HCPCS	HCPCS Descriptor	Proposed 2014 SI	Packaging Policy	
A4216	"Sterile water/saline, 10 ml"	N	Supply	
A4217	"Sterile water/saline, 500 ml"	N	Supply	
A4280	Brst prsths adhsv attchmnt	N	Supply	
A4450	Non-waterproof tape	N	Supply	
A4452	Waterproof tape	N	Supply	
A4455	Adhesive remover per ounce	N	Supply	
A4456	"Adhesive remover, wipes"	N	Supply	
A4461	Surgicl dress hold non-reuse	N	Supply	
A4463	Surgical dress holder reuse	N	Supply	
A4481	Tracheostoma filter	N	Supply	
A4483	Moisture exchanger	N	Supply	
A4606	Oxygen probe used w oximeter	N	Supply	
A4623	Tracheostomy inner cannula	N	Supply	
A4625	Trach care kit for new trach	N	Supply	
A4626	Tracheostomy cleaning brush	N	Supply	
A4629	Tracheostomy care kit	N	Supply	
A4634	Replacement bulb th lightbox	N	Supply	
A4651	Calibrated microcap tube	N	Supply	
A4652	Microcapillary tube sealant	N	Supply	
A4653	PD catheter anchor belt	N	Supply	
A6010	Collagen based wound filler	N	Supply	
A6011	Collagen gel/paste wound fil	N	Supply	
A6021	Collagen dressing <=16 sq in	N	Supply	
A6022	Collagen drsg>16<=48 sq in	N	Supply	
A6023	Collagen dressing >48 sq in	N	Supply	
A6024	Collagen dsg wound filler	N	Supply	
A6154	Wound pouch each	N	Supply	
A6196	Alginate dressing <=16 sq in	N	Supply	
A6197	Alginate drsg >16 <=48 sq in	N	Supply	
A6198	alginate dressing > 48 sq in	N	Supply	
A6199	Alginate drsg wound filler	N	Supply	
A6203	Composite drsg <= 16 sq in	N	Supply	
A6204	Composite drsg >16<=48 sq in	N	Supply	
A6205	Composite drsg > 48 sq in	N	Supply	
A6206	Contact layer <= 16 sq in	N	Supply	
A6207	Contact layer >16<= 48 sq in	N	Supply	
A6208	Contact layer > 48 sq in	N	Supply	
A6209	Foam drsg <=16 sq in w/o bdr	N	Supply	
A6210	Foam drg >16<=48 sq in w/o b	N	Supply	
A6211	Foam drg > 48 sq in w/o brdr	N	Supply	
A6212	Foam drg <=16 sq in w/border	N	Supply	
A6213	Foam drg >16<=48 sq in w/bdr	N	Supply	
A6214	Foam drg > 48 sq in w/border	N	Supply	
A6215	Foam dressing wound filler	N	Supply	
A6216	Non-sterile gauze<=16 sq in	N	Supply	
A6217	Non-sterile gauze>16<=48 sq	N	Supply	
A6218	Non-sterile gauze > 48 sq in	N	Supply	
A6219	Gauze <= 16 sq in w/border	N	Supply	
A6220	Gauze >16 <=48 sq in w/bordr	N	Supply	
A6221	Gauze > 48 sq in w/border	N	Supply	
A6222	Gauze <=16 in no w/sal w/o b	N	Supply	
A6223	Gauze >16<=48 no w/sal w/o b	N	Supply	
A6224	Gauze > 48 in no w/sal w/o b	N	Supply	
A6228	Gauze <= 16 sq in water/sal	N	Supply	
A6229	Gauze >16<=48 sq in watr/sal	N	Supply	
A6230	Gauze > 48 sq in water/salne	N	Supply	
A6231	Hydrogel dsg<=16 sq in	N	Supply	
A6232	Hydrogel dsg>16<=48 sq in	N	Supply	
A6233	Hydrogel dressing >48 sq in	N	Supply	
A6234	Hydrocolld drg <=16 w/o bdr	N	Supply	
A6235	Hydrocolld drg >16<=48 w/o b	N	Supply	
A6236	Hydrocolld drg > 48 in w/o b	N	Supply	
A6237	Hydrocolld drg <=16 in w/bdr	N	Supply	
A6238	Hydrocolld drg >16<=48 w/bdr	N	Supply	
A6239	Hydrocolld drg > 48 in w/bdr	N	Supply	
A6240	Hydrocolld drg filler paste	N	Supply	
A6241	Hydrocolloid drg filler dry	N	Supply	
A6242	Hydrogel drg <=16 in w/o bdr	N	Supply	
A6243	Hydrogel drg >16<=48 w/o bdr	N	Supply	
A6244	Hydrogel drg >48 in w/o bdr	N	Supply	
A6245	Hydrogel drg <= 16 in w/bdr	N	Supply	
A6246	Hydrogel drg >16<=48 in w/b	N	Supply	
A6247	Hydrogel drg > 48 sq in w/b	N	Supply	
A6248	Hydrogel drsg gel filler	N	Supply	
A6250	Skin seal protect moisturizr	N	Supply	
A6251	Absorpt drg <=16 sq in w/o b	N	Supply	
A6252	Absorpt drg >16 <=48 w/o bdr	N	Supply	
A6253	Absorpt drg > 48 sq in w/o b	N	Supply	
A6254	Absorpt drg <=16 sq in w/bdr	N	Supply	
A6255	Absorpt drg >16<=48 in w/bdr	N	Supply	
A6256	Absorpt drg > 48 sq in w/bdr	N	Supply	
A6257	Transparent film <= 16 sq in	N	Supply	
A6258	Transparent film >16<=48 in	N	Supply	
A6259	Transparent film > 48 sq in	N	Supply	
A6260	Wound cleanser any type/size	N	Supply	
A6261	Wound filler gel/paste /oz	N	Supply	
A6262	Wound filler dry form / gram	N	Supply	
A6266	Impreg gauze no h20/sal/yard	N	Supply	
A6402	Sterile gauze <= 16 sq in	N	Supply	
A6403	Sterile gauze>16 <= 48 sq in	N	Supply	
A6404	Sterile gauze > 48 sq in	N	Supply	
A6407	"Packing strips, non-impreg"	N	Supply	
A6410	Sterile eye pad	N	Supply	
A6411	Non-sterile eye pad	N	Supply	
A6412	Occlusive eye patch	N	Supply	
A6441	"Pad band w>=3"" <5""/yd"	N	Supply	
A6442	"Conform band n/s w<3""/yd"	N	Supply	
A6443	"Conform band n/s w>=3""<5""/yd"	N	Supply	
A6444	"Conform band n/s w>=5""/yd"	N	Supply	
A6445	"Conform band s w <3""/yd"	N	Supply	
A6446	"Conform band s w>=3"" <5""/yd"	N	Supply	
A6447	"Conform band s w >=5""/yd"	N	Supply	
A6448	"Lt compres band <3""/yd"	N	Supply	
A6449	"Lt compres band >=3"" <5""/yd"	N	Supply	
A6450	"Lt compres band >=5""/yd"	N	Supply	
A6451	"Mod compres band w>=3""<5""/yd"	N	Supply	
A6452	"High compres band w>=3""<5""yd"	N	Supply	
A6453	"Self-adher band w <3""/yd"	N	Supply	
A6454	"Self-adher band w>=3"" <5""/yd"	N	Supply	
A6455	"Self-adher band >=5""/yd"	N	Supply	
A6456	"Zinc paste band w >=3""<5""/yd"	N	Supply	
A6457	Tubular dressing	N	Supply	
A6501	Compres burngarment bodysuit	N	Supply	
A6502	Compres burngarment chinstrp	N	Supply	
A6503	Compres burngarment facehood	N	Supply	
A6504	Cmprsburngarment glove-wrist	N	Supply	
A6505	Cmprsburngarment glove-elbow	N	Supply	
A6506	Cmprsburngrmnt glove-axilla	N	Supply	
A6507	Cmprs burngarment foot-knee	N	Supply	
A6508	Cmprs burngarment foot-thigh	N	Supply	
A6509	Compres burn garment jacket	N	Supply	
A6510	Compres burn garment leotard	N	Supply	
A6511	Compres burn garment panty	N	Supply	
A6512	"Compres burn garment, noc"	N	Supply	
A6531	Compression stocking BK30-40	N	Supply	
A6532	Compression stocking BK40-50	N	Supply	
A6545	Grad comp non-elastic BK	N	Supply	
A7040	One way chest drain valve	N	Supply	
A7041	Water seal drain container	N	Supply	
A7043	Vacuum drainagebottle/tubing	N	Supply	
A7501	Tracheostoma valve w diaphra	N	Supply	
A7502	Replacement diaphragm/fplate	N	Supply	
A7503	HMES filter holder or cap	N	Supply	
A7504	Tracheostoma HMES filter	N	Supply	
A7505	HMES or trach valve housing	N	Supply	
A7506	HMES/trachvalve adhesivedisk	N	Supply	
A7507	Integrated filter & holder	N	Supply	
A7508	Housing & Integrated Adhesiv	N	Supply	
A7509	Heat & moisture exchange sys	N	Supply	
A7520	Trach/laryn tube non-cuffed	N	Supply	
A7521	Trach/laryn tube cuffed	N	Supply	
A7522	Trach/laryn tube stainless	N	Supply	
A7523	Tracheostomy shower protect	N	Supply	
A7524	Tracheostoma stent/stud/bttn	N	Supply	
A7525	Tracheostomy mask	N	Supply	
A7526	Tracheostomy tube collar	N	Supply	
A7527	Trach/laryn tube plug/stop	N	Supply	
