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DME
OXY
DME Number Range
A4206 - A4399
A4402-A5200
A6010-A7527
Select the range of your code
DME A4206 - A4399
A4206 Syringe with needle, sterile, 1 cc or less, each.
A4207 Syringe with needle, sterile, 2 cc or less, each.
A4208 Syringe with needle, sterile, 3 cc or less, each.
A4209 Syringe with needle, sterile, 5 cc or greater, each.
A4210 Needle-free injection device, each.
A4210 Needle-free injection device, each. (for use in billing nasal adapter/mucosucal atomization device nasal naloxone resque kit)
A4213 Syringe, sterile, 20 cc or greater, each.
A4215 Needle, sterile, any size, each.
A4215 Needle, sterile, any size, each.
A4216 Sterile water, saline and/or dextrose, diluent/flush, 10 ml.
A4217 Sterile water/saline 500 ml.
A4217 Sterile water/saline 500 ml (items furnished in conjunction with urological, ostomy, or tracheostomy supplies).
A4220 Refill kit for implantable infusion pump.
A4221 Supplies for maintenance of non-insulin drug infusion catheter, per week (list drug 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
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.
A4239 Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories,
A4239 Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories,
A4244 Alcohol or peroxide, per pint.
A4245 Alcohol wipes, per box.
A4246 Betadine or phisoHex solution, per pint.
A4247 Betadine or iodine swabs/wipes, per box
A4250 Urine test or reagent strips or tablets (100 tablets or strips).
A4253 Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips.
A4253 Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips.
A4256 Normal, low and high calibrator solution / chips.
A4258 Spring-powered device for lancet, each.
A4259 Lancets, per box of 100.
A4259 Lancets, per box of 100.
A4265 Paraffin, per pound.
A4281 Tubing for breast pump, replacement
A4282 Adapter for breast pump, replacement
A4283 Cap for breast pump bottle, replacement
A4284 Breast sheild and splash protector for use with breast pump, replacement
A4285 Polycarbonate bottle for use with breast pump, replacement
A4286 Locking ring for breast pump, replacement
A4287 Disposable collection and storage bag for breast milk, any size, any type, each
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.
A4322 Irrigation syringe, bulb or piston, each.
A4326 Male external catheter specialty type with integral collection chamber, each.
A4327 Female external urinary collection device; meatal cup, each.
A4328 Female external urinary collection device; pouch, each.
A4330 Perianal fecal collection pouch with adhesive, each.
A4331 Extension drainage tubing, any type, any length, with connector/adaptor, for use with urinary leg bag or urostomy pouch, each.
A4332 Lubricant, individual sterile packet, each.
A4333 Urinary catheter anchoring device, adhesive skin attachment, each.
A4334 Urinary catheter anchoring device, leg strap, each.
A4338 Indwelling catheter; foley type, two-way latex with coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each
A4340 Indwelling catheter; specialty type, eg; coude, mushroom, wing, etc.), each.
A4344 Indwelling catheter, foley type, two-way, all silicone, 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.
A4361 Ostomy faceplate, each.
A4362 Skin barrier; solid, 4 x 4 or equivalent; each.
A4363 Ostomy clamp, any type, replacement only, each.
A4364 Adhesive, liquid or equal, any type, per oz.
A4366 Ostomy vent, any type, each.
A4367 Ostomy belt, each.
A4368 Ostomy filter, any type, each.
A4369 Ostomy skin barrier, liquid (spray, brush, etc), per oz.
A4371 Ostomy skin barrier, powder, per oz.
A4372 Ostomy skin barrier, solid 4x4 or equivalent, standard wear, with built-in convexity, each.
A4373 Ostomy skin barrier, with flange (solid, flexible or accordian), with built-in convexity, any size, each.
A4375 Ostomy pouch, drainable, with faceplate attached, plastic, each.
A4376 Ostomy pouch, drainable, with faceplate attached, rubber, each.
A4377 Ostomy pouch, drainable, for use on faceplate, plastic, each.
A4378 Ostomy pouch, drainable, for use on faceplate, rubber, each.
A4379 Ostomy pouch, urinary, with faceplate attached, plastic, each.
A4380 Ostomy pouch, urinary, with faceplate attached, rubber, each.
A4381 Ostomy pouch, urinary, for use on faceplate, plastic, each.
A4382 Ostomy pouch, urinary, for use on faceplate, heavy plastic, each.
A4383 Ostomy pouch, urinary, for use on faceplate, rubber, each.
A4384 Ostomy faceplate equivalent, silicone ring, each.
A4385 Ostomy skin barrier, solid 4x4 or equivalent, extended wear, without built-in convexity, each.
A4387 Ostomy pouch, closed, with barrier attached, with built-in convexity (one piece), each.
A4388 Ostomy pouch, drainable, with extended wear barrier attached, (one piece), each.
A4389 Ostomy pouch, drainable, with barrier attached, with built-in convexity (one piece), each.
A4390 Ostomy pouch, drainable, with extended wear barrier attached, with built-in convexity (1 piece), each.
A4391 Ostomy pouch, urinary, with extended wear barrier attached (1 piece), each.
A4392 Ostomy pouch, urinary, with standard wear barrier attached, with built-in convexity (1 piece), each.
A4393 Ostomy pouch, urinary, with extended wear barrier attached, with built-in convexity (1 piece), each.
A4394 Ostomy deodorant with or without lubricant, for use in ostomy pouch, per fluid ounce.
A4395 Ostomy deodorant for use in ostomy pouch, solid, per tablet.
A4396 Ostomy belt with peristomal hernia support.
A4398 Ostomy irrigation supply; bag, each.
A4399 Ostomy irrigation supply; cone/catheter, with or without brush.-
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