Medicare Data Utilities Appendices

C8802 STENT, BILIARY, COOK OASIS ONE ACTION STENT INTRODUCTORY SYSTEM
C8830 STENT, CORONARY, COOK GIANTURCO-ROUBIN FLEX-STENT CORONARY STENT
C8890 PERFLUORON, PER 2ML
C8891 PERFLUORON, PER 5ML VIAL OR 7ML VIAL
C9000 INJECTION, SODIUM CHROMATE CR51, PER 0.25 MCI
C9001 LINEZOLID INJECTION, PER 200MG
C9002 TENECTEPLASE, PER 50MG/VIAL
C9003 PALIVIZUMAB-RSV-IGM, PER 50 MG
C9004 INJECTION, GEMTUZUMAB OZOGAMICIN, PER 5 MG
C9005 INJECTION, RETEPLASE, 18.8 MG (ONE SINGLE-USE VIAL)
C9006 INJECTION, TACROLIMUS, PER 5 MG (1 AMP)
C9007 BACLOFEN INTRATHECAL SCREENING KIT (1 AMP)
C9008 BACLOFEN INTRATHECAL REFILL KIT, PER 500 MCG
C9009 BACLOFEN REFILL KIT, PER 2000 MCG
C9010 BACLOFEN INTRATHECAL REFILL KIT, PER 4000 MCG
C9011 INJECTION, CAFFEINE CITRATE, PER 1ML
C9100 SUPPLY OF RADIOPHARMACEUTICAL DIAGNOSTIC IMAGING AGENT, IODINATED I-131
ALBUMIN, PER MCI
C9102 SUPPLY OF RADIOPHARMACEUTICAL DIAGNOSTIC IMAGING AGENT, 51 SODIUM CHROMATE, PER
50 MCI
C9103 SUPPLY OF RADIOPHARMACEUTICAL DIAGNOSTIC IMAGING AGENT, SODIUM IOTHALAMATE
I-125 INJECTION, PER 10 UCI
C9104 ANTI-THYMOCYTE GLOBULIN, PER 25 MG
C9105 INJECTION, HEPATITIS B IMMUNE GLOBULIN, PER 1 ML
C9106 SIROLIMUS, PER 1 MG/ML
C9107 INJECTION, TINZAPARIN SODIUM, PER 2ML VIAL
C9500 PLATELETS, IRRADIATED, EACH UNIT
C9501 PLATELETS, PHERESIS, EACH UNIT
C9502 PLATELETS, PHERESIS, IRRADIATED, EACH UNIT
C9503 FRESH FROZEN PLASMA, DONOR RETESTED, EACH UNIT
C9504 RED BLOOD CELLS, DEGLYCEROLIZED, EA UNIT
C9505 RED BLOOD CELLS, IRRADIATED, EACH UNIT
C9700 WATER INDUCED THERMOTHERAPY
C9701 STRETTA SYSTEM
C9702 CHECKMATE INTRAVASCULAR BRACHYTHERAPY SYSTEM
E0100 CANE, INCLUDES CANES OF ALL MATERIALS, ADJUSTABLE OR FIXED, WITH TIP
E0105 CANE, QUAD OR THREE PRONG, INCLUDES CANES OF ALL MATERIALS, ADJUSTABLE OR
FIXED, WITH TIPS
E0110 CRUTCHES, FOREARM, INCLUDES CRUTCHES OF VARIOUS MATERIALS, ADJUSTABLE OR FIXED,
PAIR, COMPLETE WITH TIPS AND HANDGRIPS
E0111 CRUTCH FOREARM, INCLUDES CRUTCHES OF VARIOUS MATERIALS, ADJUSTABLE OR FIXED,
EACH, WITH TIP AND HANDGRIPS
E0112 CRUTCHES UNDERARM, WOOD, ADJUSTABLE OR FIXED, PAIR, WITH PADS, TIPS AND
HANDGRIPS
E0113 CRUTCH UNDERARM, WOOD, ADJUSTABLE OR FIXED, EACH, WITH PAD, TIP AND HANDGRIP
E0114 CRUTCHES UNDERARM, OTHER THAN WOOD, ADJUSTABLE OR FIXED, PAIR, WITH PADS, TIPS
AND HANDGRIPS
E0116 CRUTCH UNDERARM, OTHER THAN WOOD, ADJUSTABLE OR FIXED, EACH, WITH PAD, TIP AND
HANDGRIP
E0130 WALKER, RIGID (PICKUP), ADJUSTABLE OR FIXED HEIGHT
E0135 WALKER, FOLDING (PICKUP), ADJUSTABLE OR FIXED HEIGHT
E0141 RIGID WALKER, WHEELED, WITHOUT SEAT
E0142 RIGID WALKER, WHEELED, WITH SEAT
E0143 FOLDING WALKER, WHEELED, WITHOUT SEAT
E0144 ENCLOSED, FRAMED FOLDING WALKER, WHEELED, WITH POSTERIOR SEAT
E0145 WALKER, WHEELED, WITH SEAT AND CRUTCH ATTACHMENTS
E0146 FOLDING WALKER, WHEELED, WITH SEAT