Medicare Data Utilities Appendices

A4636 REPLACEMENT, HANDGRIP, CANE, CRUTCH, OR WALKER, EACH
A4637 REPLACEMENT, TIP, CANE, CRUTCH, WALKER, EACH.
A4640 REPLACEMENT PAD FOR USE WITH MEDICALLY NECESSARY ALTERNATING PRESSURE PAD
OWNED BY PATIENT
A4641 SUPPLY OF RADIOPHARMACEUTICAL DIAGNOSTIC IMAGING AGENT, NOT OTHERWISE
CLASSIFIED
A4642 SUPPLY OF SATUMOMAB PENDETIDE, RADIOPHARMACEUTICAL DIAGNOSTIC IMAGING AGENT,
PER DOSE
A4643 SUPPLY OF ADDITIONAL HIGH DOSE CONTRAST MATERIAL(S) DURING MAGNETIC RESONANCE
IMAGING, E.G., GADOTERIDOL INJECTION
A4644 SUPPLY OF LOW OSMOLAR CONTRAST MATERIAL (100-199 MGS OF IODINE)
A4645 SUPPLY OF LOW OSMOLAR CONTRAST MATERIAL (200-299 MGS OF IODINE)
A4646 SUPPLY OF LOW OSMOLAR CONTRAST MATERIAL (300-399 MGS OF IODINE)
A4647 SUPPLY OF PARAMAGNETIC CONTRAST MATERIAL, EG., GADOLINIUM
A4649 SURGICAL SUPPLY; MISCELLANEOUS
A4650 CENTRIFUGE (INCLUDES CALIBRATED MICROCAPILLARY TUBES AND SEALEASE)
A4655 NEEDLES AND SYRINGES FOR DIALYSIS
A4660 SPHYGMOMANOMETER/BLOOD PRESSURE APPARATUS WITH CUFF AND STETHOSCOPE
A4663 BLOOD PRESSURE CUFF ONLY
A4670 AUTOMATIC BLOOD PRESSURE MONITOR
A4680 ACTIVATED CARBON FILTERS FOR DIALYSIS
A4690 DIALYZERS (ARTIFICIAL KIDNEYS) ALL BRANDS, ALL SIZES PER UNIT
A4700 STANDARD DIALYSATE SOLUTION, EACH
A4705 BICARBONATE DIALYSATE SOLUTION, EACH
A4712 WATER, STERILE
A4714 TREATED WATER (DEIONIZED, DISTILLED, REVERSE OSMOSIS) FOR USE IN DIALYSIS
SYSTEM
A4730 FISTULA CANNULATION SET FOR DIALYSIS ONLY
A4735 LOCAL/TOPICAL ANESTHETICS FOR DIALYSIS ONLY
A4740 SHUNT ACCESSORIES FOR DIALYSIS ONLY
A4750 BLOOD TUBING, ARTERIAL OR VENOUS, EACH
A4755 BLOOD TUBING, ARTERIAL AND VENOUS COMBINED
A4760 DIALYSATE STANDARD TESTING SOLUTION, SUPPLIES
A4765 DIALYSATE CONCENTRATE ADDITIVES, EACH
A4770 BLOOD TESTING SUPPLIES (E.G. VACUTAINERS AND TUBES)
A4771 SERUM CLOTTING TIME TUBE, PER BOX
A4772 DEXTROSTICK OR GLUCOSE TEST STRIPS, PER BOX
A4773 HEMOSTIX, PER BOTTLE
A4774 AMMONIA TEST PAPER, PER BOX
A4780 STERILIZING AGENT FOR DIALYSIS EQUIPMENT, PER GALLON
A4790 CLEANSING AGENTS FOR EQUIPMENT FOR DIALYSIS ONLY
A4800 HEPARIN FOR DIALYSIS AND ANTIDOTE, ANY STRENGTH, PORCINE OR BEEF, UP TO 1000
UNITS, 10-30 ML (FOR PARENTERAL USE SEE B4216)
A4820 HEMODIALYSIS KIT SUPPLIES
A4850 HEMOSTATS WITH RUBBER TIPS FOR DIALYSIS
A4860 DISPOSABLE CATHETER CAPS
A4870 PLUMBING AND/OR ELECTRICAL WORK FOR HOME DIALYSIS EQUIPMENT
A4880 STORAGE TANKS UTILIZED IN CONNECTION WITH WATER PURIFICATION SYSTEM,
REPLACEMENT TANKS FOR DIALYSIS
A4890 CONTRACTS, REPAIR AND MAINTENANCE, FOR HOME DIALYSIS EQUIPMENT (NON-COVERED)
A4900 CONTINUOUS AMBULATORY PERITONEAL DIALYSIS (CAPD) SUPPLY KIT
A4901 CONTINUOUS CYCLING PERITONEAL DIALYSIS (CCPD) SUPPLY KIT
A4905 INTERMITTENT PERITONEAL DIALYSIS (IPD) SUPPLY KIT
A4910 NON-MEDICAL SUPPLIES FOR DIALYSIS, (I.E., SCALE, SCISSORS, STOPWATCH, ETC.)
A4912 GOMCO DRAIN BOTTLE
A4913 MISCELLANEOUS DIALYSIS SUPPLIES, NOT IDENTIFIED ELSEWHERE, BY REPORT
A4914 PREPARATION KITS