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HCPCS Range Various Medical Supplies Including Tapes and Surgical Dressings

• 1 Tape, non-waterproof, per 18 square inches ( A4450 )

• 2 Tape, waterproof, per 18 square inches ( A4452 )

• 3 Adhesive remover or solvent (for tape, cement or other adhesive), per ounce ( A4455 )

• 4 Adhesive remover, wipes, any type, each ( A4456 )

• 5 Enema bag with tubing, reusable ( A4458 )

• 6 Surgical dressing holder, non-reusable, each ( A4461 )

• 7 Surgical dressing holder, reusable, each ( A4463 )

• 8 Non-elastic binder for extremity ( A4465 )

• 9 Gravlee jet washer ( A4470 )

• 10 Vabra aspirator ( A4480 )

• 11 Tracheostoma filter, any type, any size, each ( A4481 )

• 12 Moisture exchanger, disposable, for use with invasive mechanical ventilation ( A4483 )

• 13 Surgical stockings above knee length, each ( A4490 )

• 14 Surgical stockings thigh length, each ( A4495 )

• 15 Surgical stockings below knee length, each ( A4500 )

• 16 Surgical stockings full length, each ( A4510 )

• 17 Incontinence garment, any type, (e.g., brief, diaper), each ( A4520 )

• 18 Surgical trays ( A4550 )

• 19 Disposable underpads, all sizes ( A4554 )

• 20 Electrode/transducer for use with electrical stimulation device used for cancer treatment, replacement only ( A4555 )

• 21 Electrodes, (e.g., apnea monitor), per pair ( A4556 )

• 22 Lead wires, (e.g., apnea monitor), per pair ( A4557 )

• 23 Conductive gel or paste, for use with electrical device (e.g., TENS, NMES), per oz ( A4558 )

• 24 Coupling gel or paste, for use with ultrasound device, per oz ( A4559 )

• 25 Pessary, reusable, rubber, any type ( A4561 )

• 26 Pessary, reusable, non rubber, any type ( A4562 )

• 27 Slings ( A4565 )

• 28 Shoulder sling or vest design, abduction restrainer, with or without swathe control, prefabricated, includes fitting and adjustment ( A4566 )

• 29 Splint ( A4570 )

• 30 Topical hyperbaric oxygen chamber, disposable ( A4575 )

• 31 Cast supplies (e.g., plaster) ( A4580 )

• 32 Special casting material (e.g., fiberglass) ( A4590 )

• 33 Electrical stimulator supplies, 2 lead, per month, (e.g., TENS, NMES) ( A4595 )

• 34 Sleeve for intermittent limb compression device, replacement only, each ( A4600 )

• 35 Lithium ion battery, rechargeable, for non-prosthetic use, replacement ( A4601 )

• 36 Tubing with integrated heating element for use with positive airway pressure device ( A4604 )

• 37 Tracheal suction catheter, closed system, each ( A4605 )

• 38 Oxygen probe for use with oximeter device, replacement ( A4606 )

• 39 Transtracheal oxygen catheter, each ( A4608 )

• 40 Rectal catheter for use with the manual pump-operated enema system, replacement only ( A4453 )

• 41 Neuromuscular electrical stimulator (nmes), disposable, replacement only ( A4560 )

• 42 Manual pump-operated enema system, includes balloon, catheter and all accessories, reusable, any type ( A4459 )

• 43 Replacement battery for external infusion pump owned by patient, lithium, 1.5 volt, each ( A4602 )

• 44 Belt, strap, sleeve, garment, or covering, any type ( A4467 )

• 45 Non-disposable underpads, all sizes ( A4553 )

• 46 Rectal control system for vaginal insertion, for long term use, includes pump and all supplies and accessories, any type each ( A4563 )

• 47 Cranial electrotherapy stimulation (ces) system supplies and accessories, per month ( A4596 )

• 48 Enema tube, with or without adapter, any type, replacement only, each ( A4457 )

• 49 Exsufflation belt, includes all supplies and accessories ( A4468 )

• 50 Distal transcutaneous electrical nerve stimulator, stimulates peripheral nerves of the upper arm ( A4540 )

• 51 Monthly supplies for use of device coded at e0733 ( A4541 )

• 52 Supplies and accessories for external upper limb tremor stimulator of the peripheral nerves of the wrist ( A4542 )

• 53 Pessary, disposable, any type ( A4564 )

• 54 Neuromodulation stimulator system, adjunct to rehabilitation therapy regime, controller ( A4593 )

• 55 Neuromodulation stimulator system, adjunct to rehabilitation therapy regime, mouthpiece each ( A4594 )