| A4206 | 1 cc sterile syringe&needle |
| A4207 | 2 cc sterile syringe&needle |
| A4208 | 3 cc sterile syringe&needle |
| A4209 | 5+ cc sterile syringe&needle |
| A4210 | Nonneedle injection device |
| A4211 | Supp for self-adm injections |
| A4212 | Non coring needle or stylet |
| A4213 | 20+ cc syringe only |
| A4215 | Sterile needle |
| A4216 | Sterile water/saline, 10 ml |
| A4217 | Sterile water/saline, 500 ml |
| A4218 | Sterile saline or water |
| A4220 | Infusion pump refill kit |
| A4221 | Maint drug infus cath per wk |
| A4222 | Infusion supplies with pump |
| A4223 | Infusion supplies w/o pump |
| A4230 | Infus insulin pump non needl |
| A4231 | Infusion insulin pump needle |
| A4232 | Syringe w/needle insulin 3cc |
| A4233 | Alkalin batt for glucose mon |
| A4234 | J-cell batt for glucose mon |
| A4235 | Lithium batt for glucose mon |
| A4236 | Silvr oxide batt glucose mon |
| A4244 | Alcohol or peroxide per pint |
| A4245 | Alcohol wipes per box |
| A4246 | Betadine/phisohex solution |
| A4247 | Betadine/iodine swabs/wipes |
| A4248 | Chlorhexidine antisept |
| A4250 | Urine reagent strips/tablets |
| A4252 | Blood ketone test or strip |
| A4253 | Blood glucose/reagent strips |
| A4255 | Glucose monitor platforms |
| A4256 | Calibrator solution/chips |
| A4257 | Replace lensshield cartridge |
| A4258 | Lancet device each |
| A4259 | Lancets per box |
| A4261 | Cervical cap contraceptive |
| A4262 | Temporary tear duct plug |
| A4263 | Permanent tear duct plug |
| A4264 | Intratubal occlusion device |
| A4265 | Paraffin |
| A4266 | Diaphragm |
| A4267 | Male condom |
| A4268 | Female condom |
| A4269 | Spermicide |
| A4270 | Disposable endoscope sheath |
| A4280 | Brst prsths adhsv attchmnt |
| A4281 | Replacement breastpump tube |
| A4282 | Replacement breastpump adpt |
| A4283 | Replacement breastpump cap |
| A4284 | Replcmnt breast pump shield |
| A4285 | Replcmnt breast pump bottle |
| A4286 | Replcmnt breastpump lok ring |
| A4290 | Sacral nerve stim test lead |
| A4300 | Cath impl vasc access portal |
| A4301 | Implantable access syst perc |
| A4305 | Drug delivery system >=50 ml |
| A4306 | Drug delivery system <=50 ml |
| A4310 | Insert tray w/o bag/cath |
| A4311 | Catheter w/o bag 2-way latex |
| A4312 | Cath w/o bag 2-way silicone |
| A4313 | Catheter w/bag 3-way |
| A4314 | Cath w/drainage 2-way latex |
| A4315 | Cath w/drainage 2-way silcne |
| A4316 | Cath w/drainage 3-way |
| A4320 | Irrigation tray |
| A4321 | Cath therapeutic irrig agent |
| A4322 | Irrigation syringe |
| A4326 | Male external catheter |
| A4327 | Fem urinary collect dev cup |
| A4328 | Fem urinary collect pouch |
| A4330 | Stool collection pouch |
| A4331 | Extension drainage tubing |
| A4332 | Lube sterile packet |
| A4333 | Urinary cath anchor device |
| A4334 | Urinary cath leg strap |
| A4335 | Incontinence supply |
| A4336 | Urethral insert |
| A4338 | Indwelling catheter latex |
| A4340 | Indwelling catheter special |
| A4344 | Cath indw foley 2 way silicn |
| A4346 | Cath indw foley 3 way |
| A4349 | Disposable male external cat |
| A4351 | Straight tip urine catheter |
| A4352 | Coude tip urinary catheter |
| A4353 | Intermittent urinary cath |
| A4354 | Cath insertion tray w/bag |
| A4355 | Bladder irrigation tubing |
| A4356 | Ext ureth clmp or compr dvc |
| A4357 | Bedside drainage bag |
| A4358 | Urinary leg or abdomen bag |
| A4360 | Disposable ext urethral dev |
| A4361 | Ostomy face plate |
| A4362 | Solid skin barrier |
| A4363 | Ostomy clamp, replacement |
| A4364 | Adhesive, liquid or equal |
| A4366 | Ostomy vent |
| A4367 | Ostomy belt |
| A4368 | Ostomy filter |
| A4369 | Skin barrier liquid per oz |
| A4371 | Skin barrier powder per oz |
| A4372 | Skin barrier solid 4x4 equiv |
| A4373 | Skin barrier with flange |
| A4375 | Drainable plastic pch w fcpl |
| A4376 | Drainable rubber pch w fcplt |
| A4377 | Drainable plstic pch w/o fp |
| A4378 | Drainable rubber pch w/o fp |
| A4379 | Urinary plastic pouch w fcpl |
| A4380 | Urinary rubber pouch w fcplt |
| A4381 | Urinary plastic pouch w/o fp |
| A4382 | Urinary hvy plstc pch w/o fp |
| A4383 | Urinary rubber pouch w/o fp |
| A4384 | Ostomy faceplt/silicone ring |
| A4385 | Ost skn barrier sld ext wear |
| A4387 | Ost clsd pouch w att st barr |
| A4388 | Drainable pch w ex wear barr |
| A4389 | Drainable pch w st wear barr |
| A4390 | Drainable pch ex wear convex |
| A4391 | Urinary pouch w ex wear barr |
| A4392 | Urinary pouch w st wear barr |
| A4393 | Urine pch w ex wear bar conv |
| A4394 | Ostomy pouch liq deodorant |
| A4395 | Ostomy pouch solid deodorant |
| A4396 | Peristomal hernia supprt blt |
| A4397 | Irrigation supply sleeve |
| A4398 | Ostomy irrigation bag |
| A4399 | Ostomy irrig cone/cath w brs |
| A4400 | Ostomy irrigation set |
| A4402 | Lubricant per ounce |
| A4404 | Ostomy ring each |
| A4405 | Nonpectin based ostomy paste |
| A4406 | Pectin based ostomy paste |
| A4407 | Ext wear ost skn barr <=4sq" |
| A4408 | Ext wear ost skn barr >4sq" |
| A4409 | Ost skn barr convex <=4 sq i |
| A4410 | Ost skn barr extnd >4 sq |
| A4411 | Ost skn barr extnd =4sq |
| A4412 | Ost pouch drain high output |
| A4413 | 2 pc drainable ost pouch |
| A4414 | Ost sknbar w/o conv<=4 sq in |
| A4415 | Ost skn barr w/o conv >4 sqi |
| A4416 | Ost pch clsd w barrier/filtr |
| A4417 | Ost pch w bar/bltinconv/fltr |
| A4418 | Ost pch clsd w/o bar w filtr |
| A4419 | Ost pch for bar w flange/flt |
| A4420 | Ost pch clsd for bar w lk fl |
| A4421 | Ostomy supply misc |
| A4422 | Ost pouch absorbent material |
| A4423 | Ost pch for bar w lk fl/fltr |
| A4424 | Ost pch drain w bar & filter |
| A4425 | Ost pch drain for barrier fl |
| A4426 | Ost pch drain 2 piece system |
| A4427 | Ost pch drain/barr lk flng/f |
| A4428 | Urine ost pouch w faucet/tap |
| A4429 | Urine ost pouch w bltinconv |
| A4430 | Ost urine pch w b/bltin conv |
| A4431 | Ost pch urine w barrier/tapv |
| A4432 | Os pch urine w bar/fange/tap |
| A4433 | Urine ost pch bar w lock fln |
| A4434 | Ost pch urine w lock flng/ft |
| A4435 | 1pc ost pch drain hgh output |
| A4450 | Non-waterproof tape |
| A4452 | Waterproof tape |
| A4455 | Adhesive remover per ounce |
| A4456 | Adhesive remover, wipes |
| A4458 | Reusable enema bag |
| A4461 | Surgicl dress hold non-reuse |
| A4463 | Surgical dress holder reuse |
| A4465 | Non-elastic extremity binder |
| A4466 | Elastic garment/covering |
| A4470 | Gravlee jet washer |
| A4480 | Vabra aspirator |
| A4481 | Tracheostoma filter |
| A4483 | Moisture exchanger |
| A4490 | Above knee surgical stocking |
| A4495 | Thigh length surg stocking |
| A4500 | Below knee surgical stocking |
| A4510 | Full length surg stocking |
| A4520 | Incontinence garment anytype |
| A4550 | Surgical trays |
| A4554 | Disposable underpads |
| A4555 | Ca tx e-stim electr/transduc |
| A4556 | Electrodes, pair |
| A4557 | Lead wires, pair |
| A4558 | Conductive gel or paste |
| A4559 | Coupling gel or paste |
| A4561 | Pessary rubber, any type |
| A4562 | Pessary, non rubber,any type |
| A4565 | Slings |
| A4566 | Should sling/vest/abrestrain |
| A4570 | Splint |
| A4575 | Hyperbaric o2 chamber disps |
| A4580 | Cast supplies (plaster) |
| A4590 | Special casting material |
| A4595 | Tens suppl 2 lead per month |
| A4600 | Sleeve, inter limb comp dev |
| A4601 | Lith ion batt, non-pros use |
| A4604 | Tubing with heating element |
| A4605 | Trach suction cath close sys |
| A4606 | Oxygen probe used w oximeter |
| A4608 | Transtracheal oxygen cath |
| A4611 | Heavy duty battery |
| A4612 | Battery cables |
| A4613 | Battery charger |
| A4614 | Hand-held pefr meter |
| A4615 | Cannula nasal |
| A4616 | Tubing (oxygen) per foot |
| A4617 | Mouth piece |
| A4618 | Breathing circuits |
| A4619 | Face tent |
| A4620 | Variable concentration mask |
| A4623 | Tracheostomy inner cannula |
| A4624 | Tracheal suction tube |
| A4625 | Trach care kit for new trach |
| A4626 | Tracheostomy cleaning brush |
| A4627 | Spacer bag/reservoir |
| A4628 | Oropharyngeal suction cath |
| A4629 | Tracheostomy care kit |
| A4630 | Repl bat t.e.n.s. own by pt |
| A4633 | Uvl replacement bulb |
| A4634 | Replacement bulb th lightbox |
| A4635 | Underarm crutch pad |
| A4636 | Handgrip for cane etc |
| A4637 | Repl tip cane/crutch/walker |
| A4638 | Repl batt pulse gen sys |
| A4639 | Infrared ht sys replcmnt pad |
| A4640 | Alternating pressure pad |
| A4641 | Radiopharm dx agent noc |
| A4642 | In111 satumomab |
| A4648 | Implantable tissue marker |
| A4649 | Surgical supplies |
| A4650 | Implant radiation dosimeter |
| A4651 | Calibrated microcap tube |
| A4652 | Microcapillary tube sealant |
| A4653 | Pd catheter anchor belt |
| A4657 | Syringe w/wo needle |
| A4660 | Sphyg/bp app w cuff and stet |
| A4663 | Dialysis blood pressure cuff |
| A4670 | Automatic bp monitor, dial |
| A4671 | Disposable cycler set |
| A4672 | Drainage ext line, dialysis |
| A4673 | Ext line w easy lock connect |
| A4674 | Chem/antisept solution, 8oz |
| A4680 | Activated carbon filter, ea |
| A4690 | Dialyzer, each |
| A4706 | Bicarbonate conc sol per gal |
| A4707 | Bicarbonate conc pow per pac |
| A4708 | Acetate conc sol per gallon |
| A4709 | Acid conc sol per gallon |
| A4714 | Treated water per gallon |
| A4719 | "y set" tubing |
| A4720 | Dialysat sol fld vol > 249cc |
| A4721 | Dialysat sol fld vol > 999cc |
| A4722 | Dialys sol fld vol > 1999cc |
| A4723 | Dialys sol fld vol > 2999cc |
| A4724 | Dialys sol fld vol > 3999cc |
| A4725 | Dialys sol fld vol > 4999cc |
| A4726 | Dialys sol fld vol > 5999cc |
| A4728 | Dialysate solution, non-dex |
| A4730 | Fistula cannulation set, ea |
| A4736 | Topical anesthetic, per gram |
| A4737 | Inj anesthetic per 10 ml |
| A4740 | Shunt accessory |
| A4750 | Art or venous blood tubing |
| A4755 | Comb art/venous blood tubing |
| A4760 | Dialysate sol test kit, each |
| A4765 | Dialysate conc pow per pack |
| A4766 | Dialysate conc sol add 10 ml |
| A4770 | Blood collection tube/vacuum |
| A4771 | Serum clotting time tube |
| A4772 | Blood glucose test strips |
| A4773 | Occult blood test strips |
| A4774 | Ammonia test strips |
| A4802 | Protamine sulfate per 50 mg |
| A4860 | Disposable catheter tips |
| A4870 | Plumb/elec wk hm hemo equip |
| A4890 | Repair/maint cont hemo equip |
| A4911 | Drain bag/bottle |
| A4913 | Misc dialysis supplies noc |
| A4918 | Venous pressure clamp |
| A4927 | Non-sterile gloves |
| A4928 | Surgical mask |
| A4929 | Tourniquet for dialysis, ea |
| A4930 | Sterile, gloves per pair |
| A4931 | Reusable oral thermometer |
| A4932 | Reusable rectal thermometer |
