|
A4653 | Peritoneal dialysis catheter anchoring device, belt, each |
|
A4657 | Syringe, with or without needle, each |
|
A4660 | Sphygmomanometer/blood pressure apparatus with cuff and stethoscope |
|
A4663 | Blood pressure cuff only |
|
A4670 | Automatic blood pressure monitor |
|
A4671 | Disposable cycler set used with cycler dialysis machine, each |
|
A4672 | Drainage extension line, sterile, for dialysis, each |
|
A4673 | Extension line with easy lock connectors, used with dialysis |
|
A4674 | Chemicals/antiseptics solution used to clean/sterilize dialysis equipment, per 8 oz |
|
A4680 | Activated carbon filter for hemodialysis, each |
|
A4690 | Dialyzer (artificial kidneys), all types, all sizes, for hemodialysis, each |
|
A4706 | Bicarbonate concentrate, solution, for hemodialysis, per gallon |
|
A4707 | Bicarbonate concentrate, powder, for hemodialysis, per packet |
|
A4708 | Acetate concentrate solution, for hemodialysis, per gallon |
|
A4709 | Acid concentrate, solution, for hemodialysis, per gallon |
|
A4714 | Treated water (deionized, distilled, or reverse osmosis) for peritoneal dialysis, per gallon |
|
A4719 | "y set" tubing for peritoneal dialysis |
|
A4720 | Dialysate solution, any concentration of dextrose, fluid volume greater than 249 cc, but less than or equal to 999 cc, for peritoneal dialysis |
|
A4721 | Dialysate solution, any concentration of dextrose, fluid volume greater than 999 cc but less than or equal to 1999 cc, for peritoneal dialysis |
|
A4722 | Dialysate solution, any concentration of dextrose, fluid volume greater than 1999 cc but less than or equal to 2999 cc, for peritoneal dialysis |
|
A4723 | Dialysate solution, any concentration of dextrose, fluid volume greater than 2999 cc but less than or equal to 3999 cc, for peritoneal dialysis |
|
A4724 | Dialysate solution, any concentration of dextrose, fluid volume greater than 3999 cc but less than or equal to 4999 cc, for peritoneal dialysis |
|
A4725 | Dialysate solution, any concentration of dextrose, fluid volume greater than 4999 cc but less than or equal to 5999 cc, for peritoneal dialysis |
|
A4726 | Dialysate solution, any concentration of dextrose, fluid volume greater than 5999 cc, for peritoneal dialysis |
|
A4728 | Dialysate solution, non-dextrose containing, 500 ml |
|
A4730 | Fistula cannulation set for hemodialysis, each |
|
A4736 | Topical anesthetic, for dialysis, per gram |
|
A4737 | Injectable anesthetic, for dialysis, per 10 ml |
|
A4740 | Shunt accessory, for hemodialysis, any type, each |
|
A4750 | Blood tubing, arterial or venous, for hemodialysis, each |
|
A4755 | Blood tubing, arterial and venous combined, for hemodialysis, each |
|
A4760 | Dialysate solution test kit, for peritoneal dialysis, any type, each |
|
A4765 | Dialysate concentrate, powder, additive for peritoneal dialysis, per packet |
|
A4766 | Dialysate concentrate, solution, additive for peritoneal dialysis, per 10 ml |
|
A4770 | Blood collection tube, vacuum, for dialysis, per 50 |
|
A4771 | Serum clotting time tube, for dialysis, per 50 |
|
A4772 | Blood glucose test strips, for dialysis, per 50 |
|
A4773 | Occult blood test strips, for dialysis, per 50 |
|
A4774 | Ammonia test strips, for dialysis, per 50 |
|
A4802 | Protamine sulfate, for hemodialysis, per 50 mg |
|
A4860 | Disposable catheter tips for peritoneal dialysis, per 10 |
|
A4870 | Plumbing and/or electrical work for home hemodialysis equipment |
|
A4890 | Contracts, repair and maintenance, for hemodialysis equipment |
|
A4911 | Drain bag/bottle, for dialysis, each |
|
A4913 | Miscellaneous dialysis supplies, not otherwise specified |
|
A4918 | Venous pressure clamp, for hemodialysis, each |
|
A4927 | Gloves, non-sterile, per 100 |
|
A4928 | Surgical mask, per 20 |
|
A4929 | Tourniquet for dialysis, each |
|
A4930 | Gloves, sterile, per pair |
|
A4931 | Oral thermometer, reusable, any type, each |
|
A4932 | Rectal thermometer, reusable, any type, each |
