A4331
|
EXTENSION DRAINAGE TUBING, ANY TYPE, ANY LENGTH, WITH CONNECTOR/ADAPTOR, FOR USE WITH URINARY LEG BAG OR UROSTOMY POUCH, EACH
|
A4357
|
BEDSIDE DRAINAGE BAG, DAY OR NIGHT, WITH OR WITHOUT ANTI-REFLUX DEVICE, WITH OR WITHOUT TUBE, EACH
|
A4361
|
OSTOMY FACEPLATE, EACH
|
A4362
|
SKIN BARRIER; SOLID, 4 X 4 OR EQUIVALENT; EACH
|
A4363
|
OSTOMY CLAMP, ANY TYPE, REPLACEMENT ONLY, EACH
|
A4364
|
ADHESIVE, LIQUID OR EQUAL, ANY TYPE, PER OZ
|
A4366
|
OSTOMY VENT, ANY TYPE, EACH
|
A4367
|
OSTOMY BELT, EACH
|
A4368
|
OSTOMY FILTER, ANY TYPE, EACH
|
A4369
|
OSTOMY SKIN BARRIER, LIQUID (SPRAY, BRUSH, ETC.), PER OZ
|
A4371
|
OSTOMY SKIN BARRIER, POWDER, PER OZ
|
A4372
|
OSTOMY SKIN BARRIER, SOLID 4 X 4 OR EQUIVALENT, STANDARD WEAR, WITH BUILT-IN CONVEXITY, EACH
|
A4373
|
OSTOMY SKIN BARRIER, WITH FLANGE (SOLID, FLEXIBLE OR ACCORDION), WITH BUILT-IN CONVEXITY, ANY SIZE, EACH
|
A4375
|
OSTOMY POUCH, DRAINABLE, WITH FACEPLATE ATTACHED, PLASTIC, EACH
|
A4376
|
OSTOMY POUCH, DRAINABLE, WITH FACEPLATE ATTACHED, RUBBER, EACH
|
A4377
|
OSTOMY POUCH, DRAINABLE, FOR USE ON FACEPLATE, PLASTIC, EACH
|
A4378
|
OSTOMY POUCH, DRAINABLE, FOR USE ON FACEPLATE, RUBBER, EACH
|
A4379
|
OSTOMY POUCH, URINARY, WITH FACEPLATE ATTACHED, PLASTIC, EACH
|
A4380
|
OSTOMY POUCH, URINARY, WITH FACEPLATE ATTACHED, RUBBER, EACH
|
A4381
|
OSTOMY POUCH, URINARY, FOR USE ON FACEPLATE, PLASTIC, EACH
|
A4382
|
OSTOMY POUCH, URINARY, FOR USE ON FACEPLATE, HEAVY PLASTIC, EACH
|
A4383
|
OSTOMY POUCH, URINARY, FOR USE ON FACEPLATE, RUBBER, EACH
|
A4384
|
OSTOMY FACEPLATE EQUIVALENT, SILICONE RING, EACH
|
A4385
|
OSTOMY SKIN BARRIER, SOLID 4 X 4 OR EQUIVALENT, EXTENDED WEAR, WITHOUT BUILT-IN CONVEXITY, EACH
|
A4387
|
OSTOMY POUCH, CLOSED, WITH BARRIER ATTACHED, WITH BUILT-IN CONVEXITY (1 PIECE), EACH
|
A4388
|
OSTOMY POUCH, DRAINABLE, WITH EXTENDED WEAR BARRIER ATTACHED, (1 PIECE), EACH
|
A4389
|
OSTOMY POUCH, DRAINABLE, WITH BARRIER ATTACHED, WITH BUILT-IN CONVEXITY (1 PIECE), EACH
|
A4390
|
OSTOMY POUCH, DRAINABLE, WITH EXTENDED WEAR BARRIER ATTACHED, WITH BUILT-IN CONVEXITY (1 PIECE), EACH
|
A4391
|
OSTOMY POUCH, URINARY, WITH EXTENDED WEAR BARRIER ATTACHED (1 PIECE), EACH
|
A4392
|
OSTOMY POUCH, URINARY, WITH STANDARD WEAR BARRIER ATTACHED, WITH BUILT-IN CONVEXITY (1 PIECE), EACH
|
A4393
|
OSTOMY POUCH, URINARY, WITH EXTENDED WEAR BARRIER ATTACHED, WITH BUILT-IN CONVEXITY (1 PIECE), EACH
|
A4394
|
OSTOMY DEODORANT, WITH OR WITHOUT LUBRICANT, FOR USE IN OSTOMY POUCH, PER FLUID OUNCE
|
A4395
|
OSTOMY DEODORANT FOR USE IN OSTOMY POUCH, SOLID, PER TABLET
|
A4396
|
OSTOMY BELT WITH PERISTOMAL HERNIA SUPPORT
|
A4398
|
OSTOMY IRRIGATION SUPPLY; BAG, EACH
|
A4399
|
OSTOMY IRRIGATION SUPPLY; CONE/CATHETER, WITH OR WITHOUT BRUSH
|
A4402
|
LUBRICANT, PER OUNCE
|
A4404
|
OSTOMY RING, EACH
|
A4405
|
OSTOMY SKIN BARRIER, NON-PECTIN BASED, PASTE, PER OUNCE
|
A4406
|
OSTOMY SKIN BARRIER, PECTIN-BASED, PASTE, PER OUNCE
|
A4407
|
OSTOMY SKIN BARRIER, WITH FLANGE (SOLID, FLEXIBLE, OR ACCORDION), EXTENDED WEAR, WITH BUILT-IN CONVEXITY, 4 X 4 INCHES OR SMALLER, EACH
|
A4408
|
OSTOMY SKIN BARRIER, WITH FLANGE (SOLID, FLEXIBLE OR ACCORDION), EXTENDED WEAR, WITH BUILT-IN CONVEXITY, LARGER THAN 4 X 4 INCHES, EACH
|
A4409
|
OSTOMY SKIN BARRIER, WITH FLANGE (SOLID, FLEXIBLE OR ACCORDION), EXTENDED WEAR, WITHOUT BUILT-IN CONVEXITY, 4 X 4 INCHES OR SMALLER, EACH
|
A4410
|
OSTOMY SKIN BARRIER, WITH FLANGE (SOLID, FLEXIBLE OR ACCORDION), EXTENDED WEAR, WITHOUT BUILT-IN CONVEXITY, LARGER THAN 4 X 4 INCHES, EACH
|
A4411
|
OSTOMY SKIN BARRIER, SOLID 4 X 4 OR EQUIVALENT, EXTENDED WEAR, WITH BUILT-IN CONVEXITY, EACH
|
A4412
|
OSTOMY POUCH, DRAINABLE, HIGH OUTPUT, FOR USE ON A BARRIER WITH FLANGE (2 PIECE SYSTEM), WITHOUT FILTER, EACH
|
A4413
|
OSTOMY POUCH, DRAINABLE, HIGH OUTPUT, FOR USE ON A BARRIER WITH FLANGE (2 PIECE SYSTEM), WITH FILTER, EACH
|
A4414
|
OSTOMY SKIN BARRIER, WITH FLANGE (SOLID, FLEXIBLE OR ACCORDION), WITHOUT BUILT-IN CONVEXITY, 4 X 4 INCHES OR SMALLER, EACH
|
A4415
|
OSTOMY SKIN BARRIER, WITH FLANGE (SOLID, FLEXIBLE OR ACCORDION), WITHOUT BUILT-IN CONVEXITY, LARGER THAN 4 X 4 INCHES, EACH
|
A4416
|
OSTOMY POUCH, CLOSED, WITH BARRIER ATTACHED, WITH FILTER (1 PIECE), EACH
|
A4417
|
OSTOMY POUCH, CLOSED, WITH BARRIER ATTACHED, WITH BUILT-IN CONVEXITY, WITH FILTER (1 PIECE), EACH
|
A4418
|
OSTOMY POUCH, CLOSED; WITHOUT BARRIER ATTACHED, WITH FILTER (1 PIECE), EACH
|
A4419
|
OSTOMY POUCH, CLOSED; FOR USE ON BARRIER WITH NON-LOCKING FLANGE, WITH FILTER (2 PIECE), EACH
|
A4420
|
OSTOMY POUCH, CLOSED; FOR USE ON BARRIER WITH LOCKING FLANGE (2 PIECE), EACH
|
A4421
|
OSTOMY SUPPLY; MISCELLANEOUS
|
A4422
|
OSTOMY ABSORBENT MATERIAL (SHEET/PAD/CRYSTAL PACKET) FOR USE IN OSTOMY POUCH TO THICKEN LIQUID STOMAL OUTPUT, EACH
|
A4423
|
OSTOMY POUCH, CLOSED; FOR USE ON BARRIER WITH LOCKING FLANGE, WITH FILTER (2 PIECE), EACH
|
A4424
|
OSTOMY POUCH, DRAINABLE, WITH BARRIER ATTACHED, WITH FILTER (1 PIECE), EACH
|
A4425
|
OSTOMY POUCH, DRAINABLE; FOR USE ON BARRIER WITH NON-LOCKING FLANGE, WITH FILTER (2 PIECE SYSTEM), EACH
|
A4426
|
OSTOMY POUCH, DRAINABLE; FOR USE ON BARRIER WITH LOCKING FLANGE (2 PIECE SYSTEM), EACH
|
A4427
|
OSTOMY POUCH, DRAINABLE; FOR USE ON BARRIER WITH LOCKING FLANGE, WITH FILTER (2 PIECE SYSTEM), EACH
|
A4428
|
OSTOMY POUCH, URINARY, WITH EXTENDED WEAR BARRIER ATTACHED, WITH FAUCET-TYPE TAP WITH VALVE (1 PIECE), EACH
|
A4429
|
OSTOMY POUCH, URINARY, WITH BARRIER ATTACHED, WITH BUILT-IN CONVEXITY, WITH FAUCET-TYPE TAP WITH VALVE (1 PIECE), EACH
|
A4430
|
OSTOMY POUCH, URINARY, WITH EXTENDED WEAR BARRIER ATTACHED, WITH BUILT-IN CONVEXITY, WITH FAUCET-TYPE TAP WITH VALVE (1 PIECE), EACH
|
A4431
|
OSTOMY POUCH, URINARY; WITH BARRIER ATTACHED, WITH FAUCET-TYPE TAP WITH VALVE (1 PIECE), EACH
|
A4432
|
OSTOMY POUCH, URINARY; FOR USE ON BARRIER WITH NON-LOCKING FLANGE, WITH FAUCET-TYPE TAP WITH VALVE (2 PIECE), EACH
|
A4433
|
OSTOMY POUCH, URINARY; FOR USE ON BARRIER WITH LOCKING FLANGE (2 PIECE), EACH
|
A4434
|
OSTOMY POUCH, URINARY; FOR USE ON BARRIER WITH LOCKING FLANGE, WITH FAUCET-TYPE TAP WITH VALVE (2 PIECE), EACH
|
A4435
|
OSTOMY POUCH, DRAINABLE, HIGH OUTPUT, WITH EXTENDED WEAR BARRIER (ONE-PIECE SYSTEM), WITH OR WITHOUT FILTER, EACH
|
A4436
|
IRRIGATION SUPPLY; SLEEVE, REUSABLE, PER MONTH
|
A4437
|
IRRIGATION SUPPLY; SLEEVE, DISPOSABLE, PER MONTH
|
A4450
|
TAPE, NON-WATERPROOF, PER 18 SQUARE INCHES
|
A4452
|
TAPE, WATERPROOF, PER 18 SQUARE INCHES
|
A4455
|
ADHESIVE REMOVER OR SOLVENT (FOR TAPE, CEMENT OR OTHER ADHESIVE), PER OUNCE
|
A4456
|
ADHESIVE REMOVER, WIPES, ANY TYPE, EACH
|
A5051
|
OSTOMY POUCH, CLOSED; WITH BARRIER ATTACHED (1 PIECE), EACH
|
A5052
|
OSTOMY POUCH, CLOSED; WITHOUT BARRIER ATTACHED (1 PIECE), EACH
|
A5053
|
OSTOMY POUCH, CLOSED; FOR USE ON FACEPLATE, EACH
|
A5054
|
OSTOMY POUCH, CLOSED; FOR USE ON BARRIER WITH FLANGE (2 PIECE), EACH
|
A5055
|
STOMA CAP
|
A5056
|
OSTOMY POUCH, DRAINABLE, WITH EXTENDED WEAR BARRIER ATTACHED, WITH FILTER, (1 PIECE), EACH
|
A5057
|
OSTOMY POUCH, DRAINABLE, WITH EXTENDED WEAR BARRIER ATTACHED, WITH BUILT IN CONVEXITY, WITH FILTER, (1 PIECE), EACH
|
A5061
|
OSTOMY POUCH, DRAINABLE; WITH BARRIER ATTACHED, (1 PIECE), EACH
|
A5062
|
OSTOMY POUCH, DRAINABLE; WITHOUT BARRIER ATTACHED (1 PIECE), EACH
|
A5063
|
OSTOMY POUCH, DRAINABLE; FOR USE ON BARRIER WITH FLANGE (2 PIECE SYSTEM), EACH
|
A5071
|
OSTOMY POUCH, URINARY; WITH BARRIER ATTACHED (1 PIECE), EACH
|
A5072
|
OSTOMY POUCH, URINARY; WITHOUT BARRIER ATTACHED (1 PIECE), EACH
|
A5073
|
OSTOMY POUCH, URINARY; FOR USE ON BARRIER WITH FLANGE (2 PIECE), EACH
|
A5081
|
STOMA PLUG OR SEAL, ANY TYPE
|
A5082
|
CONTINENT DEVICE; CATHETER FOR CONTINENT STOMA
|
A5083
|
CONTINENT DEVICE, STOMA ABSORPTIVE COVER FOR CONTINENT STOMA
|
A5093
|
OSTOMY ACCESSORY; CONVEX INSERT
|
A5102
|
BEDSIDE DRAINAGE BOTTLE WITH OR WITHOUT TUBING, RIGID OR EXPANDABLE, EACH
|
A5120
|
SKIN BARRIER, WIPES OR SWABS, EACH
|
A5121
|
SKIN BARRIER; SOLID, 6 X 6 OR EQUIVALENT, EACH
|
A5122
|
SKIN BARRIER; SOLID, 8 X 8 OR EQUIVALENT, EACH
|
A5126
|
ADHESIVE OR NON-ADHESIVE; DISK OR FOAM PAD
|
A5131
|
APPLIANCE CLEANER, INCONTINENCE AND OSTOMY APPLIANCES, PER 16 OZ.
|
A6216
|
GAUZE, NON-IMPREGNATED, NON-STERILE, PAD SIZE 16 SQ. IN. OR LESS, WITHOUT ADHESIVE BORDER, EACH DRESSING
|
A9270
|
NON-COVERED ITEM OR SERVICE
|