Medicare Data Utilities Appendices

K0171 ADMINISTRATION SET, SMALL VOLUME FILTERED PNEUMATIC NEBULIZER
K0172 LARGE VOLUME NEBULIZER, DISPOSABLE, UNFILLED, USED WITH AEROSOL COMPRESSOR
K0173 LARGE VOLUME NEBULIZER, DISPOSABLE, PREFILLED, USED WITH AEROSOL COMPRESSOR
K0174 RESERVOIR BOTTLE, NON-DISPOSABLE, USED WITH LARGE VOLUME ULTRASONIC NEBULIZER
K0175 CORRUGATED TUBING, DISPOSABLE, USED WITH LARGE VOLUME NEBULIZER, 100 FEET
K0176 CORRUGATED TUBING, NON-DISPOSABLE, USED WITH LARGE VOLUME NEBULIZER, 10 FEET
K0177 WATER COLLECTION DEVICE, USED WITH LARGE VOLUME NEBULIZER
K0178 FILTER, DISPOSABLE, USED WITH AEROSOL COMPRESSOR
K0179 FILTER, NON-DISPOSABLE, USED WITH AEROSOL COMPRESSOR OR ULTRASONIC GENERATOR
K0180 AEROSOL MASK, USED WITH DME NEBULIZER
K0181 DOME AND MOUTHPIECE, USED WITH SMALL VOLUME ULTRASONIC NEBULIZER
K0182 WATER, DISTILLED, USED WITH LARGE VOLUME NEBULIZER, 1000 ML
K0183 NASAL APPLICATION DEVICE USED WITH POSITIVE AIRWAY PRESSURE DEVICE
K0184 NASAL PILLOWS/SEALS, REPLACEMENT FOR NASAL APPLICATION DEVICE, PAIR
K0185 HEADGEAR USED WITH POSITIVE AIRWAY PRESSURE DEVICE
K0186 CHIN STRAP USED WITH POSITIVE AIRWAY PRESSURE DEVICE
K0187 TUBING USED WITH POSITIVE AIRWAY PRESSURE DEVICE
K0188 FILTER, DISPOSABLE, USED WITH POSITIVE AIRWAY PRESSURE DEVICE
K0189 FILTER, NON DISPOSABLE, USED WITH POSITIVE AIRWAY PRESSURE DEVICE
K0190 CANISTER, DISPOSABLE, USED WITH SUCTION PUMP
K0191 CANISTER, NON-DISPOSABLE, USED WITH SUCTION PUMP
K0192 TUBING, USED WITH SUCTION PUMP
K0193 CONTINUOUS POSITIVE AIRWAY PRESSURE DEVICE, WITH HUMIDIFIER
K0194 INTERMITTENT ASSIST DEVICE WITH CONTINUOUS POSITIVE AIRWAY PRESSURE, WITH
HUMIDIFIER
K0195 ELEVATING LEG RESTS, PAIR (FOR USE WITH CAPPED RENTAL WHEELCHAIR BASE)
K0268 HUMIDIFIER, NON-HEATED, USED WITH POSITIVE AIRWAY PRESSURE DEVICE
K0269 AEROSOL COMPRESSOR, ADJUSTABLE PRESSURE, LIGHT DUTY FOR INTERMITTENT USE
K0270 ULTRASONIC GENERATOR WITH SMALL VOLUME ULTRASONIC NEBULIZER
K0277 SKIN BARRIER; SOLID 4X4 OR EQUIVALENT, STANDARD WEAR, WITH BUILT-IN CONVEXITY,
EACH
K0278 SKIN BARRIER; WITH FLANGE (SOLID, FLEXIBLE OR ACCORDIAN), STANDARD WEAR, WITH
BUILT-IN CONVEXITY, ANY SIZE, EACH
K0279 SKIN BARRIER; WITH FLANGE (SOLID, FLEXIBLE OR ACCORDION), EXTENDED WEAR, WITH
BUILT-IN CONVEXITY, ANY SIZE, EACH
K0280 EXTENSION DRAINAGE TUBING, ANY TYPE, ANY LENGTH, WITH CONNECTOR/ADAPTOR, FOR
USE WITH URINARY LEG BAG OR UROSTOMY POUCH, EACH
K0281 LUBRICANT, INDIVIDUAL STERILE PACKET, FOR INSERTION OF URINARY CATHETER, EACH
K0283 SALINE SOLUTION, PER 10 ML, METERED DOSE DISPENSER, FOR USE WITH INHALATION
DRUGS
K0284 EXTERNAL INFUSION PUMP, MECHANICAL, REUSABLE, FOR EXTENDED DRUG INFUSION
K0400 ADHESIVE SKIN SUPPORT ATTACHMENT FOR USE WITH EXTERNAL BREAST PROSTHESIS, EACH
K0401 FOR DIABETICS ONLY, DELUXE FEATURE OF OFF-THE SHELF DEPTH INLAY SHOE OR CUSTOM
MOLDED SHOE, PER SHOE
K0407 URINARY CATHETER ANCHORING DEVICE, ADHESIVE SKIN ATTACHMENT
K0408 URINARY CATHETER ANCHORING DEVICE, LEG STRAP
K0409 STERILE WATER IRRIGATION SOLUTION, 1000 ML
K0410 MALE EXTERNAL CATHETER, WITH ADHESIVE COATING, EACH
K0411 MALE EXTERNAL CATHETER, WITH ADHESIVE STRIP, EACH
K0412 MYCOPHENOLATE MOFETIL, ORAL, 250 MG
K0413 NON-POWERED, ADVANCED PRESSURE-REDUCING OVERLAY FOR MATTRESS, STANDARD MATTRESS
LENGTH AND WIDTH
K0414 POWERED AIR OVERLAY FOR MATTRESS, STANDARD MATTRESS LENGTH AND WIDTH
K0415 PRESCRIPTION ANTIEMETIC DRUG, ORAL, PER 1 MG, FOR USE IN CONJUNCTION WITH ORAL
ANTI-CANCER DRUG, NOT OTHERWISE SPECIFIED
K0416 PRESCRIPTION ANTIEMETIC DRUG, RECTAL, PER 1 MG, FOR USE IN CONJUCTION WITH ORAL
ANTI-CANCER DRUG, NOT OTHERWISE SPECIFIED