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Medicare Data Utilities Appendices

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C5032 STENT, CORONARY, S660 DISCRETE TECHNOLOGY OVER-THE-WIRE CORONARY STENT SYSTEM<br />

24MM, 30MM S660 WITH DISCRETE TECHNOLOGY RAPID EXCHANGE CORONARY STENT SYSTEM<br />

24MM, 30MM<br />

C5033 STENT, CORONARY, NIROYAL ADVANCE PREMOUNTED STENT SYSTEM (9MM)<br />

C5034 STENT, CORONARY, NIROYAL ADVANCE PREMOUNTED STENT SYSTEM (12MM/15MM)<br />

C5035 STENT, CORONARY, NIROYAL ADVANCE PREMOUNTED STENT SYSTEM (18MM)<br />

C5036 STENT, CORONARY, NIROYAL ADVANCE PREMOUNTED STENT SYSTEM (25MM)<br />

C5037 STENT, CORONARY, NIROYAL ADVANCE PREMOUNTED STENT SYSTEM (31MM)<br />

C5038 STENT, CORONARY, BX VELOCITY BALLOON-EXPANDABLE STENT WITH RAPTOR OVER-THE-WIRE<br />

DELIVERY SYSTEM<br />

C5039 STENT, PERIPHERAL, INTRACOIL PERIPHERAL STENT (40MM STENT LENGTH)<br />

C5040 STENT, PERIPHERAL, INTRACOIL PERIPHERAL STENT (60MM STENT LENGTH)<br />

C5041 STENT, CORONARY, MEDTRONIC BESTENT 2 OVER-THE-WIRE CORONARY STENT SYSTEM (24MM,<br />

30MM)<br />

C5042 STENT, CORONARY, MEDTRONIC BESTENT 2 OVER-THE-WIRE CORONARY STENT SYSTEM (18MM)<br />

C5043 STENT, CORONARY, MEDTRONIC BESTENT 2 OVER-THE-WIRE CORONARY STENT (15MM)<br />

C5044 STENT, CORONARY, MEDTRONIC BESTENT 2 OVER-THE-WIRE CORONARY STENT SYSTEM (9MM,<br />

12MM)<br />

C5045 STENT, CORONARY, MULTILINK TETRA CORONARY STENT SYSTEM<br />

C5046 STENT, CORONARY, RADIUS 20MM SELF EXPANDING STENT WITH OVER THE WIRE DELIVERY<br />

SYSTEM<br />

C5047 STENT, CORONARY, NIROYAL ELITE PREMOUNTED STENT SYSTEM 15MM, 25MM, OR 31MM<br />

C5048 STENT, CORONARY, GR II CORONARY STENT<br />

C5130 STENT, COLON, WILSON-COOK COLONIC Z-STENT<br />

C5131 STENT, COLORECTAL, BARD MEMOTHERM COLORECTAL STENT MODEL S30R060<br />

C5132 STENT, COLORECTAL, BARD MEMOTHERM COLORECTAL STENT MODEL S30R080<br />

C5133 STENT, COLORECTAL, BARD MEMOTHERM COLORECTAL STENT MODEL S30R100<br />

C5134 STENT, ENTERAL, WALLSTENT ENTERAL ENDOPROSTHESIS AND UNISTEP DELIVERY SYSTEM<br />

(90MM IN LENGTH), ENTERAL WALLSTENT ENDOPROSTHESIS WITH UNISTEP PLUS DELIVERY<br />

SYSTEM (90MM IN LENGTH) NOTE: ONLY THE ENTERAL WALLSTENT ENDOPROSTHESIS WITH<br />

UNISTEP PLUS DELIVERY SYSTEM IS EFFECTIVE OCTOBER 1, 2000. THE WALLSTENT<br />

ENTERAL AND UNISTEP DELIVERY SYSTEM WAS EFFECTIVE AUGUST 1, 2000.<br />

C5279 STENT, URETERAL, BOSTON SCIENTIFIC CONTOUR SOFT PERCUFLEX STENT WITH HYDROPLUS<br />

COATING (BRAIDED), CONTOUR SOFT PERCUFLEX STENT WITH HYDROPLUS COATING, CONTOUR<br />

VL VARIABLE LENGTH PERCUFLEX STENT WITH HYDROPLUS COATING, PERCUFLEX PLUS STENT<br />

WITH HYDROPLUS COATING, PERCUFLEX STENT (BRAIDED), CONTOUR CLOSED SOFT<br />

PERCUFLEX STENT WITH HYDROPLUS COATING, CONTOUR INJECTION SOFT PERCUFLEX STENT<br />

WITH HYDROPLUS COATING, SOFT PERCUFLEX STENT, PERCUFLEX TAIL PLUS TAPERED<br />

URETERAL STENT NOTE: THE CONTOUR CLOSED SOFT PERCUFLEX STENT, CONOUR INJECTION<br />

SOFT PERCUFLEX STENT, SOFT PERCUFLEX, AND PERCUFLEX TAIL PLUS TAPERED URETERAL<br />

STENT ARE EFFECTIVE 01/01/01. THE OTHER URETERAL STENTS WERE EFFECTIVE<br />

10/01/00.<br />

C5280 STENT, URETERAL, BARD INLAY DOUBLE PIGTAIL URETERAL STENT<br />

C5281 STENT, TRACHEOBRONCHIAL, WALLGRAFT TRACHEOBRONCHIAL ENDOPROSTHESIS WITH UNISTEP<br />

DELIVERY SYSTEM (70MM IN LENGTH)<br />

C5282 STENT, TRACHEOBRONCHIAL, WALLGRAFT TRACHEOBRONCHIAL ENDOPROSTHESIS WITH UNISTEP<br />

DELIVERY SYSTEM (20MM, 30MM, 50MM IN LENGTH)<br />

C5283 STENT, SELF-EXPANDABLE FOR CREATION OF INTRAHEPATIC SHUNTS, WALLSTENT<br />

TRANSJUGULAR INTRAHEPATIC PROTOSYSTEMIC SHUNT (TIPS) WITH UNISTEP PLUS DELIVERY<br />

SYSTEM (90/94MM IN LENGTH), WALLSTENT RP TIPS ENDOPROSTHESIS WITH UNISTEP PLUS<br />

DELIVERY SYSTEM (94MM IN LENGTH) NOTE: ONLY THE WALLSTENT RP TIPS<br />

ENDOPROSTHESIS WITH UNISTEP PLUS DELIVERY SYSTEM IS EFFECTIVE OCTOBER 1, 2000.<br />

THE WALLSTENT TIPS WITH UNISTEP PLUST DELIVERY SYSTEM WAS EFFECTIVE AUGUST 1,<br />

2000.<br />

C5284 STENT, TRACHEOBRONCHIAL, ULTRAFLEX TRACHEOBRONCHIAL ENDOPROSTHESIS (COVERED AND<br />

NON-COVERED)<br />

C5600 VASCULAR CLOSURE DEVICE, VASOSEAL ES (EXTRAVASCULAR SECURITY) DEVICE

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