Medicare Data Utilities Appendices

S8300 SACRAL NERVE STIMULATION TEST LEAD KIT
S8400 INCONTINENCE PANTS, EACH
S8402 DIAPERS, EACH
S8405 INCONTINENCE LINERS, EACH
S8950 COMPLEX LYMPHEDEMA THERAPY, EACH 15 MINUTES
S8999 RESUSCITATION BAG (FOR USE BY PATIENT ON ARTIFICIAL RESPIRATION DURING POWER
FAILURE OR OTHER CATASTROPHIC EVENT)
S9001 HOME UTERINE MONITOR WITH OR WITHOUT ASSOCIATED NURSING SERVICES
S9007 ULTRAFILTRATION MONITOR
S9015 AUTOMATED EEG MONITORING
S9022 DIGITAL SUBTRACTION ANGIOGRAPHY (USE IN ADDITION TO CPT CODE FOR THE PROCEDURE
FOR FURTHER IDENTIFICATION)
S9023 XENON REGIONAL CEREBRAL BLOOD FLOW STUDIES
S9024 PARANASAL SINUS ULTRASOUND
S9025 OMNICARDIOGRAM/CARDIOINTEGRAM
S9033 GAIT ANALYSIS
S9035 MEDICAL EQUIPMENT OR SUPPLIES DISTRIBUTED BY HOME CARE PROVIDER WITHOUT
PROFESSIONAL NURSING INTERVENTION, PER DIEM
S9055 PROCUREN OR OTHER GROWTH FACTOR PREPARATION TO PROMOTE WOUND HEALING
S9056 COMA STIMULATION PER DIEM
S9061 MEDICAL SUPPLIES AND EQUIPMENT RENTAL DISTRIBUTED BY THE HOME CARE PROVIDER;
AEROSOLIZED DRUG THERAPY; PER DIEM
S9075 SMOKING CESSATION TREATMENT
S9085 MENISCAL ALLOGRAFT TRANSPLANTATION
S9088 SERVICES PROVIDED IN AN URGENT CARE CENTER
S9090 VERTEBRAL AXIAL DECOMPRESSION, PER SESSION
S9122 HOME HEALTH AIDE OR CERTIFIED NURSE ASSISTANT, PROVIDING CARE IN THE HOME; PER
HOUR
S9123 NURSING CARE, IN THE HOME; BY REGISTERED NURSE, PER HOUR
S9124 NURSING CARE, IN THE HOME; BY LICENSED PRACTICAL NURSE, PER HOUR
S9125 RESPITE CARE, IN THE HOME, PER DIEM
S9126 HOSPICE CARE, IN THE HOME, PER DIEM
S9127 SOCIAL WORK VISIT, IN THE HOME, PER DIEM
S9128 SPEECH THERAPY, IN THE HOME, PER DIEM
S9129 OCCUPATIONAL THERAPY, IN THE HOME, PER DIEM
S9140 DIABETIC MANAGEMENT PROGRAM, FOLLOW-UP VISIT TO NON-MD PROVIDER
S9141 DIABETIC MANAGEMENT PROGRAM, FOLLOW-UP VISIT TO MD PROVIDER
S9200 NURSING SERVICES AND ALL NECESSARY SUPPLIES (INCLUDING PCA PUMP RENTAL) FOR
HOME ADMINISTRATION OF PATIENT CONTROLLED ANALGESIA (PCA) PER DIEM (DRUGS NOT
INCLUDED)
S9210 NURSING SERVICES AND ALL NECESSARY EQUIPMENT AND SUPPLIES FOR CONTINUOUS,
UNINTERRUPTED INFUSION OF EPOPROSTENOL (INCLUDES VENOUS ACCESS DEVICE, INFUSION
PUMP, BACK UP PUMP, ICE PACKS FOR CASSETTES, BATTERIES, ALL RELATED SUPPLIES,
AND ALL NURSING SERVICES INCLUDING FOLLOW-UP VISITS, TELEPHONE MONITORING, 24
HOUR/7 DAY A WEEK AVAILABILITY, AND ALL EDUCATION TO PATIENT AND CARE GIVERS);
PER DIEM
S9220 NURSING SERVICES AND ALL NECESSARY EQUIPMENT AND SUPPLIES FOR HOME
ADMINISTRATION OF CONTROLLED RATE INTRAVENOUS INFUSION (E.G. DOBUTAMINE)
REQUIRING PROLONGED ATTENDANCE BY THE NURSE, PER DIEM (DRUGS NOT INCLUDED)
S9225 NURSING SERVICES AND ALL NECESSARY EQUIPMENT AND SUPPLIES FOR HOME
ADMINISTRATION OF INTRAVENOUS TOCOLYTIC THERAPY, PER DIEM
S9230 NURSING SERVICES AND ALL NECESSARY EQUIPMENT AND SUPPLIES FOR HOME
ADMINISTRATION OF HEPARIN, PER DIEM
S9300 NURSING SERVICES AND ALL NECESSARY SUPPLIES FOR HOME ENTERAL FEEDING BY
GRAVITY, PER DIEM (ENTERAL FORMULA NOT INCLUDED)
S9308 NURSING SERVICES AND ALL NECESSARY SUPPLIES FOR HOME ENTERAL FEEDING BY PUMP,
INCLUDING PUMP RENTAL, PER DIEM (ENTERAL FORMULA NOT INCLUDED)