal to 2999 cc, for peritoneal dialysis
A4723 — Dialysate solution, any concentration of dextrose, fluid volume greater than 2999 cc but less than or equal to 3999 cc, for peritoneal dialysis
A4724 — Dialysate solution, any concentration of dextrose, fluid volume greater than 3999 cc but less than or equal to 4999 cc, for peritoneal dialysis
A4725 — Dialysate solution, any concentration of dextrose, fluid volume greater than 4999 cc but less than or equal to 5999 cc, for peritoneal dialysis
A4726 — Dialysate solution, any concentration of dextrose, fluid volume greater than 5999 cc, for peritoneal dialysis
A4728 — Dialysate solution, non-dextrose containing, 500 ml
A4730 — Fistula cannulation set for hemodialysis, each
A4736 — Topical anesthetic, for dialysis, per gram
A4737 — Injectable anesthetic, for dialysis, per 10 ml
A4740 — Shunt accessory, for hemodialysis, any type, each
A4750 — Blood tubing, arterial or venous, for hemodialysis, each
A4755 — Blood tubing, arterial and venous combined, for hemodialysis, each
A4760 — Dialysate solution test kit, for peritoneal dialysis, any type, each
A4765 — Dialysate concentrate, powder, additive for peritoneal dialysis, per packet
A4766 — Dialysate concentrate, solution, additive for peritoneal dialysis, per 10 ml
A4770 — Blood collection tube, vacuum, for dialysis, per 50
A4771 — Serum clotting time tube, for dialysis, per 50
A4772 — Blood glucose test strips, for dialysis, per 50
A4773 — Occult blood test strips, for dialysis, per 50
A5500 — For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe
A5501 — For diabetics only, fitting (including follow-up), custom preparation and supply of shoe molded from cast(s) of patient's foot (custom molded shoe), per shoe
A5503 — For diabetics only, modification (including fitting) of off-the-shelf depth-inlay shoe or custom-molded shoe with roller or rigid rocker bottom, per shoe
A5504 — For diabetics only, modification (including fitting) of off-the-shelf depth-inlay shoe or custom-molded shoe with wedge(s), per shoe
A5505 — For diabetics only, modification (including fitting) of off-the-shelf depth-inlay shoe or custom-molded shoe with metatarsal bar, per shoe
A5506 — For diabetics only, modification (including fitting) of off-the-shelf depth-inlay shoe or custom-molded shoe with off-set heel(s), per shoe
A5507 — For diabetics only, not otherwise specified modification (including fitting) of off-the-shelf depth-inlay shoe or custom-molded shoe, per shoe
A5508 — For diabetics only, deluxe feature of off-the-shelf depth-inlay shoe or custom-molded shoe, per shoe
A5510 — For diabetics only, direct formed, compression molded to patient's foot without external heat source, multiple-density insert(s) prefabricated, per shoe
A5512 — For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or 3/16 inch material of shore a 40 durometer (or higher), prefabricated, each
A5513 — For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer (or higher), includes arch filler and other shaping material, custom fabricated, each
A5514 — For diabetics only, multiple density insert, made by direct carving with cam technology from a rectified cad model created from a digitized scan of the patient, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer (or higher), includes arch filler and other shaping material, custom fabricated, each
A6000 — Non-contact wound warming wound cover for use with the non-contact wound warming device and warming card
A6010 — Collagen based wound filler, dry form, sterile, per gram of collagen
A6011 — Collagen based wound filler, gel/paste, per gram of collagen
A6021 — Collagen dressing, sterile, size 16 sq. in. or less, each
A6022 — Collagen dressing, sterile, size more than 16 sq. in. but less than or equal to 48 sq. in., each
A6023 — Collagen dressing, sterile, size more than 48 sq. in., each
A6024 — Collagen dressing wound filler, sterile, per 6 inches
A6025 — Gel sheet for dermal or epidermal application, (e.g., silicone, hydrogel, other), each
A6196 — Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing
A6197 — Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., each dressing
A6198 — Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 48 sq. in., each dressing
A6199 — Alginate or other fiber gelling dressing, wound filler, sterile, per 6 inches
A6203 — Composite dressing, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing
A6204 — Composite dressing, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing
A6205 — Composite dressing, sterile, pad size more than 48 sq. in., with any size adhesive border, each dressing
A6206 — Contact layer, sterile, 16 sq. in. or less, each dressing
A6207 — Contact layer, sterile, more than 16 sq. in. but less than or equal to 48 sq. in., each dressing
A6208 — Contact layer, sterile, more than 48 sq. in., each dressing
A6209 — Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing
A6210 — Foam dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing
A6211 — Foam dressing, wound cover, sterile, pad size more than 48 sq. in., without adhesive border, each dressing
A6212 — Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing
A6213 — Foam dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing
A6214 — Foam dressing, wound cover, sterile, pad size more than 48 sq. in., with any size adhesive border, each dressing
A6215 — Foam dressing, wound filler, sterile, per gram
A6216 — Gauze, non-impregnated, non-sterile, pad size 16 sq. in. or less, without adhesive border, each dressing
A6217 — Gauze, non-impregnated, non-sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing
A6218 — Gauze, non-impregnated, non-sterile, pad size more than 48 sq. in., without adhesive border, each dressing
A6219 — Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing
A6220 — Gauze, non-impregnated, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing
A6221 — Gauze, non-impregnated, sterile, pad size more than 48 sq. in., with any size adhesive border, each dressing
A6222 — Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing
A6223 — Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size more than 16 sq. in., but less than or equal to 48 sq. in., without adhesive border, each dressing
A6224 — Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size more than 48 sq. in., without adhesive border, each dressing
A6228 — Gauze, impregnated, water or normal saline, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing
A6229 — Gauze, impregnated, water or normal saline, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing
A6230 — Gauze, impregnated, water or normal saline, sterile, pad size more than 48 sq. in., without adhesive border, each dressing
A6231 — Gauze, impregnated, hydrogel, for direct wound contact, sterile, pad size 16 sq. in. or less, each dressing
A6232 — Gauze, impregnated, hydrogel, for direct wound contact, sterile, pad size greater than 16 sq. in., but less than or equal to 48 sq. in., each dressing
A6233 — Gauze, impregnated, hydrogel, for direct wound contact, sterile, pad size more than 48 sq. in., each dressing
A6234 — Hydrocolloid dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing
A6235 — Hydrocolloid dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing
A6236 — Hydrocolloid dressing, wound cover, sterile, pad size more than 48 sq. in., without adhesive border, each dressing
A6237 — Hydrocolloid dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing
A6238 — Hydrocolloid dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing
A6239 — Hydrocolloid dressing, wound cover, sterile, pad size more than 48 sq. in., with any size adhesive border, each dressing
A6240 — Hydrocolloid dressing, wound filler, paste, sterile, per ounce
A6242 — Hydrogel dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing
A6243 — Hydrogel dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing
A6244 — Hydrogel dressing, wound cover, sterile, pad size more than 48 sq. in., without adhesive border, each dressing
A6245 — Hydrogel dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing
A6246 — Hydrogel dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing
A6247 — Hydrogel dressing, wound cover, sterile, pad size more than 48 sq. in., with any size adhesive border, each dressing
A6248 — Hydrogel dressing, wound filler, gel, per fluid ounce
A6250 — Skin sealants, protectants, moisturizers, ointments, any type, any size
A6251 — Specialty absorptive dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing
A6252 — Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing
A6253 — Specialty absorptive dressing, wound cover, sterile, pad size more than 48 sq. in., without adhesive border, each dressing
A6254 — Specialty absorptive dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing
A6255 — Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing
A6256 — Specialty absorptive dressing, wound cover, sterile, pad size more than 48 sq. in., with any size adhesive border, each dressing
A6257 — Transparent film, sterile, 16 sq. in. or less, each dressing
A6258 — Transparent film, sterile, more than 16 sq. in. but less than or equal to 48 sq. in., each dressing
A6259 — Transparent film, sterile, more than 48 sq. in., each dressing
A6413 — Adhesive bandage, first-aid type, any size, each
A6441 — Padding bandage, non-elastic, non-woven/non-knitted, width greater than or equal to three inches and less than five inches, per yard
A6442 — Conforming bandage, non-elastic, knitted/woven, non-sterile, width less than three inches, per yard
A6443 — Conforming bandage, non-elastic, knitted/woven, non-sterile, width greater than or equal to three inches and less than five inches, per yard
A6444 — Conforming bandage, non-elastic, knitted/woven, non-sterile, width greater than or equal to 5 inches, per yard
A6445 — Conforming bandage, non-elastic, knitted/woven, sterile, width less than three inches, per yard
A6446 — Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard
A6447 — Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to five inches, per yard
A6448 — Light compression bandage, elastic, knitted/woven, width less than three inches, per yard
A6449 — Light compression bandage, elastic, knitted/woven, width greater than or equal to three inches and less than five inches, per yard
A6450 — Light compression bandage, elastic, knitted/woven, width greater than or equal to five inches, per yard
A6451 — Moderate compression bandage, elastic, knitted/woven, load resistance of 1.25 to 1.34 foot pounds at 50% maximum stretch, width greater than or equal to three inches and less than five inches, per yard
A6452 — High compression bandage, elastic, knitted/woven, load resistance greater than or equal to 1.35 foot pounds at 50% maximum stretch, width greater than or equal to three inches and less than five inches, per yard
A6453 — Self-adherent bandage, elastic, non-knitted/non-woven, width less than three inches, per yard
A6454 — Self-adherent bandage, elastic, non-knitted/non-woven, width greater than or equal to three inches and less than five inches, per yard
A6455 — Self-adherent bandage, elastic, non-knitted/non-woven, width greater than or equal to five inches, per yard
A6456 — Zinc paste impregnated bandage, non-elastic, knitted/woven, width greater than or equal to three inches and less than five inches, per yard
A6457 — Tubular dressing with or without elastic, any width, per linear yard
A6460 — Synthetic resorbable wound dressing, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing
A6461 — Synthetic resorbable wound dressing, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing
A7016 — Dome and mouthpiece, used with small volume ultrasonic nebulizer
A7017 — Nebulizer, durable, glass or autoclavable plastic, bottle type, not used with oxygen
A7018 — Water, distilled, used with large volume nebulizer, 1000 ml
A7020 — Interface for cough stimulating device, includes all components, replacement only
A7021 — Supplies and accessories for lung expansion airway clearance, continuous high frequency oscillation, and nebulization device (e.g., handset, nebulizer kit, biofilter)
A7041 — Water seal drainage container and tubing for use with implanted chest tube
A7044 — Oral interface used with positive airway pressure device, each
A7045 — Exhalation port with or without swivel used with accessories for positive airway devices, replacement only
A7046 — Water chamber for humidifier, used with positive airway pressure device, replacement, each
A7047 — Oral interface used with respiratory suction pump, each
A7048 — Vacuum drainage collection unit and tubing kit, including all supplies needed for collection unit change, for use with implanted catheter, each
A9272 — Wound suction, disposable, includes dressing, all accessories and components, any type, each
A9273 — Cold or hot fluid bottle, ice cap or collar, heat and/or cold wrap, any type
A9274 — External ambulatory insulin delivery system, disposable, each, includes all supplies and accessories
A9275 — Home glucose disposable monitor, includes test strips
A9276 — Sensor; invasive (e.g., subcutaneous), disposable, for use with non-durable medical equipment interstitial continuous glucose monitoring system, one unit = 1 day supply
A9277 — Transmitter; external, for use with non-durable medical equipment interstitial continuous glucose monitoring system
A9278 — Receiver (monitor); external, for use with non-durable medical equipment interstitial continuous glucose monitoring system
A9279 — Monitoring feature/device, stand-alone or integrated, any type, includes all accessories, components and electronics, not otherwise classified
A9280 — Alert or alarm device, not otherwise classified
A9281 — Reaching/grabbing device, any type, any length, each