| TO: |
All Providers |
| FROM: |
CareFirst of Maryland Inc. |
| DATE: |
April 12, 2001 |
| SUBJECT: |
Categories for Use in Coding Devices Eligible for Transitional Pass-Through Payments Under the Hospital Outpatient Prospective Payment System |
I. General Discussion
This bulletin gives instructions for the implementation of category codes for use in making transitional pass-through payments for devices under Medicare's outpatient prospective payment system (OPPS). These instructions apply to medical devices, including devices of brachytherapy and cryoablation. Transitional pass-through payments for drugs or biologicals are not affected by the changes discussed here.
Since the inception of OPPS, transitional pass-through payments have been made on the basis of codes (C" codes of the HCFA Common Procedure Coding System (HCPCS)) defined for individual devices (e.g., Acme dual chamber pacemaker). C codes have been assigned by HCFA exclusively for this purpose. Only devices specifically identified in the long descriptions associated with the codes have been qualified for transitional pass-through payments. In some instances, the same code has been used for several similar devices, each specifically identified. This coding practice has been referred to as "item specific."
The Medicare, Medicaid, and SCHIP Benefits Improvement and Protection Act (BIPA) of 2000 requires the establishment of categories for purposes of determining transitional pass-through payment for devices, effective April 1, 2001. For items furnished on or after April 1, hospitals should bill using the category codes defined in Attachment II when furnishing devices that qualify for transitional pass-through payment. These new codes are also in the C series of HCPCS and are exclusively for use in billing for transitional pass-through payments. Each item previously determined to qualify fits in one of these categories. Other items may be billed using the category codes, even though HCFA has not qualified them on an item-specific basis, as long as they:
- Meet the definition of a device that qualifies for transitional pass-through payments and other requirements and definitions put forth below in Section III;
- Are described by the long descriptor associated with an active category code assigned by HCFA in Attachment II of this instruction or in a subsequent instruction; and
- Accord with definitions of terms and other general explanations issued by HCFA to accompany coding assignments in this or subsequent instructions. (See Attachment I.)
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Note that the categories presented here are based only on devices previously qualified for transitional pass-through payment on an item-specific basis. As is explained below, other devices not previously qualified will also fit in these categories if they meet the applicable descriptors and instructions. If a device does not meet the description of any established category and the other coding instructions, even though it appears to meet the other requirements in Section III, it may not be billed for transitional pass-through payments until an applicable category is established by HCFA. We will publish criteria that we will use for creation of additional categories in the near future, and we will use these criteria in establishing additional categories. We will specify in a Program Memorandum any additional categories that we establish.
This instruction addresses how devices that qualify for transitional pass-through payments are to be coded. The introduction of categories makes no changes with respect to how payment amounts are calculated. The transitional pass-through payment for a device will continue to be based on the charge on the individual bill, reduced to cost, and subject (in some instances) to a deduction that represents the cost of similar devices already included in the APC payment rate. Such deductions are made by the PRICER software in processing the claim.
The qualification of a device for transitional pass-through payments is temporary. Most of the categories established here will expire on January 1, 2003. (The underlying provision is permanent, and categories established later will expire in successive years.) At that time, APC payment rates will be adjusted to reflect the costs of devices (and drugs and biologicals) that received transitional pass-through payments. These adjustments will be based on claims data that reflect the use of codes for transitional pass-through devices, drugs and biologicals in conjunction with the CPT codes for the associated procedures. While some of the categories established here include devices that vary significantly in cost, claims data that shows use of CPT and device together will allow us to insure appropriate assignment of these costs to relevant APCs.
The Outpatient Code Editor (OCE) and PRICER currently contain the codes included in this document. However, Fiscal Intermediaries must add these codes to the HCPCS file in their internal claims processing systems. The codes are currently available to Fiscal Intermediaries for immediate retrieval via HCFA's mainframe telecommunication system under the following file name:
Data MU00.@AAA2360.HCPC0401.CONTR
Print MU00.@AAA2360.HCPC0401.PRINT
Because of time constraints, we were unable to update several of the short descriptors in the OCE for the April 2001 update. Therefore, the short descriptor for a specific category C-code may not be appropriately defined in the OCE. However, the correct short descriptors will be shown on remittance advice, cross-over claims, and Medicare summary notices. We will modify the short descriptors to be consistent with the long descriptors in the July 2001 update.
All of the C-codes included in this file are used exclusively for services paid under the outpatient PPS and may not be used to bill services paid under other Medicare payment systems.
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II. Roles of Hospitals, Manufacturers, and HCFA
In general, hospitals are ultimately responsible for the content of the bills they present to Medicare. Determining which category code is applicable for a specific item will be the responsibility of the billing hospital. Hospitals are expected to make these determinations in accord with these instructions and with usual coding and billing practices . We expect to post these issuances on our web page (www.hcfa.gov) for ready reference. Claims for outpatient prospective payment services are subject to the same review process as other hospital claims.
To assist with transition to the new codes, Attachment III of this document contains a "cross-walk" that shows which old codes (for individual devices) are associated with which new category code. Hospitals may continue to use the old codes during a grace period, as discussed in Attachment I. Note, however, that this cross-walk covers only those items previously determined eligible. Some other items that have not previously been determined eligible will be eligible to be included in categories and to receive transitional pass-through payments. In other words, if a device appears on this cross-walk, it is eligible while its category is effective, but other devices that do not appear will also be eligible. In general, HCFA does not expect to make item-specific determinations of such items as we have done previously. Consequently, we will not update this cross-walk in the future.
Many device manufacturers routinely provide hospital customers with information about appropriate coding of their devices. We understand that information provided by manufacturers in this manner can significantly simplify the hospitals' task in determining how to bill transitional pass-through payments. Accordingly, HCFA, in reviewing for appropriate billing of transitional pass-through items, will regard such information as, in general, reasonable support for a coding decision with respect to whether payment was appropriate. If hospitals have questions about appropriate coding that they cannot resolve on their own, the appropriate first step would be to seek information from the manufacturer.
While we expect hospitals, with the assistance of manufacturers, to be able to make the vast majority of coding decisions appropriately on the basis of information in this and subsequent instructions, a few problematic cases may nonetheless emerge. To help address such cases, HCFA will provide information on whether a particular device may be billed for transitional pass-through payments and/or which category would be applicable. We do not expect that such information will be needed except in a very few ambiguous cases. In general, for us to make such a judgment we will need information that is readily available only from the manufacturer. In some instances, consideration of such questions may reveal the need for an application from a manufacturer for a new category. Accordingly, a hospital wishing to secure such clarification is encouraged to first work with and through the manufacturer, rather than contacting HCFA directly. HCFA will post on its web page the results of any requests received for such decisions. We emphasize that HCFA does not have to have qualified a particular device for transitional pass-through payment before a hospital can bill for the device. In general, hospitals are expected to make appropriate coding decisions based on these instructions and other information available to them.
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III. Devices Eligible for Transitional Pass-through Payments
The definition of devices was elaborated in an Interim Final Rule with Comment Period published in the Federal Register on August 3, 2000 (65 FR 47670; the regulatory changes in that rule are compiled at 42 CFR 419.43). HCFA's implementation of BIPA will necessitate changes in certain aspects of this definition of devices. In particular, one aspect of that definition, dealing with whether Medicare paid for a device in outpatient departments as of December 31, 1996, will no longer apply effective April 1. BIPA also requires the test of whether the cost of a device is "not insignificant" to be applied on the basis of the average cost of devices in a category, not an individual item. (HCFA will make determinations about whether a category passes the "not insignificant" test when it establishes new categories. Hospitals do not make these determinations and should assume any category established by HCFA meets this test.) HCFA will revise the regulations as soon as possible to reflect the changes made by BIPA. In the meantime, for coding purposes on or after April 1 hospitals and others must rely on the following information regarding which devices are eligible for transitional pass-through payments:
- They are described by the long descriptor of a C code issued by HCFA for this purpose and meet other definitions and general coding instructions in this or subsequent instructions.
- They have been approved or cleared for use by the Food and Drug Administration (FDA), if such approval or clearance is required and subject to the exception for certain investigational devices noted in C.
- They are considered to be reasonable and necessary for the diagnosis or treatment of an illness or injury or to improve the functioning of a malformed body part, as required by section 1862(a)(1)(A) of the Act. Some investigational devices are refinements or replications of existing technologies and may be considered reasonable and necessary. Such devices that have received an FDA investigational device exemption (IDE) and are classified by the FDA as Category B devices are eligible for transitional pass-through payments if all other requirements are met.
- They are an integral and subordinate part of the procedure performed, are used for one patient only, are single use, come in contact with human tissue, and are surgically implanted or inserted whether or not they remain with the patient when the patient is released from the hospital outpatient department.
- They are not equipment, instruments, apparatuses, implements, or such items for which depreciation and financing expenses are recovered as depreciable assets as defined in Chapter 1 of the Medicare Provider Reimbursement Manual (HCFA Pub. 15-1).
- They are not materials and supplies (such as sutures, customized surgical kits, or clips, other than radiological site makers) furnished incident to a service or procedure. Supplies include pharmacological imaging and stressing agents other than radiopharmaceutical or contrast agents (for which transitional pass-through payments are authorized under section 1833(t)(6)(A) of the Act).
- They are not materials such as biologicals or synthetics that may be used to replace human skin.
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To qualify for a transitional pass-through payment, a device must meet all of these requirements, and in addition it must be medically necessary in a particular case. Medicare only makes transitional pass-through payments for a device in conjunction with a procedure for its implantation or insertion. Consequently, a device will only be considered medically necessary and eligible for a transitional pass-through payment if the associated procedure is also medically necessary and payable under the outpatient prospective payment system.
In coding devices for transitional pass-through payments, an important concern is to ensure that the items in fact meet the requirements for transitional pass-through payments. These payments are not available for supplies or for capital equipment, and HCFA is concerned that transitional pass-through payments not be inadvertently made for such items. Thus, for example, scalpels and coagulators are considered supplies because they are neither implanted (like a pacemaker) nor surgically inserted (like an ablation catheter) in a patient. The cost of these and other supplies are "packaged" into the APC payment rates for surgeries, and they do not qualify for separate transitional pass-through payments. Similarly, monitors or EKG machines that are used on multiple patients are treated as capital equipment. Costs of these items are amortized and packaged in the payments for applicable APCs. In making determinations of which individual devices qualify for transitional pass-through payments, HCFA excluded both supplies and capital equipment, and the need to do so is not changed by the introduction of categories. Hospitals should be vigilant in not billing for transitional pass-through payments for either supplies or capital equipment.
The Outpatient Code Editor and PRICER currently contain the codes included in this document. However, all of the C-codes included in this file are used exclusively for services paid under the OPPS and may not be used to bill services paid under other Medicare payment systems.
The effective date for this bulletin is April 1, 2001. This date applies to the date of service performed on or after April 1, 2001.
The implementation date for this bulletin is April 1, 2001.
THIS BULLETIN SHOULD BE SHARED WITH ALL HEALTH CARE PRACTITIONERS AND MANAGERIAL MEMBERS OF THE PROVIDER/SUPPLIER STAFF. ALL BULLETINS ISSUED AFTER OCTOBER 1, 1999 ARE AVAILABLE AT NO COST FROM OUR WEB SITE AT www.marylandmedicare.com.
(Source: Program Memorandum A-01-41; Change Request 1610)
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Questions regarding this bulletin should be directed to the providers relations department at
1-866-488-0545.
Attachment I. General Coding and Billing Instructions and Explanations
This attachment will be described as Release 2001-01 of General Coding and Billing Instructions and Explanations. Subsequent releases will be numbered in sequence. These releases will be posted on HCFA's web page for ready reference.
Kits: Manufacturers frequently package a number of individual items used in a particular procedure in a kit. Generally, to avoid complicating the category list unnecessarily and to avoid the possibility of double coding, we have not established codes for such kits. However, hospitals are free to purchase and use such kits. If the kits contain individual items that separately qualify for transitional pass-through payments, these items may be separately billed using applicable codes. Hospitals may not bill for transitional pass-through payments for supplies that may be contained in kits.
Multiple units: Hospitals must bill for multiple units of items that qualify for transitional pass-through payments when such items are used with a single procedure by entering the number of units used on the bill.
Old codes and grace period: The previous, item-specific C codes will remain active for a 90-day grace period. Hospitals may use these codes for services delivered up until June 30, 2001, when they will be retired. During this period, hospitals may bill an item under either an item-specific code, if one has been specified by HCFA as applicable for that item, or an appropriate category code, but not both.
Reporting of multiple categories: For items with multiple component devices that fall in more than one category (e.g., kits or systems other than those explicitly identified in the long descriptors), hospitals should code the appropriate category separately for each component. For example, the "Rotablator Rotational Angioplasty System (with catheter and advancer)" consists of both a catheter as well as an advancer/sheath. Report category C1724 for the catheter and C1894 for the advancer/sheath.
Also, for items packaged as kits that contain a catheter and an introducer, report both appropriate categories. For example, the "Clinicath 16G Peripherally Inserted Central Catheter (PICC) Dual-Lumen PolyFlow Polyurethane" contains a catheter and an introducer. To appropriately bill for this item, report category C1751 for the catheter and C1894 for the introducer.
Reprocessed devices: Hospitals may bill for transitional pass-through payments only for those devices that are "single use." Reprocessed devices may be considered "single use" if they are reprocessed in compliance with enforcement guidance of the Food and Drug Administration (FDA) relating to the reprocessing of devices applicable at the time the service is delivered. The FDA is phasing in new enforcement guidance relating to reprocessing during 2001 and 2002. For further information, see FDA's guidance document entitled "Enforcement Priorities for Single-Use Devices Reprocessed by Third Parties and Hospitals," published August 14, 2000.
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EXPLANATIONS OF TERMS
3D mapping catheter - Refers to a catheter used for mapping the electrophysiologic properties of the heart. Signals are identified by a specialized catheter and changed into a 3-dimensional map of a specific region of the heart.
Ablation catheter - Used to obliterate or necrose tissues in an effort to restore normal anatomic and physiologic function.
Adaptor for a pacing lead - Interposed between an existing pacemaker lead and a new generator. The end of the adaptor lead has the appropriate connector pin that will enable utilization of the existing pacemaker lead with a new generator that has a different receptacle. These are required when a generator is replaced or when two leads are connected to the same port in the connector block.
Anchor for opposing bone-to-bone or soft tissue-to-bone - Implantable pins and/or screws that are used to oppose soft tissue-to-bone, tendon-to-bone, or bone-to-bone. Screws oppose tissues via drilling as follows: soft tissue-to-bone, tendon-to-bone, or bone-to-bone fixation. Pins are inserted or drilled into bone, principally with the intent to facilitate stabilization or oppose bone-to-bone. Anchors do not include screws used for anchoring plates to bone.
Balloon dilatation catheter, non-vascular - Catheter used to dilate strictures or stenoses through the insertion of an uninflated balloon affixed to the end of a flexible catheter, followed by the inflation of the balloon at the specified site (e.g., common bile duct, ureter, small or large intestine). [For the reporting of vascular balloon dilatation catheters, see category "Transluminal angioplasty catheter."]
Balloon tissue dissector catheter (insertable) - Balloon tipped catheter used to separate tissue planes, used in procedures such as hernia repairs.
Coated stent - Refers to a stent bonded with drugs (e.g., heparin) or layered with biocompatible substances (e.g., phosphorylcholine).
Connective tissue, human - These tissues include a natural, cellular collagen or extracellular matrix obtained from autologous rectus fascia, decellularized cadaveric fascia lata, or decellularized dermal tissue. They are intended to repair or support damaged or inadequate soft tissue. They are used to treat urinary incontinence resulting from hypermobility or Intrinsic Sphincter Deficiency (ISD), pelvic floor repair, or for implantation to reinforce soft tissues where weakness exists in the urological anatomy. [This excludes those items that are used to replace skin.] [For reporting mesh when used to treat urinary incontinence, see the category "Mesh."] [For reporting urinary incontinence repair device when used to treat urinary incontinence, see the category "Urinary incontinence repair device."]
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Connective tissue, non-human (includes synthetic) - These tissues include a natural, acellular collagen matrix typically obtained from porcine or bovine small intestinal submucosa, or pericardium. This bio-material is intended to repair or support damaged or inadequate soft tissue. They are used to treat urinary incontinence resulting from hypermobility or Intrinsic Sphincter Deficiency (ISD), pelvic floor repair, or for implantation to reinforce soft tissues where weakness exists in the urological or musculoskeletal anatomy. [This excludes those items that are used to replace skin.] [For reporting mesh when used to treat urinary incontinence, see the category "Mesh."] [For reporting urinary incontinence repair device when used to treat urinary incontinence, see the category "Urinary incontinence repair device."]
Covered stent - Refers to a stent layered with silicone or a silicone derivative (e.g., PTFE, polyurethane).
Electrophysiology (EP) catheter - Assists in providing anatomic and physiologic information about the cardiac electrical conduction system. Electrophysiology catheters are categorized into two main groups: (1) diagnostic catheters that are used for mapping, pacing, and/or recording only, and (2) ablation (therapeutic) catheters that also have diagnostic capability. The electrophysiology ablation catheters are distinct from non-cardiac ablation catheters.
Extension for a pacing lead - Provides additional length to an existing pacing lead but does not have the capability of an adaptor.
Extension for a neurostimulator lead - Conducts electrical pulses from the power source (generator or neurostimulator) to the lead. The terms neurostimulator and generator are used interchangeably.
Guiding catheter - Intended for the introduction of interventional/diagnostic devices into the coronary or peripheral vascular systems. It can be used to inject contrast material, function as a conduit through which other devices pass, and/or provide a mechanism for measuring arterial pressure, and maintain a pathway created by the guide wire during the performance of a procedure.
Insertable retrieval device - A device designed to retrieve other devices or portions thereof (e.g., fractured catheters, leads) lodged within the vascular system.
Intraocular lens (new technology) - Refers to the intraocular lenses approved by HCFA as "new technology." A list of these lenses is published annually in the Federal Register.
Intraoperative ocular device for detached retina - A perfluorocarbon substance instilled during a vitreoretinal procedure to treat retinal detachment.
Joint device - An artificial joint such as a finger or toe that is implanted in a patient. Typically, a joint device functions as a substitute to its natural counterpart and is not used (as are anchors) to oppose soft tissue-to-bone, tendon-to-bone, or bone-to-bone.
Liquid pulmonary sealant - An absorbable, synthetic solution that forms a seal utilizing a photochemical polymerization process. It is used to seal visceral pleural air leaks incurred during pulmonary resection.
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Material for vocal cord medialization, synthetic - Synthetic material that is composed of a non-absorbable substance such as silicone and can be injected or implanted to result in vocal cord medialization.
Mesh - A mesh implant or synthetic patch composed of absorbable or non-absorbable material that is used to repair hernias, support weakened or attenuated tissue, cover tissue defects, etc. [For reporting connective tissue (human or non-human) when used to treat urinary incontinence, see the category "Connective tissue, human" or "Connective tissue, non-human."] [For reporting urinary incontinence repair device when used to treat urinary incontinence, see the category "Urinary incontinence repair device."]
Morcellator -- Used for cutting, coring, and extracting tissue in laparoscopic procedures. These are distinct from biopsy devices because morcellators are used for the laparoscopic removal of tissue.
Patient programmer -- Programmer that allows the patient to operate their neurostimulator, for example, programming the amplitude and rate of stimulation of a neurostimulator system. Only a non-console patient programmer is eligible for transitional pass-through payments.
Peel-away introducer/sheath -- A non-absorbable sheath or introducer that separates into two pieces. This device is used primarily when removal of the sheath is required after a catheter or lead is in the desired position.
Septal defect implant system - An intracardiac metallic implant used for closure of various septal defects within the heart. The septal defect implant system includes a delivery catheter. The category code for the septal defect implant system (C1817) includes the delivery catheter; therefore, the delivery catheter should not be reported separately.
Stents with delivery system - Stents packaged with delivery systems generally include the following components: stent mounted or unmounted on a balloon angioplasty catheter, introducer, and sheath. These components should not be reported separately.
Temperature-controlled electrophysiology catheter - Ablation catheter that contains a cooling mechanism and has temperature sensing capability.
Temporary non-coronary stent - Usually composed of a substance, such as plastic or other non-absorbable material, designed to permit removal. Typically, this type of stent is placed for a period of less than one year.
Tissue marker - A material that is placed in subcutaneous or parenchymal tissue for radiopaque identification of an anatomic site. These markers are distinct from topical skin markers, which are positioned on the surface of the skin to serve as anatomical landmarks.
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Transluminal angioplasty catheter - Designed to dilate stenotic blood vessels (arteries and veins). For vascular use, the terms "balloon dilatation catheter" and "transluminal angioplasty catheter" are frequently used interchangeably. [For the reporting of non-vascular balloon dilatation catheters, see the category "Balloon dilatation catheter."]
Transvenous VDD single pass pacemaker lead - A transvenous pacemaker lead that paces and senses in the ventricle and senses in the atrium.
Urinary incontinence repair device - Used to attach or insert a sling graft for the purpose of strengthening the pelvic floor. It consists of the device components used to deliver (suprapubically or transvaginally) and/or fixate (via permanent sutures or bone anchors) the sling graft. The device may or may not be packaged with a sling graft. Report the appropriate category for a device with or without a sling graft. [For reporting connective tissue (human or non-human) when used to treat urinary incontinence, see the category "Connective tissue, human" or "Connective tissue, non-human."] [For reporting mesh when used to treat urinary incontinence, see the category "Mesh."]
Vascular closure device (implantable/insertable)- Used to achieve hemostasis at arterial puncture sites following invasive or interventional procedures using biologic substances (e.g., collagen) or suture through the tissue tract.
Vector mapping catheter - Refers to an electrophysiology catheter with an "in-plane" orthogonal array of electrodes. This catheter is used to locate the source of a focal arrhythmia.
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Attachment II. C-codes for Categories
The following categories are effective for services delivered on or after April 1, 2001. They are expected to remain in effect until January 1, 2003.
|
HCPCS
Codes |
Category Long Descriptor |
| 1 |
C1883 |
Adaptor/extension, pacing lead or neurostimulator lead (implantable) |
| 2 |
C1713 |
Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) |
| 3 |
C1715 |
Brachytherapy needle |
| 4 |
C1716 |
Brachytherapy seed, Gold 198 |
| 5 |
C1717 |
Brachytherapy seed, High Dose Rate Iridium 192 |
| 6 |
C1718 |
Brachytherapy seed, Iodine 125 |
| 7 |
C1719 |
Brachytherapy seed, Non-High Dose Rate Iridium 192 |
| 8 |
C1720 |
Brachytherapy seed, Palladium 103 |
| 9 |
C2616 |
Brachytherapy seed, Yttrium-90 |
| 10 |
C1721 |
Cardioverter-defibrillator, dual chamber (implantable) |
| 11 |
C1882 |
Cardioverter-defibrillator, other than single or dual chamber (implantable) |
| 12 |
C1722 |
Cardioverter-defibrillator, single chamber (implantable) |
| 13 |
C1723 |
Catheter, ablation, non-cardiac |
| 14 |
C1726 |
Catheter, balloon dilatation, non-vascular |
| 15 |
C1727 |
Catheter, balloon tissue dissector, non-vascular (insertable) |
| 16 |
C1728 |
Catheter, brachytherapy seed administration |
| 17 |
C1729 |
Catheter, drainage, biliary |
| 18 |
C1730 |
Catheter, electrophysiology, diagnostic, other than 3D mapping (19 or fewer electrodes) |
| 19 |
C1731 |
Catheter, electrophysiology, diagnostic, other than 3D mapping (20 or more electrodes) |
| 20 |
C1732 |
Catheter, electrophysiology, diagnostic/ablation, 3D or vector mapping |
| 21 |
C1733 |
Catheter, electrophysiology, diagnostic/ablation, other than 3D or vector mapping, other than temperature-controlled |
| 22 |
C2630 |
Catheter, electrophysiology, diagnostic/ablation, other than 3D or vector mapping, temperature-controlled |
| 23 |
C1887 |
Catheter, guiding (may include infusion/perfusion capability) |
| 24 |
C1750 |
Catheter, hemodialysis, long-term |
| 25 |
C1752 |
Catheter, hemodialysis, short-term |
| 26 |
C1751 |
Catheter, infusion, inserted peripherally, centrally or midline (other than hemodialysis) |
| 27 |
C1759 |
Catheter, intracardiac echocardiography |
| 28 |
C1754 |
Catheter, intradiscal |
| 29 |
C1755 |
Catheter, intraspinal |
| 30 |
C1753 |
Catheter, intravascular ultrasound |
| 31 |
C2628 |
Catheter, occlusion |
| 32 |
C1756 |
Catheter, pacing, transesophageal |
| 33 |
|
Catheter, suprapubic/cystoscopic |
| 34 |
C1757 |
Catheter, thrombectomy/embolectomy |
| 35 |
C1885 |
Catheter, transluminal angioplasty, laser |
| 36 |
C1725 |
Catheter, transluminal angioplasty, non-laser (may include guidance, infusion/perfusion capability) |
| 37 |
C1714 |
Catheter, transluminal atherectomy, directional |
| 38 |
C1724 |
Catheter, transluminal atherectomy, rotational |
| 39 |
C1758 |
Catheter, ureteral |
| 40 |
C1760 |
Closure device, vascular (implantable/insertable) |
| 41 |
L8614 |
Cochlear implant system |
| 42 |
C1762 |
Connective tissue, human (includes fascia lata) |
| 43 |
C1763 |
Connective tissue, non-human (includes synthetic) |
| 44 |
C1881 |
Dialysis access system (implantable) |
| 45 |
C1764 |
Event recorder, cardiac (implantable) |
| 46 |
C1767 |
Generator, neurostimulator (implantable) |
| 47 |
C1768 |
Graft, vascular |
| 48 |
C1769 |
Guide wire |
| 49 |
C1770 |
Imaging coil, magnetic resonance (insertable) |
| 50 |
C1891 |
Infusion pump, non-programmable, permanent (implantable) |
| 51 |
C2626 |
Infusion pump, non-programmable, temporary (implantable) |
| 52 |
C1772 |
Infusion pump, programmable (implantable) |
| 53 |
C1893 |
Introducer/sheath, guiding, intracardiac electrophysiological, fixed-curve, other than peel-away |
| 54 |
C1892 |
Introducer/sheath, guiding, intracardiac electrophysiological, fixed-curve, peel-away |
| 55 |
C1894 |
Introducer/sheath, other than guiding, intracardiac electrophysiological, non-laser |
| 56 |
C2629 |
Introducer/sheath, other than guiding, intracardiac electrophysiological, laser |
| 57 |
C1776 |
Joint device (implantable) |
| 58 |
C1895 |
Lead, cardioverter-defibrillator, endocardial dual coil (implantable) |
| 59 |
C1777 |
Lead, cardioverter-defibrillator, endocardial single coil (implantable) |
| 60 |
C1896 |
Lead, cardioverter-defibrillator, other than endocardial single or dual coil (implantable) |
| 61 |
C1778 |
Lead, neurostimulator (implantable) |
| 62 |
C1897 |
Lead, neurostimulator test kit (implantable) |
| 63 |
C1898 |
Lead, pacemaker, other than transvenous VDD single pass |
| 64 |
C1779 |
Lead, pacemaker, transvenous VDD single pass |
| 65 |
C1899 |
Lead, pacemaker/cardioverter-defibrillator combination (implantable) |
| 66 |
C1780 |
Lens, intraocular (new technology) |
| 67 |
C1878 |
Material for vocal cord medialization, synthetic (implantable) |
| 68 |
C1781 |
Mesh (implantable) |
| 69 |
C1782 |
Morcellator |
| 70 |
C1784 |
Ocular device, intraoperative, detached retina |
| 71 |
C2619 |
Pacemaker, dual chamber, non rate-responsive (implantable) |
| 72 |
C1785 |
Pacemaker, dual chamber, rate-responsive (implantable) |
| 73 |
C2621 |
Pacemaker, other than single or dual chamber (implantable) |
| 74 |
C2620 |
Pacemaker, single chamber, non rate-responsive (implantable) |
| 75 |
C1786 |
Pacemaker, single chamber, rate-responsive (implantable) |
| 76 |
C1787 |
Patient programmer, neurostimulator |
| 77 |
C1788 |
Port, indwelling (implantable) |
| 78 |
C2618 |
Probe, cryoablation |
| 79 |
C1789 |
Prosthesis, breast (implantable) |
| 80 |
C1813 |
Prosthesis, penile, inflatable |
| 81 |
C2622 |
Prosthesis, penile, non-inflatable |
| 82 |
C1815 |
Prosthesis, urinary sphincter (implantable) |
| 83 |
C1816 |
Receiver and/or transmitter, neurostimulator (implantable) |
| 84 |
C1771 |
Repair device, urinary, incontinence, with sling graft |
| 85 |
C2631 |
Repair device, urinary, incontinence, without sling graft |
| 86 |
C1773 |
Retrieval device, insertable (used to retrieve fractured medical devices) |
| 87 |
C2615 |
Sealant, pulmonary, liquid (Implantable) |
| 88 |
C1817 |
Septal defect implant system, intracardiac |
| 89 |
C1874 |
Stent, coated/covered, with delivery system |
| 90 |
C1875 |
Stent, coated/covered, without delivery system |
| 91 |
C2625 |
Stent, non-coronary, temporary, with delivery system |
| 92 |
C2617 |
Stent, non-coronary, temporary, without delivery system |
| 93 |
C1876 |
Stent, non-coated/non-covered, with delivery system |
| 94 |
C1877 |
Stent, non-coated/non-covered, without delivery system |
| 95 |
C1879 |
Tissue marker (implantable) |
| 96 |
C1880 |
Vena cava filter |
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Attachment III. Cross-walk from Item-specific C codes to New Category C-codes
Current
C-Code |
Long Descriptor |
New
Category
C-code |
| C1000 |
Closure, arterial vascular device, Perclose Closer Arterial Vascular Closure Device, Prostar Arterial Vascular Closure Device, Closer S Arterial Vascular Closure Device |
C1760 |
| C1001 |
Catheter, diagnostic ultrasound, AcuNav Diagnostic Ultrasound Catheter |
C1759 |
| C1003 |
Catheter, 7 Fr CSM Livewire EP Catheter (model 401935), 5FR Decapolar (models 401938, 401939, 401940, 401941) C1730
C1003 Catheter, Livewire TC Ablation Catheter 402132, 402133, 402134, 402135, 402136, 402137, 402145, 402146, 402147, 402148, 402149, 402150, 402151, 402152, 402153, 402154, 402155, 402156, Livewire TC Compass Ablation Catheter (models 402205, 402006, 402207, 402208) |
C1733 |
| C1004 |
Introducer, guiding, Fast-Cath, Swartz, SAFL, CSTA, SEPT, RAMP |
C1893 |
| C1006 |
Intraocular lens, Array Multifocal Silicone Posterior Chamber Intraocular Lens |
C1780 |
| C1007 |
Prosthesis, penile, AMS 700 Penile Prosthesis, AMS Ambicor Penile Prosthesis, Dura II Penile Prosthesis |
C1813 |
| C1007 |
Prosthesis, penile, AMS Malleable 650 Penile Prosthesis |
C2622 |
| C1008 |
Stent, urethral, UroLume |
C1877 |
| C1008 |
Cook Harrison Fetal Bladder Stent |
C2617 |
| C1025 |
Catheter, Marinr CS |
C1733 |
| C1026 |
Catheter, ablation, RF Performr, 5F RF Marinr |
C1733 |
| C1027 |
Stent, coronary, Magic Wallstent Extra Short or Short Coronary Self Expanding Stent with Delivery System, Radius 14mm Self Expanding Stent with Over the Wire Delivery System |
C1876 |
| C1028 |
Sling fixation system for treatment of stress urinary incontinence, Precision Twist Transvaginal Anchor System, Precision Tack Transvaginal Anchor System, Vesica Press-In Anchor System, Capio CL (TVB/S) Transvaginal Suturing Device, Capio Suture Capturing Device, Standard or Open Access |
C2631 |
| C1029 |
Catheter, balloon dilatation, MS Classique Balloon Dilation Catheter |
C1725 |
| C1029 |
Catheter, balloon dilatation, Controlled Radial Expansion Balloon Dilatation Catheter Wire-Guided and Fixed Wire, Wilson-Cook Quantum Dilation Balloon |
C1726 |
| C1030 |
Catheter, balloon dilatation, Marshal, Blue Max 20, Ultra-Thin Diamond, Ultra-Thin Balloon Dilatation Catheter, Ultra-Thin ST Balloon Dilatation Catheter, Ultra-Thin Balloon Dilatation Catheter with Glidex Hydrophilic Coated Balloon, Ultra-Thin ST Balloon Dilatation Catheter with Glidex Hydrophilic Coated Balloon |
C1725 |
| C1033 |
Catheter, imaging, Sonicath Ultra Model 37-410 Ultrasound Imaging Catheter, Sonicath Ultra 9 MHz Ultrasound Imaging Catheter |
C1753 |
| C1034 |
Catheter, coronary angioplasty, SURPASS Superfusion Catheter, Long 30 SURPASS Superfusion Catheter |
C1725 |
| C1035 |
Catheter, intracardiac echocardiography, Ultra ICE 6F, 12.5 MHz Catheter with Disposable Sheath, Ultra ICE 9F, 9 MHz Catheter with Disposable Sheath
NOTE: To appropriately bill for these pass-through devices, report two categories. The catheter should be reported with category code C1759 and the introducer/sheath should be reported with category code C1894. |
C1759/
C1894 |
| C1036 |
Port/reservoir, venous access device, Vaxcel Implantable Vascular Access System, R Port Premier Vascular Access System (models 45-100, 45-155), Sims Deltec Pro Port Single Lumen Low Profile Implantable Venous Access System, Sims Deltec Port-A-Cath II Dual Lumen Low Profile Implantable Venous Access System, Sims Deltec Port-A-Cath II Fluoro-Free Implantable Venous Access System, Sims Deltec P.A.S. Port Fluoro-Free Implantable Peripheral Venous Access System, Sims Deltec P.A.S. Port T2 Implantable Peripheral Venous Access System, Sims Deltec P.A.S. Port T2 Fluoro-Free Implantable Peripheral Venous Access System, Sims Deltec P.A.S. Port T2 Elite Implantable Peripheral Venous Access System, Sims Deltec P.A.S. Port Elite Implantable Peripheral Venous Access System, Sims Deltec Port-A-Cath II Implantable Epidural System Low Profile Venous Access System, Cook Vital Port Access Set, Horizon Medical MicroPort 2 Peripheral Access System |
C1788 |
| C1037 |
Catheter, Vaxcel Chronic Dialysis Catheter, Medcomp Bio Flex Tesio Catheter, Medcomp Silicone Tesio Catheter, Medcomp Hemo-Cath Long Term Silicone Catheter, Bard Opti-Flow Dual Lumen Catheter, Medcomp Ash Split Catheter |
|
C1750
| C1037 |
Catheter, Bard Niagara Dual Lumen Catheter |
C1752 |
| C1038 |
Catheter, imagining, UltraCross 2.9 F 30 MHz Coronary Imaging Catheter, UltraCross 3.2 F MHz Coronary Imaging Catheter |
C1753 |
| C1039 |
Stent, tracheobronchial, Wallstent Tracheobronchial Endoprosthesis (covered) |
C1875 |
| C1039 |
Stent, tracheobronchial, Wallstent Tracheobronchial Endoprosthesis with Permalume Covering and Unistep Plus Delivery System |
C1874 |
| C1039 |
Stent, tracheobronchial, Wallstent RP Tracheobronchial Endoprosthesis with Unistep Plus Delivery System |
C1876 |
| C1040 |
Stent, self-expandable for creation of intrahepatic shunts, Wallstent Transjugular Intrahepatic Portosystemic Shunt (TIPS) with Unistep Plus Delivery System (40/42/60/68mm in length), Wallstent RP TIPS Endoprosthesis with Unistep Plus Delivery System (42/68) mm in length) |
C1876 |
| C1042 |
Stent, biliary, Wallstent Biliary Endoprosthesis with Unistep Plus Delivery System, Wallstent Biliary Endoprosthesis with Unistep Delivery System (Biliary Stent and Catheter), Wallstent RP Biliary Endoprosthesis with Unistep Plus Delivery System, Ultraflex Diamond Biliary Stent System, New Microvasive Biliary Stent and Delivery System |
C1876 |
| C1043 |
Catheter, atherectomy, Atherocath-GTO Atherectomy Catheter |
C1714 |
| C1043 |
Atherectomy system, coronary, Interventional Technologies Transluminal Extraction Coronary (TEC) Atherectomy System |
C1724 |
| C1043 |
Atherectomy system, peripheral, Rotablator RotaLink Rotational Atherectomy System (includes burr, catheter, advancer, and guide wire)NOTE: To appropriately bill for these pass-through devices, report three categories. The catheter should be reported with category code C1724, the advancer (sheath) with C1894, and the guide wire with C1769. |
C1724/
C1894/
C1769 |
| C1047 |
Catheter, diagnostic, Navi-Star Diagnostic Deflectable Tip Catheter, NOGA-STAR Diagnostic Deflectable Tip Catheter |
C1732 |
| C1048 |
Generator, bipolar pulse, Cyberonics NeuroCybernetic Prosthesis Generator |
C1767 |
| C1051 |
Catheter, thrombectomy, Oasis Thrombectomy Catheter, Fogarty Adherent Clot Catheter (4 Fr, 5 Fr, 6Fr), 6 Fr Thrombex PMT Catheter (60cm, 120cm) |
C1757 |
| C1053 |
Catheter, diagnostic, EnSite 3000 Catheter |
C1732 |
| C1054 |
Catheter, thrombectomy, Hydrolyser 6F Mechanical Thrombectomy Catheter, Hydrolyser 7F Mechanical Thrombectomy Catheter, Microvena Helix Clot Buster Thrombectomy Device, 7F (60cm, 120cm) |
C1757 |
| C1055 |
Catheter, Flex-EZ Balloon Dilator, EZ Resolution Balloon Dilator (models 3802, 3804, 3806) |
C1726 |
| C1055 |
Catheter, Transesophageal 210 Atrial Pacing Catheter, Transesophageal 210-S Atrial Pacing Catheter |
C1756 |
| C1056 |
Catheter, Gynecare Thermachoice II Catheter |
C1723 |
| C1056 |
Cook OB/GYN Suprapubic Balloons, Cook Urological O'Brien Suprapubic Access Set, Cook Urological Suprapubic Balloons |
C2627 |
| C1057 |
Tissue marker, 11-Gauge MicroMark II Tissue Marker |
C1879 |
| C1060 |
Stent, coronary, ACS Multi-Link Tristar Coronary Stent System and Delivery System, ACS Multi-Link Ultra Coronary Stent System |
C1876 |
| C1061 |
Merit Medical Systems Performa Vessel Sizing Catheter, Merit Medical Systems Pediatric/Adult Pigtail Catheter |
C1751 |
| C1061 |
Catheter, coronary guide, ACS Viking Guiding Catheter, Cardima Vueport Balloon Occlusion Guiding Catheter |
C1887 |
| C1063 |
Lead, defibrillator, Endotak Endurance EZ, Endotak Endurance RX, Endotak Endurance 0134, 0135, 0136 |
C1895 |
| C1067 |
Stent, biliary, PALMAZ Balloon Expandable Stent and Delivery System |
C1876 |
| C1067 |
Stent, biliary, Megalink Biliary Stent, Spiral Z Biliary Metal Expandable Stent, Za Biliary Metal Expandable Stent, Wallstent Transhepatic Biliary Endoprosthesis |
C1877 |
| C1068 |
Pacemaker, dual chamber, Unity VDDR (model 292-07) |
C1785 |
| C1068 |
Pacemaker, dual chamber, Pulsar DDD |
C2619 |
| C1069 |
Pacemaker, dual chamber, Discovery DR |
C1785 |
| C1071 |
Pacemaker, single chamber, Pulsar Max SR, Pulsar SR |
C1786 |
| C1071 |
Pacemaker, single chamber, Vigor SSI |
C2620 |
| C1072 |
Catheter, balloon dilatation, coronary, RX Esprit, RX Gemini, RX Solaris, OTW Photon, OTW Solaris |
C1725 |
| C1073 |
Morcellator, laparascopic, Gynecare X-tract Laparascopic Morcellator |
C1782 |
| C1074 |
Catheter, peripheral dilatation, RX Viatrac 14 Peripheral Dilatation Catheter, OTW Viatrac 18 Peripheral Dilatation Catheter |
C1725 |
| C1075 |
Lead, pacemaker, Selute Picotip, Selute, Sweet Picotip Rx, Sweet Tip Rx, FineLine, FineLine EZ, ThinLine, ThinLine EZ |
C1898 |
| C1076 |
Defibrillator, single chamber, automatic, implantable, Ventak Mini IV, Ventak Mini III HE, Ventak Mini III HE+ ( Model 1788, 1789), Ventak Mini III, Ventak Mini III+ ( Model 1783, 1786) |
C1722 |
| C1077 |
Defibrillator, single chamber, automatic, implantable, Ventak Prizm VR, Ventak VR |
C1722 |
| C1078 |
Defibrillator, dual chamber, automatic, implantable, Ventak Prizm, Ventak AV III DR |
C1721 |
| C1100 |
Guide wire, percutaneous transluminal coronary angioplasty, Medtronic AVE GT1Guide Wire, Medtronic AVE GT2 Fusion Guide Wire, Interventional Technologies TrackWire, Interventional Technologies TrackWire Support, Interventional Technologies TrackWire Extra Support |
C1769 |
| C1101 |
Catheter, percutaneous transluminal coronary angioplasty guide, Medtronic AVE 5F, 6F, 7F, 8F, 9F Zuma Guide Catheter, Medtronic AVE Z2 5F, 6F, 7F, 8F, 9F Zuma Guide Catheter, Medtronic AVE Vector Guide Catheter, Medtronic AVE Vector X Guide Catheter |
C1725 |
| C1102 |
Generator, pulse, neurostimulator, Medtronic Synergy Neurostimulator Generator and ExtensionNOTE: To appropriately bill for these devices, report two categories. The pulse generator should be reported with category code C1767, and the neurostimulator extension with category code C1883. |
C1767/
C1883 |
| C1103 |
Defibrillator, implantable, Micro Jewel, Micro Jewel II |
C1882 |
| C1104 |
Catheter, ablation, RF Conductr MC 4mm, RF Conductr MC 5mm ( Model 6042, 7544), RF Conductr MC--EXT (with stiffer tip) 07864447, 078754447 |
C1733 |
| C1105 |
Pacemaker, dual chamber, Sigma 300 VDD |
C2619 |
| C1106 |
Neurostimulator, patient programmer, Synergy EZ Patient Programmer |
C1787 |
| C1107 |
Catheter, diagnostic, electrophysiology, Torqr, Soloist, Dynamic XT Decapolar Catheter |
C1730 |
| C1109 |
Anchor, implantable, Mitek GII Anchor, Mitek Knotless, Mitek TACIT, Mitek Rotator Cuff, Mitek GLS, Mitek Mini, Mitek FASTIN, Mitek Super, Mitek PANALOK, Mitek Micro, Mitek PANALOK RC, Mitek FASTIN RC, Innovasive ROC EZ, Innovasive MINIROC, Innovasive BIOROC, Innovasive ROC XS, Innovasive Contack, Biomet 3.5mm Cortical Screw, Biomet 4.5mm Cortical Screw (fully threaded), Biomet 6.5mm Cancellous Lag Screw (32mm thread length), Biomet 6.5mm Cannulated Cancellous Screw (20mm thread length) |
C1713 |
| C1110 |
Catheter, diagnostic, electrophysiology, Stable Mapper |
C1731 |
| C1115 |
Lead, pacemaker, 5038S, 5038, 5038L, Unipass (models 425-02, 425-04, 425-06) |
C1779 |
| C1115 |
Lead, pacemaker, 4057M, 4058M, 4557M, 4558M, 5058, 6416 Pacemaker Lead, Innomedica Sutureless Myocardial (models 4045, 4046, 4047, 4058) |
C1898 |
| C1115 |
Lead, pacemaker 2188 Coronary Sinus Lead |
C1899 |
| C1116 |
Lead, pacemaker, CapSure SP Novus, CapSure SP, Capsure, Excellence +, S+, PS+, CapSure Z Novus, CapSure Z, Impulse |
C1898 |
| C1118 |
Pacemaker, dual chamber, Sigma 300 DR, Legacy II DR |
C1785 |
| C1119 |
Lead, defibrillator, Sprint 6932, Sprint 6943 |
C1777 |
| C1120 |
Lead, defibrillator, Sprint 6942, Sprint 6945 |
C1895 |
| C1121 |
Defibrillator, implantable, GEM |
C1722 |
| C1123 |
Defibrillator, implantable, GEM II VR, GEM III VR (model 7231) |
C1722 |
| C1124 |
Lead, neurostimulator, kit, InterStim Test Stimulation Lead Kit |
C1897 |
| C1125 |
Pacemaker, single chamber, Kappa 400 SR, Topaz II SR, Topaz 3/Topaz SR (model 540), Legacy II S |
C1786 |
| C1126 |
Pacemaker, dual chamber, Kappa 700 DR (all models), Clarity DR (models 860, 862, 865), Diamond 3/Diamond DR (model 840) |
C1785 |
| C1127 |
Pacemaker, single chamber, Kappa 700 SR, Clarity SR (models 560, 562, 565) |
C1786 |
| C1128 |
Pacemaker, dual chamber, Vita 2 DR (model 830) |
C1785 |
| C1128 |
Pacemaker, dual chamber, Kappa 700 D, Ruby II D, Ruby 3/Ruby 3 D (model 740) |
C2619 |
| C1129 |
Pacemaker, Kappa 700 VDD |
C2619 |
| C1130 |
Pacemaker, dual chamber, Sigma 200 D, Legacy II D |
C2619 |
| C1131 |
Pacemaker, dual chamber, Sigma 200 DR |
C1785 |
| C1132 |
Pacemaker, single chamber, Sigma 200 SR, Legacy II SR, Legacy II S |
C1786 |
| C1133 |
Pacemaker, single chamber, Sigma 300 SR, Vita SR, Vita 2 SR (model 530) |
C1786 |
| C1134 |
Pacemaker, dual chamber, Sigma 300 D |
C2619 |
| C1135 |
Pacemaker, dual chamber, rate-responsive, Entity DR 5326, Entity DR 5326L, Entity DR 5326R |
C1785 |
| C1136 |
Pacemaker, dual chamber, rate-responsive, Affinity 5330, Affinity DR 5330L, Affinity DR 5330R |
C1785 |
| C1137 |
Septal defect implant system, CardioSEAL Septal Occlusion System, CardioSEAL Occluder Delivery Catheter, AGA Medical Amplatzer PFO Occluder |
C1817 |
| C1143 |
Pacemaker, dual chamber, AddVent 2060BL, Paragon III (models 2314L, 2315 M/S) |
C1785 |
| C1144 |
Pacemaker, single chamber, rate-responsive, Affinity SR 5130, Affinity SR 5130L, Affinity 5130R, Integrity SR 5142, Integrity U SR 5136 |
C1786 |
| C1145 |
Vascular closure device, Angio-Seal 6 French Vascular Closure Device (model 610091), Angio-Seal 8 French Vascular Closure Device (models 610089, 610097), Angio-seal 6 Fr EV Vascular Closure Device, Angio-seal 8 Fr EV Vascular Closure Device (models 610099, 610101) |
C1760 |
| C1147 |
Lead, pacemaker, AV Plus DX 1368/52, AV Plus DX 1368/58, AV Plus DX 1368/65 |
C1779 |
| C1148 |
Defibrillator, single chamber, implantable, Contour MD V-175, Contour MD V-175A, Contour MD V-175AC, Contour MD V-175B, Contour MD V-175C, Contour MD V-175D, Contour II (models V-185AC, V-185B, V-185C) |
C1722 |
| C1149 |
Pacemaker, dual chamber, non-rate responsive, Entity DC 5226R, Entity DC 5226 |
C2619 |
| C1151 |
Lead, pacemaker, Passive Plus DX 1343K/46, Passive Plus DX 1343K/52, Passive Plus DX 1345K/52, Passive Plus DX 1345K/58, Passive Plus DX 1336T/52, Passive Plus DX 1336T/58, Passive Plus DX 1342T/46, Passive Plus DX 1342T/52, Passive Plus DX 1346T/52, Passive Plus DX 1346T/58, Passive Plus TiN (model 1242T) |
C1898 |
| C1152 |
Access system, dialysis, LifeSite Access System |
C1881 |
| C1153 |
Pacemaker, single chamber, Regency SC+ 2402L |
C2620 |
| C1154 |
Lead, defibrillator, SPL SP01, SPL SP02, SPL SP04, EndoTak DSP |
C1895 |
| C1154 |
Lead, defibrillator, 6721L, 6721M, 6721S, 6939 Oval Patch Lead, CapSure 4965, DP-3238, Transvene 6933, Transvene 6937 |
C1896 |
| C1155 |
Repliform Tissue Regeneration Matrix, per 8 square centimeters |
C1762 |
| C1156 |
Pacemaker, single chamber, Affinity SR 5131M/S, Tempo VR 1102, Trilogy SR+ 2260L, Trilogy SR+ 2264L, Solus II (models 2006L, 2007 M/S) |
C1786 |
| C1157 |
Pacemaker, dual chamber, Synchrony III (models 2028L, 2029 M/S) |
C1785 |
| C1157 |
Pacemaker, dual chamber, Trilogy DC+ 2318L |
C2619 |
| C1158 |
Lead, defibrillator, TVL SV01, TVL SV02, TVL SV04 |
C1896 |
| C1159 |
Lead, defibrillator, TVL RV02, TVL RV06, TVLRV07 |
C1777 |
| C1160 |
Lead, defibrillator, TVL-ADX 1559/65 |
C1777 |
| C1161 |
Lead, pacemaker, Tendril DX 1388K/46, Tendril DX 1388K/52, Tendril DX 1388K/58, Tendril DX 1388T/46, Tendril DX 1388T/52, Tendril DX 1388T/58, Tendril DX 1388T/85, Tendril DX 1388T/100, Tendril DX 1388TC/46, Tendril DX 1388TC/52, Tendril DX 1388TC/58 |
C1898 |
| C1162 |
Pacemaker, dual-chamber, Affinity DR 5331 M/S, Tempo DR 2102, Trilogy DR+ 2360L, Trilogy DR + 2364L C1785
C1163 Lead, pacemaker, Tendril SDX 1488T/46, Tendril SDX 1488T/52, Tendril SDX 1488T/58, Tendril SDX 1488TC/46, Tendril SDX 1488TC/52, Tendril SDX 1488TC/58 |
C1898 |
| C1164 |
Brachytherapy seed, ImagynMedical Technologies I-125 seeds |
C1718 |
| C1171 |
Site marker device, disposable, Auto Suture SITE MARKER Device |
C1879 |
| C1172 |
Balloon, tissue dissector, Spacemaker Tissue Dissection Balloon, Spacemaker 1000cc Hernia Balloon Dissector |
C1727 |
| C1173 |
Stent, coronary, S540 Over-the-Wire Coronary Stent System, S670 with Discrete Technology Over-the-Wire Coronary Stent System, S670 with Discrete Technology Rapid Exchange Coronary Stent System |
C1876 |
| C1174 |
Needle, brachytherapy, Bard BrachyStar Brachytherapy Needle |
C1715 |
| C1180 |
Pacemaker, single chamber, Vigor SR |
C1786 |
| C1181 |
Pacemaker, single chamber, Meridian SSI |
C2620 |
| C1182 |
Pacemaker, single chamber, Pulsar SSI |
C2620 |
| C1183 |
Pacemaker, single chamber, Jade II S, Sigma 300 S, Jade 3/Jade 3S (model 340) |
C2620 |
| C1184 |
Pacemaker, single chamber, Sigma 200 S, Sigma 100 S |
C2620 |
| C1302 |
Lead, defibrillator, TVL SQ01 |
C1896 |
| C1303 |
Lead, defibrillator, CapSure Fix 6940, CapSure Fix 4068-110 |
C1896 |
| C1304 |
Catheter, imaging, Sonicath Ultra Model 37-416 Ultrasound Imaging Catheter, Sonicath Ultra Model 37-418 Ultrasound Imaging Catheter |
C1753 |
| C1306 |
Lead, neurostimulator, Cyberonics NeuroCybernetic Prosthesis Lead, Octad Lead 3898-33/389861, On-Point Model 3987, Pisces-Quad Plus Model 3888, Resume TL Model 3986, Pisces-Quad Model 3487a, Resume II Model 3587a, SymMix Lead 3982 |
C1778 |
| C1311 |
Pacemaker, dual chamber, Trilogy DR+/DAO |
C1785 |
| C1312 |
Stent, coronary, Magic Wallstent Mini Coronary Self Expanding Stent with Delivery System |
C1876 |
| C1313 |
Stent, coronary, Magic Wallstent Medium Coronary Self Expanding Stent with Delivery System, Radius 31mm Self Expanding Stent with Over the Wire Delivery System |
C1876 |
| C1314 |
Stent, coronary, Magic Wallstent Long Coronary Self Expanding Stent with Delivery System |
C1876 |
| C1315 |
Pacemaker, dual chamber, Vigor DR, Meridian DR |
C1785 |
| C1315 |
Pacemaker, dual chamber, Vigor DDD, Vista DDD |
C2619 |
| C1316 |
Pacemaker, dual chamber, Meridian DDD |
C2619 |
| C1317 |
Pacemaker, single chamber, Discovery SR |
C1786 |
| C1318 |
Pacemaker, single chamber, Meridian SR |
C1786 |
| C1319 |
Stent, enteral, Wallstent Enteral Wallstent Endoprosthesis and Unistep Delivery System (60mm in length), Enteral Wallstent Endoprosthesis and Unistep Plus Delivery System/Single-Use Colonic and Duodenal Endoprosthesis with Unistep Plus Delivery System (60mm in length), Ultraflex Esophageal Stent System, Wallstent Esophageal Prosthesis with Delivery System |
C1876 |
| C1319 |
Esophageal Z Metal Expandable Stent with Dua Anti-reflux Valve, Esophageal Z Metal Expandable Stent with Uncoated Flanges, Wallstent Esophageal Prosthesis (Double), Wilson-Cook Esophageal Z Metal Expandable Stent, Bard Memotherm Esophageal Stent |
C1877 |
| C1320 |
Stent, iliac, Wallstent Iliac Endoprosthesis with Unistep Plus Delivery System, Wallstent RP Iliac Endoprosthesis with Unistep Plus Delivery System |
C1876 |
| C1325 |
Brachytherapy seed, Theragenics Theraseed Palladium-103 seeds |
C1720 |
| C1326 |
Catheter, thrombectomy, AngioJet Rheolytic Thrombectomy Catheter |
C1757 |
| C1328 |
External transmitter, neurostimulation system, ANS Renew Spinal Cord Stimulator System |
C1816 |
| C1333 |
Stent, biliary, PALMAZ Corinthian Transhepatic Biliary Stent and Delivery System, Cook Oasis One Action Stent Introductory System, Large Palmaz Balloon Expandable Stent with Delivery System |
C1876 |
| C1333 |
Cook Z Stent Gianturco-Rosch Biliary Design, Cordis Palmaz XL Transhepatic Biliary Stent |
C1877 |
| C1334 |
Stent, coronary, PALMAZ-Schatz Crown Stent, Cook Gianturco-Roubin Flex-Stent Coronary Stent |
C1877 |
| C1334 |
Stent, coronary, Mini-Crown Stent, CrossFlex LC Stent |
C1876 |
| C1335 |
Mesh, hernia, Prolene Polypropylene Hernia System, Prolene Soft Mesh (Polypropylene), Trelex Natural Mesh |
C1781 |
| C1336 |
Infusion pump, implantable, non-programmable, Constant Flow Implantable Pump with Bolus Safety Valve Model 3000, Model 3000-16 (16ml), Model 3000-50 (50ml) |
C1891 |
| C1337 |
Infusion pump, implantable, non-programmable, IsoMed Infusion Pump Model 8472-20, 8472-35, 8472-60 |
C1891 |
| C1350 |
Brachytherapy, per source, ProstaSeed I-125 |
C1718 |
| C1351 |
Lead, pacemaker, CapSureFix, SureFix, Pirouet +, S+ |
C1898 |
| C1352 |
Defibrillator, dual chamber, implantable, Gem II DR |
C1721 |
| C1353 |
Neurostimulator, implantable, Itrel II/Soletra Implantable Neurostimulator and Extension, Itrel III Implantable Neurostimulator and Extension, InterStim Neurostimulator (implantable) and ExtensionNOTE: To appropriately bill for these devices, report three categories. The pulse generator should be reported with category code C1767, the neurostimulator lead should be reported with category code C1778, and the neurostimulator extension with category code C1883. |
C1767/
C1778/
C1883 |
| C1353 |
NeuroControl Stim SystemNOTE: To appropriately bill for this device, report two categories. The pulse generator should be reported with category code C1767, and the neurostimulator lead should be reported with category code C1778. |
C1767/
C1778 |
| C1354 |
Pacemaker, dual chamber, Kappa 400 DR, Diamond II 820 DR |
C1785 |
| C1355 |
Pacemaker, dual chamber, Kappa 600 DR, Vita DR |
C1785 |
| C1356 |
Defibrillator, single chamber, implantable, Profile MD V-186HV3 |
C1722 |
| C1357 |
Defibrillator, single chamber, implantable, Angstrom MD V-190HV3 |
C1722 |
| C1358 |
Pacemaker, dual chamber, non-rate responsive, Affinity DC 5230R, Affinity DC 5230 |
C2619 |
| C1359 |
Pacemaker, dual chamber, Pulsar DR, Pulsar Max DR |
C1785 |
| C1361 |
Recorder, cardiac event, implantable, Reveal, Reveal Plus |
C1764 |
| C1362 |
Stent, biliary, RX HERCULINK 14 Biliary Stent, OTW MEGALINK SDS Biliary Stent |
C1877 |
| C1363 |
Defibrillator, dual chamber, implantable, Gem DR, GEM III DR (model 7275) |
C1721 |
| C1364 |
Defibrillator, dual chamber, Photon DR V-230HV |
C1721 |
| C1365 |
Guide wire, peripheral, Hi-Torque SPARTACORE 14 Guide Wire, Hi-Torque MEMCORE FIRM 14 Guide Wire, Hi-Torque STEELCORE 18 Guide Wire, Hi-Torque STEELCORE 18 LT Guide Wire, Hi-Torque SUPRA CORE 35 Guide Wire, Doc Wire, Hi-Torque Extra Balance, Hi-Torque Extra S'port, Hi-Torque Extra Support, Hi-Torque Floppy II, Hi-Torque Intermediate, Hi-Torque Standard, Hi-Torque Traverse, TAD II Guide Wire System (145cm, 200cm, 260cm, 260cm, 300cm), TAD Guide Wire System (145cm), Wholey Hi-Torque Modified J Guide Wire System (145cm, 175cm, 260cm, 300cm), Wholey Hi-Torque Floppy Guide Wire System (145cm, 175cm, 260cm), Wholey Hi-Torque Standard Guide Wire System (145cm, 300cm), LOC Guide Wire Extension (115cm), Hobbs Medical Flex-EZ Guide Wire (models 3406, 3408, 3410, 3412, 3413) |
C1769 |
| C1366 |
Guide wire, percutaneous transluminal coronary angioplasty, Hi-Torque Iron man, Hi-Torque Balance Middleweight, Hi-Torque All Star, Hi-Torque Balance Heavyweight, Hi-Torque Balance Trek |
C1769 |
| C1367 |
Guide wire, percutaneous transluminal coronary angioplasty, Hi-Torque Cross It, Hi-Torque Cross-It 100XT, Hi-Torque Cross-It 200XT, Hi-Torque Cross-It 300 XT, Hi-Torque Wiggle |
C1769 |
| C1369 |
Internal receiver, neurostimulation system, ANS Renew Spinal Cord Stimulator System, Medtronic Mattrix Receiver/Transmitter |
C1816 |
| C1370 |
Single use device for treatment of female stress urinary incontinence, Tension-Free Vaginal Tape Single Use Device |
C2631 |
| C1371 |
Stent, biliary, Symphony Nitinol Stent Transhepatic Biliary System, Nir Biliary Stent System |
C1876 |
| C1372 |
Stent, biliary, Smart Cordis Nitinol Stent and Delivery System |
C1876 |
| C1372 |
Stent, biliary, Cordis Smart .018 Nitinol Transhepatic Biliary Stent |
C1877 |
| C1375 |
Stent, coronary, NIR ON Ranger Stent Delivery System, NIR w/Sox Stent System, NIR Primo Premounted Stent System |
C1876 |
| C1376 |
Lead, neurostimulator, ANS Renew Spinal Cord Stimulation System Lead (with or without extension) |
C1778 |
| C1377 |
Lead, neurostimulator, Specify 3998 Lead |
C1778 |
| C1378 |
Lead, neurostimulator, InterStim Therapy 3080 Lead, InterStim Therapy 3886 Lead |
C1778 |
| C1379 |
Lead, neurostimulator, Pisces-Quad Compact 3887 Lead |
C1778 |
| C1420 |
Anchor system, TransFix Bone Anchor System with Dermis, StapleTac2 Bone Anchor System with Dermis, BioSorb FX System |
C1713 |
| C1421 |
Anchor system, TransFix Bone Anchor System without Dermis, Staple Tac2 Bone Anchor System without Dermis |
C1713 |
| C1450 |
Orthosphere Spherical Interpositional Arthroplasty |
C1776 |
| C1451 |
Orthosphere Spherical Interpositional Arthroplasty Kit |
C1776 |
| C1500 |
Atherectomy system, Rotablator Rotational Angioplasty System (with catheter, advancer, guide wire)
NOTE: To appropriately bill for this system, report three categories. The catheter should be reported with category code C1724, the advancer (sheath) should be reported with category code C1894, and the guide wire with category code C1769. |
C1724/
C1894/
C1769 |
| C1700 |
Needle, brachytherapy, Authentic Mick TP Brachytherapy Needle, Cook Urological Brachytherapy Needle |
C1715 |
| C1701 |
Needle, brachytherapy, Medtec MT-BT-5201-25 Brachytherapy Needle , AVID Medical Metal Hub Pre-Load Style Brachytherapy Seeding Insertion Needle, AVID Medical Mick Style Bracytherapy Seeding Insertion Needle |
C1715 |
| C1702 |
Needle, brachytherapy, WWMT Brachytherapy Needle, Nucletron Pancreas Flexible Brachytherapy Needle |
C1715 |
| C1703 |
Needle, brachytherapy, Mentor Prostate Brachytherapy Needle |
C1715 |
| C1704 |
Needle, brachytherapy, Medtec MT-BT-5001-25, MT-BT-5051-25 |
C1715 |
| C1705 |
Needle, brachytherapy, Best Industries Flexi Needle Brachytherapy Seed Implantation (13G, 14G, 15G, 16G, 17G, 18G), Best Industries Prostate Brachytherapy Needle, Nycomed Amersham Mick Applicator Style Brachytherapy Needle, Nycomed Amersham Brachytherapy Needle |
C1715 |
| C1706 |
Needle, brachytherapy, Indigo Prostate Seeding Needle |
C1715 |
| C1707 |
Needle, brachytherapy, VariSource Interstitial Implant Needle |
C1715 |
| C1708 |
Needle, brachytherapy, UroMed Prostate Seeding Needle |
C1715 |
| C1709 |
Needle, brachytherapy, Remington Medical Brachytherapy Needle |
C1715 |
| C1710 |
Needle, brachytherapy, US Biopsy Prostate Seeding Needle |
C1715 |
| C1711 |
Needle, brachytherapy, MD Tech P.S.S. Prostate Seeding Set (needle) |
C1715 |
| C1712 |
Needle, brachytherapy, Imagyn Medical Technologies IsoStar Prostate Brachytherapy Needle |
C1715 |
| C1790 |
Brachytherapy seed, Nucletron Iridium 192 HDR, MDS Nordion Gamma Med Iridium-192 HDR Brachytherapy Seed |
C1717 |
| C1790 |
Brachytherapy Seed, MDS Nordion TheraSphere (Yttrium-90) |
C2616 |
| C1791 |
Brachytherapy seed, Nycomed Amersham I-125 (OncoSeed, Rapid Strand) |
C1718 |
| C1792 |
Brachytherapy seed, UroMed Symmetra I-125 |
C1718 |
| C1793 |
Brachytherapy seed, Bard InterSource-103 Palladium Seed, 1031L, 1031C, International Brachytherapy Intersource-103 (Palladium 103) |
C1720 |
| C1794 |
Brachytherapy seed, Bard IsoSeed-103 Palladium Seed, Pd3S111L, Pd3S111P |
C1720 |
| C1795 |
Brachytherapy seed, Bard BrachySource-125 Iodine Seed, 1251L, 1251C, International Brachytherapy InterSource-125 |
C1718 |
| C1796 |
Brachytherapy seed, Source Tech Medical I-125 Seed Model STM 1251 |
C1718 |
| C1797 |
Brachytherapy seed, Draximage I-125 Seed Model LS-1 |
C1718 |
| C1798 |
Brachytherapy seed, Syncor I-125 PharmaSeed Model BT-125-1 |
C1718 |
| C1799 |
Brachytherapy seed, I-Plant Iodine 125 Model 3500 |
C1718 |
| C1800 |
Brachytherapy seed, Mentor PdGold Pd-103 |
C1720 |
| C1801 |
Brachytherapy seed, Mentor IoGold I-125 |
C1718 |
| C1802 |
Brachytherapy seed, Best Iridium 192, Best Dummy Ribbon Brachytherapy Seed (model 3 DR, 4 DR series, Iridium 192) |
C1719 |
| C1803 |
Brachytherapy seed, Best Iodine 125 |
C1718 |
| C1804 |
Brachytherapy seed, Best Palladium 103 |
C1720 |
| C1805 |
Brachytherapy seed, IsoStar Iodine-125 Interstitial Brachytherapy Seed |
C1718 |
| C1806 |
Brachytherapy seed, Best Gold 198 |
C1716 |
| C1810 |
Catheter, balloon dilatation, D114S Over-the-Wire Balloon Dilatation Catheter |
C1725 |
| C1811 |
Anchor, Surgical Dynamics Anchorsew, Surgical Dynamics S.D. sorb EZ TAC, Surgical Dynamics S.D. sorb Suture Anchor 2.0mm, Surgical Dynamics S.D. sorb Suture Anchor 3.0, Biomet Bone Mulch Screw, Biomet WasherLoc Screw and WasherLoc Washer, Wright Medical Technology Spin Snap-off Screw, Wright Medical Technology Bold Cannulated Titanium Compression Screw, Wright Medical Technology I.C.O.S. Ideal Compression Screw, Biomet Becton Colles' Fracture Plate, Biomet Repicci II Unicondylar Knee System, Wright Medical Technology OsteoSet Bone Graft Substitute (5cc, 10cc, 20cc, 50cc), Wright Medical Technology Uni-Clip Compression Staple, Depuy Ace Timax Calcaneal Peri-articular Plate, Depuy Ace Timax Pilon Plate, Depuy Ace Timax Meta Plate, Depuy Spider Plate, Depuy Total Elbow (Acclaim Elbow) |
C1713 |
| C1811 |
Wright Medical Technology Swanson Finger Joint Implant with Grommets, Swanson Titanium Carpal Lunate Implant, Wright Medical Technology Swanson Basal Thumb Implant, Wright Medical Technology Swanson Titanium Carpal Scaphoid Implant, Wright Medical Technology Swanson Trapezium Implant, Wright Medical Technology Swanson Titanium Great Toe Implant, DePuy Neuflex PIP Finger, Depuy Neuflex MCP Finger Joint Prosthesis, Wright Medical Technology Hammertoe Implant (Swanson Type) Weil Design, Wright Medical Technology STA - PEG (Subtalar Arthrosis Implant - Smith Design) |
C1776 |
| C1812 |
Anchor, OBL 2.0mm Mini Tac Anchor, OBL 2.8mm HS Anchor, OBL 2.8mm S Anchor, OBL 3.5mm Ti Anchor, OBL RC5 Anchor, OBL PRC5 Anchor, Arthrex Anterior Cruciate Ligament (ACL) Avulsion Lag Screw with Sheath, Arthrex Chrondral Dart, Arthrex Bio-Absorbable Corkscrew, Arthrex Bio-Fastak Suture Anchor, Arthrex Headed Bio-Absorbable Corkscrew, Arthrex Bio-Interference Screw, Arthrex Cannulated Interference Screw, Arthrex Suture Anchor Screw, Arthrex Fastak Suture Anchor, Arthrex Parachute Corkscrew Anchor, Arthrex TissueTak, Bionx Bankart Tack PLLA Implant, Bionx Cannulated SmartScrew PLLA Implant, Bionx Contour Labral Nail PLLA Implant, Bionx SmartNail PLLA Implant, Bionx SmartScrew PLLA Implant, Bionx SmartPin PLLA and PGA Implant, Bionx Wedge PLA Implant, Bionx Biocuff PLA Implant, Bionx Meniscus Arrow PLA Implant, Bionx SmartScrew ACL Interference Screw PLA Implant, Depuy Scarf Threaded-head Screw, Depuy Twist Off Screw, Depuy Rockwood Clavicle Pin, Depuy Scarf Threaded-head Screw (Millenium Screw) |
C1713 |
| C1812 |
Medtronic XOMed EpiDisc Otologic Lamina (model 14-17000) |
C1763 |
| C1850 |
Repliform Tissue Regeneration Matrix, per 14 or 21 square centimeters |
C1762 |
| C1851 |
Repliform Tissue Regeneration Matrix, per 24 or 28 square centimeters |
C1762 |
| C1853 |
Suspend Tutoplast Processed Fascia Lata, per 8 or 14 square centimeters |
C1762 |
| C1854 |
Suspend Tutoplast Processed Fascia Lata, per 24 or 28 square centimeters |
C1762 |
| C1855 |
Suspend Tutoplast Processed Fascia Lata, per 36 square centimeters |
C1762 |
| C1856 |
Suspend Tutoplast Processed Fascia Lata, per 48 square centimeters |
C1762 |
| C1857 |
Suspend Tutoplast Processed Fascia Lata, per 84 square centimeters |
C1762 |
| C1858 |
DuraDerm Acellular Allograft, per 8 or 14 square centimeters |
C2631 |
| C1859 |
DuraDerm Acellular Allograft, per 21, 24, or 28 square centimeters |
C2631 |
| C1860 |
DuraDerm Acellular Allograft, per 48 square centimeters |
C2631 |
| C1861 |
DuraDerm Acellular Allograft, per 36 square centimeters |
C2631 |
| C1862 |
DuraDerm Acellular Allograft, per 72 square centimeters |
C2631 |
| C1863 |
DuraDerm Acellular Allograft, per 84 square centimeters |
C2631 |
| C1864 |
Bard Sperma Tex Mesh, per 13.44 square inches |
C1781 |
| C1865 |
Bard FasLata Allograft Tissue, per 8 or 14 square centimeters |
C1762 |
| C1866 |
Bard FasLata Allograft Tissue, per 24 or 28 square centimeters |
C1762 |
| C1867 |
Bard FasLata Allograft Tissue, per 36 or 48 square centimeters |
C1762 |
| C1868 |
Bard FasLata Allograft Tissue, per 96 square centimeters |
C1762 |
| C1869 |
Gore Thyroplasty Device, per 8, 12, 30, or 37.5 square centimeters (0.6mm) |
C1878 |
| C1870 |
DermMatrix Surgical Mesh, per 16 square centimeters |
C1781 |
| C1871 |
DermMatrix Surgical Mesh, per 32 or 64 square centimeters |
C1781 |
| C1873 |
Bard 3DMax Mesh, medium or large size |
C1781 |
| C1929 |
Catheter, Maverick Monorail PTCA Catheter, Maverick Over-the-Wire PTCA Catheter |
C1725 |
| C1930 |
Catheter, percutaneous transluminal coronary angioplasty, Coyote Dilatation Catheter 20mm/30mm/40mm |
C1725 |
| C1931 |
Catheter, Talon Balloon Dilatation Catheter |
C1725 |
| C1932 |
Catheter, SciMed Remedy Coronary Balloon Dilatation Infusion Catheter (20mm), Dispatch Coronary Infusion Catheter, Ultra Fuse 4mm, Ultra Fuse 8mm, Ultra Fuse-X, AngioDynamics Pulse Spray Infusion Catheter, AngioDynamics Unifuse Infusion Catheter, Merit Medical Systems Mistique Infusion Catheter |
C1725 |
| C1932 |
Catheter, Cordis Regatta Flow Guided Infusion Catheter, Cordis Prowler Plus Microcatheter, Cordis Prowler Small Profile Infusion Microcatheter, Cordis MassTransit Max ID Microcatheter, Microcatheter Cordis Transit Microcatheter, Cordis RapidTransit Infusion Catheter, Cordis Plus Microcatheter |
C1887 |
| C1932 |
Catheter, Cordis Commodore Temporary Occlusion Balloon Catheter |
C2628 |
| C1933 |
Catheter, Opti-Plast Centurion 5.5F PTA Catheter (shaft length 50cm to 120cm), Opti-Plast XL 5.5F PTA Catheter (shaft length 75 cm to 120cm), Opti-Plast PTA Catheter (5.5 Fr), Tru Trac 5Fr Percutaneous Transluminal Angioplasty Balloon Dilatation Catheter, OptiPlast XT 5 Fr Percutaneous Transluminal Angioplasty Catheter (various sizes) |
C1725 |
| C1934 |
Catheter, Ultraverse 3.5F Balloon Dilatation Catheter, Interventional Technologies Cutting Balloon |
C1725 |
| C1935 |
Catheter, WorkHorse PTA Balloon Catheter |
C1725 |
| C1936 |
Catheter, Uromax Ultra High Pressure Balloon Dilatation Catheters with Hydroplus Coating, UrethraMax High Pressure Urethral Balloon Dilatation Catheter, Carson Zero Tip Balloon Dilatation Catheters with HydroPlus Coating, Passport Balloon on a Wire Dilatation Catheters with HydroPlus Coating, Tandem Thin-Shaft Transureteroscopic Balloon Dilatation Catheter with Hydro Plus Coating, Trilogy Low Profile Balloon Dilatation Catheters with HydroPlus Coating, Ureteral Dilators with Hydro Plus Coating and Procedural Sheath, Amplatz Renal Dilator Set |
C1726 |
| C1937 |
Catheter, Synergy Balloon Dilatation Catheter, Symmetry Small Vessel Balloon Dilatation Catheter with Glidex Hydrophilic Coating, Symmetry Stiff Shaft Small Vessel Balloon Dilatation Catheter with Glidex Hydrophilic Coating, XXL Large Balloon Dilatation Catheter |
C1725 |
| C1937 |
Catheter, Explorer ST (6 Fr), Explorer 360 Jr., Explorer 360, Explorer ST |
C1730 |
| C1938 |
Catheter, Bard UroForce Balloon Dilatation Catheter, Cook Urological Urodynamic Catheter |
C1726 |
| C1939 |
Catheter, NinjaFX PTCA Dilatation Catheter, Raptor PTCA Dilatation Catheter, Ninja, NC Raptor PTCA Dilatation Catheter, Charger PTCA Dilatation Catheter, Titan PTCA Dilatation Catheter, Titan Mega PTCA Dilatation Catheter |
C1725 |
| C1940 |
Catheter, Cordis PowerFlex Extreme PTA Balloon Catheter, Cordis PowerFlex Plus PTA Balloon Catheter, Cordis OPTA LP PTA Balloon Catheter, Cordis OPTA 5 PTA Balloon Catheter, Cordis PowerFlex P3 PTA Balloon Catheter |
C1725 |
| C1941 |
Catheter, Jupiter PTA Balloon Dilatation Catheter, Cordis OPTA ProPTA Dilatation Catheter, Cordis SLALOM PTA Dilatation Catheter |
C1725 |
| C1942 |
Catheter, Cordis Maxi LD PTA Balloon Catheter |
C1725 |
| C1943 |
Catheter, RX CrossSail Coronary Dilatation Catheter, OTW OpenSail Coronary Dilatation Catheter |
C1725 |
| C1944 |
Catheter, Maxforce Single-Use Biliary Balloon Dilatation Catheter, Rapid Exchange Single-Use Biliary Balloon Dilatation Catheter |
C1726 |
| C1945 |
Catheter, Cordis Savvy PTA Dilatation Catheter |
C1725 |
| C1946 |
Catheter, R1s Rapid Exchange Pre-Dilatation Balloon Catheter |
C1725 |
| C1947 |
Catheter, Gazelle Balloon Dilatation Catheter |
C1725 |
| C1948 |
Catheter, Pursuit Balloon Angioplasty Catheter, Cook Accent Balloon Angioplasty Catheter |
C1725 |
| C1949 |
Catheter, Endosonics Oracle MegaSonics Five-64 F/X PTCA Catheter |
C1725 |
| C1979 |
Catheter, Endosonics Visions PV 8.2F Intravascular Ultrasound Imaging Catheter, Endosonics Avanar F/X Intravascular Ultrasound Imaging Catheter |
C1753 |
| C1980 |
Catheter, Atlantis SR Coronary Imaging Catheter |
C1753 |
| C1981 |
Catheter, coronary angioplasty balloon, Adante, Bonnie, Bonnie 15mm, Bonnie Monorail 30mm or 40mm, Bonnie Sliding Rail, Bypass Speedy, Chubby, Chubby Sliding Rail, Coyote 20mm, Coyote 9/15/25mm, Maxxum, NC Ranger, NC Ranger 9mm, Ranger 20mm, Long Ranger 30mm or 40mm, NC Ranger 16/18mm, NC Ranger 22/25/30mm, NC Big Ranger, Quantum Ranger, Quantum Ranger 1/4 sizes, Quantum Ranger 9/16/18mm, Quantum Ranger 22/30mm, Quantum Ranger 25mm, Ranger LP 20/30/40, Viva/Long Viva, ACE-1cm, ACE-2 cm, ACE Graft, Long ACE, Pivot, Cobra (10, 14, 18, 30, 40mm in lengths) |
C1725 |
| C2000 |
Catheter, Orbiter ST Steerable Electrode Catheter |
C1730 |
| C2001 |
Catheter, Constellation Diagnostic Catheter |
C1731 |
| C2002 |
Catheter, Irvine Inquiry Steerable Electrophysiology 5F Catheter, Livewire Steerable Electrophysiology Catheter |
C1730 |
| C2002 |
Catheter, Livewire EP Catheter 7 Fr Duo-Decapolar (model 401932) |
C1731 |
| C2002 |
Catheter, Marinr, RF Marinr MC |
C1733 |
| C2003 |
Catheter, Irvine Inquiry Steerable Electrophysiology 6F Catheter |
C1730 |
| C2004 |
Catheter, electrophysiology, BioSense Webster EP Deflectable Tip (Octapolar) |
C1730 |
| C2005 |
Catheter, electrophysiology, BioSense Webster EP Deflectable Tip Catheter (Hexapolar) |
C1730 |
| C2006 |
Catheter, electrophysiology, BioSense Webster EP Deflectable Tip Catheter (Decapolar) |
C1730 |
| C2007 |
Catheter, electrophysiology, Irvine Luma-Cath 6F Fixed Curve Electrophysiology Catheter, IBI-1000 Inquiry Fixed Curve EP Catheter (5 Fr), IBI-1000 Inquiry Fixed Curve EP Catheter (6 Fr, Bipolar), IBI-1000 Inquiry Fixed Curve EP Catheter (6 Fr, Decapolar), IBI-1000 Inquiry Fixed Curve EP Catheter (6 Fr, Octapolar), IBI-1000 Inquiry Fixed Curve EP Catheter (6 Fr, Quadrapolar), Santoro Fixed Curve Catheter |
C1730 |
| C2007 |
Catheter, electrophysiology, Ismus Cath Deflectable 20-Pole Catheter/Crista Cath II Deflectable 20-Pole Catheter |
C1731 |
| C2008 |
Catheter, electrophysiology, Irvine Luma-Cath 7F Steerable Electrophysiology Catheter Model 81910, Model 81915, Model 81912 |
C1730 |
| C2009 |
Catheter, electrophysiology, IrvineLuma-Cath 7F Steerable Electrophysiology Catheter Model 81920 |
C1730 |
| C2010 |
Biosense Webster Fixed Curve Electrophysiology Catheter (Decapolar, Hexapolar, Octapolar, Quadrapolar) |
C1730 |
| C2011 |
Catheter, electrophysiology, Biosense Webster Deflectable Tip Catheter (Quadrapolar) |
C1730 |
| C2012 |
Catheter, ablation, Biosense Webster Celsius Braided Tip Ablation Catheter, Biosense Webster Celsius Long Reach Ablation Catheter |
C1733 |
| C2012 |
Catheter, ablation, Biosense Webster Celsius 5mm Temperature Ablation Catheter, Biosense Webster Celsius Temperature Sensing Diagnostic/Ablation Tip Catheter |
C2630 |
| C2013 |
Catheter, ablation, Biosense Webster Celsius Large Dome Ablation Catheter |
C1733 |
| C2014 |
Catheter, ablation, Biosense Webster Celsius II Asymmetrical Ablation Catheter |
C1733 |
| C2015 |
Catheter, ablation, Biosense Webster Celsius II Symmetrical Ablation Catheter |
C1733 |
| C2016 |
Catheter, ablation, Navi-Star DS Diagnostic/Ablation Catheter |
C1732 |
| C2016 |
Catheter, ablation, Navi-Star Thermo-Cool Temperature Diagnostic/Ablation Catheter |
C1732 |
| C2017 |
Catheter, ablation, Navi-Star Diagnostic/Ablation Deflectable Tip Catheter |
C1732 |
| C2018 |
Catheter, ablation, Polaris DX, Polaris LE (7 Fr) |
C1730 |
| C2018 |
Catheter, ablation, Polaris T Ablation Catheter, Steerocath-T, Steerocath-A, MECA Ablation Catheter |
C1733 |
| C2019 |
Catheter, EP Medsystems Deflectable Electrophysiology Catheter |
C1730 |
| C2020 |
Catheter, ablation, Blazer II XP, Blazer II 6F, Blazer II High Torque Distal (HTD), Blazer II (7 Fr) |
C1733 |
| C2021 |
Catheter, EP SilverFlex Electrophysiology Catheter |
C1730 |
| C2022 |
Catheter, ablation, Cardiac Pathways Chilli Cooled Ablation Catheter Model 41422, 41442, 45422, 45442, 43422, 43442 |
C2630 |
| C2023 |
Catheter, ablation, Cardiac Pathways Chilli Cooled Ablation Catheter, Standard ..Curve ( Model 3005), Large Curve (Model 3006) |
C2630 |
| C2100 |
Catheter, electrophysiology, Cardiac Pathways CS Reference Catheter, Boston Scientific Special Procedure Steero Dx Octa, Boston Scientific Map Pacing Catheter |
C1730 |
| C2101 |
Catheter, electrophysiology, Cardiac Pathways RV Reference Catheter, Boston Scientific EPT-Dx Steerable |
C1730 |
| C2102 |
Catheter, electrophysiology, Cardiac Pathways 7F Radii Catheter |
C1730 |
| C2103 |
Catheter, electrophysiology, Cardiac Pathways 7F Radii Catheter with Tracking, Boston Scientific Valve Mapper SteeroDx |
C1730 |
| C2104 |
Catheter, electrophysiology, Lasso Deflectable Circular Tip Mapping Catheter, Cardima Tracer Over-the-Wire Mapping Microcatheter, Cardima PathFinder Microcatheter, Cardima Revelation Microcatheter |
C1730 |
| C2151 |
Catheter, Veripath Peripheral Guiding Catheter |
C1887 |
| C2152 |
Catheter, Cordis 5F, 6F, 7F, 8F, 9F, 10F Vista Brite Tip Guiding Catheter, Cordis 0.056 Vista Brite Tip Guiding Catheter (5 Fr), Cordis Vista Brite Tip IG Introducer Guiding Catheter (7 Fr), Cordis Vista Brite Tip IG Introducer Guiding Catheter (8 Fr), Cordis Vista Brite Tip Supra-Aortic Guiding Catheter (8 Fr), Cordis Vista Brite Tip Supra-Aortic Guiding Catheter (9 Fr), Cordis Envoy Large Lumen Guiding Catheter (5 Fr), Cordis Envoy Large Lumen Guiding Catheter (6 Fr) |
C1887 |
| C2153 |
Catheter, electrophysiology, Bard Viking Fixed Curve Catheter (Bipolar, Quadrapolar, ASP Models only) |
C1730 |
| C2200 |
Catheter, Arrow-Trerotola Percutaneous Thrombolytic Device Catheter |
C1757 |
| C2300 |
Catheter, Varisource Standard Catheter, Nucletron Nasopharyngeal Brachytherapy Catheter |
C1728 |
| C2597 |
Clinicath Peripherally Inserted Midline Catheter (PICC) Dual Lumen PolyFlow Polyurethane Catheter 18G (includes catheter and introducer), Clinicath Peripherally Inserted Central Catheter (PICC) Dual-Lumen PolyFlow Polyurethane 16/18G (includes catheter and introducer), CliniCath Peripherally Inserted Central Catheter (PICC) Single-Lumen PolyFlow Polyurethane 16G (includes catheter and introducer), BDL Single-Lumen Polyurethane Midline Catheter (catheter and introducer only), Ethicon Endo-Surgery 18G/20G Single Lumen BIOVUE Midline Catheter Starter Set (catheter and introducer only), Ethicon Endo-Surgery 18G Dual Lumen BIOVUE Midline Catheter Starter Set (catheter and introducer only)
NOTE: To appropriately bill for the above pass-through devices, report two categories. The catheter should be reported with category code C1751 and the introducer/sheath should be reported with category code C1894. |
C1751/
C1894 |
| C2597 |
BD First MidCath Catheter (3 Fr, 4 Fr, 5 Fr, 20cm/4 Fr, 20cm/5 Fr), Dual Lumen Silicone Midline Catheter Dual Lumen Silicone Midline Catheter (5 Fr/5Fr, 20 cm), BDL Single-Lumen Polyurethane PICC, Bard Per-Q-Cath, Bard Per-Q-Cath Plus, Bard RadPICC, Bard Groshong Peripherally Inserted Central Catheter (PICC) |
C1751 |
| C2598 |
Catheter, Clinicath Peripherally Inserted Central Catheter (PICC) Single-Lumen PolyFlow Polyurethane Catheter 18G/ 20G/24G (catheter and introducer), Clinicath Peripherally Inserted Midline Catheter (PICC) Single-Lumen PolyFlow Polyurethane Catheter 20G/24G (catheter and introducer), 5Fr Dual Lumen Silicone PICC (catheter and introducer only), BDL 16G/18G/20G Dual-Lumen Cath Catheter (catheter and introducer only)
NOTE: To appropriately bill for the above pass-through devices, report two categories. The catheter should be reported with category code C1751 and the introducer/sheath should be reported with category code C1894. |
C1751/
C1894 |
| C2598 |
BD First PICC Catheter |
C1751 |
| C2599 |
Boston Scientific Vaxcel Peripherally Inserted Central Catheter (PICC), Cook Peripherally Inserted Central Venous Catheter |
C1751 |
| C2599 |
Clinicath Peripherally Inserted Central Catheter (PICC) Single-Lumen PolyFlow Polyurethane Catheter 16G/18G/19G (includes catheter and introducer), BD First PICC Catheter, 1.9 Fr, 2.8 Fr, 3 Fr, 4 Fr, 5 Fr Single-Lumen Silicone PICC (catheter and introducer only), Ethicon Endo-surgery 18G/20G/24G Single Lumen BIOVUE Peripherally Inserted Central Catheter Starter Set (catheter and introducer only), Ethicon Endo-surgery 16G/18G Dual Lumen BIOVUE Peripherally Inserted Central Catheter Starter Set (catheter and introducer only)
NOTE: To appropriately bill for the above pass-through devices, report two categories. The catheter should be reported with category code C1751 and the introducer/sheath should be reported with category code C1894. |
C1751/
C1894 |
| C2601 |
Catheter, Bard Dual Lumen Ureteral Catheter, Cook Urological Ureteral Dilatation Balloon, Flexima Ureteral Catheter, Axxcess Ureteral Catheter (6 Fr), C-Flex Ureteral Catheter, Dual Lumen Ureteral Catheter |
C1758 |
| C2602 |
Catheter, Spectranetics 1.4/1.7mm Vitesse Cos Concentric Laser Catheter, Spectranetics 0.9 mm Vitesse C Concentric Laser Catheter (model 110-003) |
C1885 |
| C2603 |
Catheter, Spectranetics 2.0mm Vitesse Concentric Laser Catheter |
C1885 |
| C2604 |
Catheter, Spectranetics 2.0mm Vitesse E Eccentric Laser Catheter |
C1885 |
| C2605 |
Catheter, Spectranetics Extreme Laser Catheter, Spectranetics Extreme 0.9mm Coronary Angioplasty Catheter (model 110-001) |
C1885 |
| C2605 |
Catheter, Spectranetics Extreme Laser Catheter |
C1885 |
| C2606 |
Catheter, Oratec SpineCath XL Intradiscal Catheter |
C1754 |
| C2607 |
Catheter, Oratec SpineCath Intradiscal Catheter |
C1754 |
| C2608 |
Catheter, Scimed 6F Wiseguide Guide Catheter, Cyber Guide Catheter, Merit Medical Systems Trax Interventional Guide Catheter (7 Fr), Merit Medical Systems Trax Cavern Interventional Guide Catheter (8 Fr), Mighty Max Guide Catheter (7 Fr), Triguide-Flex Guide Catheter (10 Fr) |
C1887 |
| C2609 |
Catheter, Flexima Biliary Drainage Catheter with Locking Pigtail, Flexima Biliary Drainage Catheter with Twist Loc Hub, Flexima Biliary Drainage Catheters with Temp Tip, AngioDynamics Abscession Biliary Drainage Catheter |
C1729 |
| C2610 |
Catheter, Arrow FlexTip Plus Intraspinal Catheter Kit |
C1755 |
| C2611 |
Catheter, Medtronic PS Medical AlgoLine Intraspinal Catheter System/Kit Models 81102, 81192 |
C1755 |
| C2612 |
Catheter, Medtronic InDura Intraspinal Catheter, Myelotec Video Guided Catheter, EBI VueCath Steerable Spinal Catheter, Synchromed Vascular Catheter (models 8702, 8700A, 8700V) |
C1755 |
| C2700 |
Defibrillator, single chamber, implantable, MycroPhylax Plus |
C1722 |
| C2701 |
Defibrillator, single chamber, implantable, Phylax XM |
C1722 |
| C2702 |
Defibrillator, single chamber, implantable, Ventak Prizm 2 VR Model 1860 |
C1722 |
| C2703 |
Defibrillator, single chamber, implantable, Ventak Prizm VR HE Models 1852, 1857 |
C1722 |
| C2704 |
Defibrillator, single chamber, implantable, Ventak Mini IV+ Models 1793, 1796 |
C1722 |
| C2801 |
Defibrillator, dual chamber, implantable, ELA Medical Defender IV DR Model 612 |
C1721 |
| C2802 |
Defibrillator, dual chamber, implantable, Phylax AV |
C1721 |
| C2803 |
Defibrillator, dual chamber, implantable, Ventak Prizm DR HE Models 1853, 1858, Biotronik Tachos DR |
C1721 |
| C2804 |
Defibrillator, dual chamber, implantable, Ventak Prizm 2 DR Models 1861 |
C1721 |
| C2805 |
Defibrillator, dual chamber, implantable, Jewel AF ( Model 7250) |
C1721 |
| C2806 |
Defibrillator, implantable, Gem VR Model 7227 |
C1722 |
| C2807 |
Defibrillator, implantable, Contak CD Model 1823 |
C1882 |
| C2808 |
Pacemaker, implantable, Contak TR Model 1241
NOTE: Contak TR Model 1241 was previously listed as "Defibrillator, implantable, Contak TR Model 1241" in Transmittal A-01-17. New information from the manufacturer indicates this is a pacemaker. The above descriptor reflects this change. |
C2621 |
| C3001 |
Lead, defibrillator, implantable, Kainox RV |
C1777 |
| C3001 |
Lead, defibrillator, implantable, Kainox SL |
C1895 |
| C3002 |
Lead, defibrillator, implantable, EasyTrak ( Models 4510, 4511, 4512, 4513) |
C1899 |
| C3003 |
Lead, defibrillator, implantable, Endotak Reliance S (models 0127, 0128, 0129) |
C1777 |
| C3003 |
Lead, defibrillator, implantable, Endotak Reliance (models 0147, 0148, 0149) |
C1895 |
| C3003 |
Lead, defibrillator, implantable, Endotak SQ Array XP ( Model 0085), Endotak SQ Array (models 0048, 0049), Endotak SQ Patch (models 0047, 0063) |
C1896 |
| C3004 |
Lead, defibrillator, implantable, Intervene ( Models 497-23, 497-24) |
C1777 |
| C3400 |
Prosthesis, breast, Mentor Saline-Filled Contour Profile, Mentor Siltex Spectrum Mammary Prosthesis, Mentor Siltex Gel-Filled Mammary Prosthesis, Smooth-Surface Gel-Filled Mammary Prosthesis, Mcghan Biodimensional Anatomical Tissue Expander Saline-Filled (BioSpan Textured, Style 133, 133FV, 133MV, 133LV), Mentor Tissue Expander, Mentor Contour Profile Tissue Expander, Mentor Siltex Becker Expander/Mammary Prosthesis |
C1789 |
| C3401 |
Prosthesis, breast, Mentor Saline-Filled Spectrum, Mcghan BioCurve Round, BioCell Textured, Saline-Filled Moderate Profile (Style 168), Mcghan BioCurve Round, Smooth Saline-Filled Moderate Profile (Style 68), Mcghan Biodimensional BioCurve Shaped (BioCell Textured Full Height, Saline Filled, Style 163), Mcghan Breast Implant Smooth Silicone-Filled Intrashiel Barrier (Moderate Profile, Round, Style 110), Mcghan BioCell Textured Silicone-Filled Intrashiel Barrier (Standard Profile, Round, Style 40) |
C1789 |
| C3500 |
Prosthesis, penile, Mentor Alpha I Inflatable Penile Prosthesis, Mentor Alpha I Narrow-Base Inflatable Penile Prosthesis |
C1813 |
| C3500 |
Prosthesis, penile, Mentor Acu-Form Malleable Penile Prosthesis, Mentor Malleable Penile Prosthesis |
C2622 |
| C3510 |
Prosthesis, AMS Sphincter 800 Urinary Prosthesis |
C1815 |
| C3551 |
Guide wire, percutaneous transluminal coronary angioplasty, Choice, Luge, Patriot, PT Graphix Intermediate, Trooper, Mailman 182/300 cm, Glidewire Gold Guidewire, Platinum Plus Guidewire, Platinum Plus Guidewire with Glidex Hydrophilic Coating, Jagwire Single-Use High Performance Guide Wire, Merit Medical Systems Extender Guidewire, Merit Medical Systems Tomcat PTCA Guidewire, Platinum Plus Guide Wire (0.014 and 0.018 in diameters) |
C1769 |
| C3552 |
Guide wire, Hi-Torque Whisper, Zebra Single-Use Exchange Guidewire |
C1769 |
| C3553 |
Guide wire, Cordis Stabilizer Marker Wire Steerable Guidewire, Cordis Wizdom Marker Wire Steerable Guidewire, Cordis ATW Marker Wire Steerable Guidewire, Cordis Shinobi Steerable Guidewire, Cordis ATW Steerable Guidewire, Cordis Cinch QR Steerable Guidewire Extension, Cordis Stor Q Guidewire, Cordis Essence Steerable Guidewire, Cordis Instinct Steerable Guidewire, Cordis Agility 10 Hydrophilic Steerable Guidewire, Cordis Agility 14 Hydrophilic Steerable Guidewire, Cordis Stabilizer Balanced Performance Guidewire, Cordis Stabilizer Plus Steerable Guidewire, Cordis Shinobi Plus Steerable Guidewire (models 547-214, 547-214X), Cordis Stabilizer XS Steerable Guidewire (models 527-914, 527-914J, 527-914X, 527-914Y), Cordis SV Guidewire--5cm Distal Taper Configuration (models 503-558, 503-558X), 8cm Distal Taper Configuration (models 503-658, 503-658X), 14cm Distal Taper Configuration (models 503-758, 503-758X), Cordis Wisdom ST Steerable Guidewire (models 537-114, 537-114J, 537-114X, 537-114Y) |
C1769 |
| C3554 |
Guide wire, Jindo Tapered Peripheral Guidewire |
C1769 |
| C3555 |
Guide wire, Wholey Hi-Torque Plus Guide Wire System, 145cm, 190cm, 300cm |
C1769 |
| C3556 |
Guide wire, Endosonics Cardiometrics WaveWire Pressure Guide Wire, Cardiometrics FloWire Doppler Guide Wire, Radi Pressure Wire 3 Sensor |
C1769 |
| C3557 |
Guidewire, HyTek Guidewire, Biotronik Galeo Hydro Guide Wire, Microvena Ultra Select Nitinol Guidewire, Wilson-Cook Axcess 21 Wire Guide, Wilson-Cook Roadrunner Extra Support Wire Guide, Wilson-Cook Tracer Wire Guide, Wilson-Cook Tracer Hybrid Wire Guide, Wilson-Cook Tracer Metro Wire Guide, Wilson-Cook Protector Wire Guides |
C1769 |
| C3800 |
Infusion pump, implantable, programmable, SynchroMed EL Infusion Pump, SynchroMed Infusion Pump |
C1772 |
| C3801 |
Infusion pump, Arrow/MicroJect PCA System |
C2626 |
| C3851 |
Intraocular lens, Elastic Ultraviolet-Absorbing Silicone Posterior Chamber Intraocular Lens with Toric Optic Model AA-4203T, Model AA-4203TF, Model AA-4203TL |
C1780 |
| C4000 |
Pacemaker, single chamber, ELA Medical Opus G Model 4621, 4624 |
C1786 |
| C4001 |
Pacemaker, single chamber, ELA Medical Opus S Model 4121, 4124 |
C1786 |
| C4002 |
Pacemaker, single chamber, ELA Medical Talent Model 113 |
C1786 |
| C4003 |
Pacemaker, single chamber, Kairos SR |
C1786 |
| C4004 |
Pacemaker, single chamber, Actros SR+, Actros SR-B+ |
C1786 |
| C4005 |
Pacemaker, single chamber, Philos SR, Philos SR-B |
C1786 |
| C4006 |
Pacemaker, single chamber, Pulsar Max II SR 1180, 1181 |
C1786 |
| C4007 |
Pacemaker, single chamber, Marathon SR 291-09, 292-09R, 292-09X |
C1786 |
| C4008 |
Pacemaker, single chamber, Discovery II SSI 481 |
C2620 |
| C4009 |
Pacemaker, single chamber, Discovery II SR 1184, 1185, 1186, 1187 |
C1786 |
| C4300 |
Pacemaker, dual chamber, Integrity AFx DR Model 5342, Integrity U DR 5336 |
C1785 |
| C4301 |
Pacemaker, dual chamber, Integrity AFx DR Model 5346 |
C1785 |
| C4302 |
Pacemaker, dual chamber, Affinity VDR 5430 |
C1785 |
| C4303 |
Pacemaker, dual chamber, ELA Brio Model 112 Pacemaker System |
C1785 |
| C4304 |
Pacemaker, dual chamber, ELA Medical Brio Model 212, Talent Model 213, Talent Model 223 |
C1785 |
| C4305 |
Pacemaker, dual chamber, ELA Medical Brio Model 222 |
C1785 |
| C4306 |
Pacemaker, dual chamber, ELA Medical Brio Model 220 |
C1785 |
| C4307 |
Pacemaker, dual chamber, Kairos DR |
C1785 |
| C4308 |
Pacemaker, dual chamber, Inos2, Inos 2+ |
C1785 |
| C4309 |
Pacemaker, dual chamber, Actros DR+, Actros D+, Actros DR-A+, Actros SLR+ |
C1785 |
| C4310 |
Pacemaker, dual chamber, Actros DR-B+ |
C1785 |
| C4311 |
Pacemaker, dual chamber, Philos DR, Philos DR-B, Philos SLR |
C1785 |
| C4312 |
Pacemaker, dual chamber, Pulsar Max II DR 1280 |
C1785 |
| C4313 |
Pacemaker, dual chamber, Marathon DR 293-09, 294-09, 294-09R, 294-10 |
C1785 |
| C4314 |
Pacemaker, dual chamber, Momentum DR 294-23 |
C1785 |
| C4315 |
Pacemaker, dual chamber, Selection AFm 902 SLC 902C |
C1785 |
| C4316 |
Pacemaker, dual chamber, Discovery II DR 1283, 1284, 1285, 1286 |
C1785 |
| C4317 |
Pacemaker, dual chamber, Discovery II DDD 981 |
C2619 |
| C4600 |
Lead, pacemaker, SL-BP |
C1779 |
| C4600 |
Lead, pacemaker, Synox, Polyrox, Elox, Retrox, ELC, PR-B Permanent Implantable Pacing Lead (models PR 44 B, PR 48 B, PR 52 B, PR 58 B), PR-S Permanent Implantable Pacing Lead (models PR 44 S, PR 48 S, PR 52 S, PR 58 S), PY-PSBV Permanent Implantable Pacing Lead (models PY 44 PSBV, PY 48 PSBV, PY 52 PSBV, PY 58 PSBV), PY-PV Permanent Implantable Pacing Lead (models PY 48 PV, PY 52 PV, PY 58 PV), ZY-PBV Permanent Implantable Pacing Lead (models ZY 52 PBV, ZY 58 PBV), ZY-PJBV Permanent Implantable Pacing Lead (models ZY 48 PJBV, ZY 52 PJBV), ZY-PJUSBV Permanent Implantable Pacing Lead (models ZY 44 PJUSBV, ZY 48 PJUSBV, ZY 52 PJUSBV), ZY-PJUV Permanent Implantable Pacing Lead (models ZY 48 PJUV, ZY 52 PJUV), ZY-PJV Permanent Implantable Pacing Lead (models ZY 48 PJV, ZY 52 PJV), ZY-PUSBV Permanent Implantable Pacing Lead (models ZY 52 PUSBV, ZY 58 PUSBV), ZY-PUV Permanent Implantable Pacing Lead (models ZY 52 PUV, ZY 58 PUV), ZY-PV Permanent Implantable Pacing Lead (models ZY 52 PV, ZY 58 PV) |
C1898 |
| C4602 |
Lead, pacemaker, Tendril SDX 1488K/46, Tendril SDX 1488K/52, Tendril SDX 1488K/58 |
C1898 |
| C4603 |
Lead, pacemaker, Oscor PR 4015, 4016, 4017, 4018, Flexion 4015, 4016, 4017, 4018, ELA Medical Stela Pacing Lead (models BJ44, BJ45), ELA Medical Stelid II Pacing Lead (model BTFR26D), ELA Medical Stelix Pacing Lead (model BR45D), HT-PB Permanent Implantable Pacing Lead (models HT 48 PB, HT 52 PB, HT 58 PB), HT-PB Permanent Implantable Pacing Lead (models HT 48 PB, HT 52 PB, HT 58 PB), Oscor PY (models 4439, 4440, 4441), Oscor ZY (models 4036, 4037, 4038, 4039, 4042, 4056, 4057), RT-TJV Permanent Implantable Pacing Lead (models RT 48 TJV, RT 52 TJV), RT-TV Permanent Implantable Pacing Lead (models RT 52 TV, RT 58 TV), RU-TBV Permanent Implantable Pacing Lead (models RU 52 TBV, TU 58 TBV, RU 70 TBV), RU-TJSBV Permanent Implantable Pacing Lead (models RU 44 TJSBV, RU 48 TJSBV, RU 52 TJSBV), RU-TJV Permanent Implantable Pacing Lead (models RU 48 TJV, RU 52 TJV), RU-TSBV Permanent Implantable Pacing Lead (models RU 52 TSBV, RU 58 TSBV, RU 70 TSBV), RU-TV Permanent Implantable Pacing Lead (models RU 52 TV, RU 58 TV), KY-SBV Oscor Permanent Implantable Pacing Lead (KY-48 SBV, KY 52 SBV, KY 58 SBV), KY-USBV Oscor Permanent Implantable Pacing Lead (KY 48 USBV, KY 52 USBV, KY 58 USBV, KY 70 USBV), KY-UV Oscor Permanent Implantable Pacing Lead (KY 48 UV, KY 52 UV, KY 58 UV, KY 70 UV), KY-V Oscor Permanent Implantable Pacing Lead (KY 48 V, KY 52 V, KY 58 V, KY 70 V) |
C1898 |
| C4604 |
Lead, pacemaker, Crystalline ActFix ICF09, CapsureFix Novus 5076 |
C1898 |
| C4605 |
Lead, pacemaker, CapSure Epi 4968 |
C1898 |
| C4606 |
Lead, pacemaker, Flextend 4080, 4081, 4082 |
C1898 |
| C4607 |
Lead, pacemaker, Fineline II 4452, 4453, 4454, 4455, 4477, 4478, Fineline II EZ 4463, 4464, 4465, 4466, 4467, 4468, Thinline II 430-25, 430-35, 432-35, Thinline II EZ 438-25, 438-35, Fineline II EZ Sterox (models 4469, 4470, 4471, 4472, 4473, 4474), Fineline II Sterox (models 4456, 4457, 4458, 4459, 4479, 4480), Thinline II EZ Sterox (models 438-25S, 438-35S), Thinline II Sterox (models 430-25S, 430-35S, 432-35S) |
C1898 |
| C5000 |
Stent, coronary, BX Velocity with Hepacoat on Raptor Stent System (28 or 33mm in length) |
C1874 |
| C5001 |
Stent, biliary, Bard Memotherm-Flex Biliary Stent, small/medium diameter |
C1877 |
| C5002 |
Stent, biliary, Bard Memotherm-Flex Biliary Stent, large diameter |
C1877 |
| C5003 |
Stent, biliary, Bard Memotherm-Flex Biliary Stent, x-large diameter |
C1877 |
| C5004 |
Stent, biliary, Cordis Palmaz Corinthian IQ Transhepatic Biliary Stent |
C1877 |
| C5005 |
Stent, biliary, Cordis Palmaz Corinthian IQ Transhepatic Biliary Stent and Delivery System |
C1876 |
| C5006 |
Stent, biliary, Cordis Medium Palmaz Transhepatic Biliary Stent and Delivery System |
C1876 |
| C5007 |
Stent, biliary, Cordis Palmaz XL Transhepatic Biliary Stent (40mm length) |
C1877 |
| C5008 |
Stent, biliary, Cordis Palmaz XL Transhepatic Biliary Stent (50mm length) |
C1877 |
| C5009 |
Stent, biliary, Biliary VistaFlex Stent |
C1877 |
| C5010 |
Stent, biliary, Rapid Exchange Single-Use Biliary Stent System |
C2625 |
| C5011 |
Stent, biliary, IntraStent, IntraStent LP, Wilson-Cook ST2 Soehendra Tannenbaum |
C1877 |
| C5012 |
Stent, biliary, IntraStent DoubleStrut LD, IntraStent Double Strut Para Mount Biliary Stent, Olympus Double Layer Biliary Stent |
C1877 |
| C5013 |
Stent, biliary, IntraStent DoubleStrut, IntraStent DoubleStrut XS |
C1877 |
| C5014 |
Stent, biliary, Medtronic AVE Bridge Stent System--Biliary Indication (10mm, 17mm, 28mm) |
C1876 |
| C5015 |
Stent, biliary, Medtronic AVE Bridge Stent System--Biliary Indication (40mm-60mm, 80-100mm), Medtronic AVE Bridge X3 Biliary Stent System (17mm) |
C1876 |
| C5016 |
Stent, biliary, Wallstent Single-Use Covered Biliary Endoprosthesis with Unistep Plus Delivery System, Gore Biliary Endoprosthesis |
C1876 |
| C5017 |
Stent, biliary, Wallstent RP Biliary Endoprosthesis with Unistep Plus Delivery System (20/40/42/60/68 mm in length) |
C1876 |
| C5018 |
Stent, biliary, Wallstent RP Biliary Endoprosthesis with Unistep Plus Delivery System (80/94 mm in length) |
C1876 |
| C5019 |
Stent, biliary, Flexima Single Use Biliary Stent System |
C2625 |
| C5020 |
Stent, biliary, Cordis Smart Nitinol Stent Transhepatic Biliary System (20mm in length) |
C1876 |
| C5021 |
Stent, biliary, Cordis Smart Nitinol Stent Transhepatic Biliary System (40 or 60 mm in length) |
C1876 |
| C5022 |
Stent, biliary, Cordis Smart Nitinol Stent Transhepatic Biliary System (80mm in length) |
C1876 |
| C5023 |
Stent, biliary, BX Velocity Transhepatic Biliary Stent and Delivery System (8 or 13mm in length) |
C1876 |
| C5024 |
Stent, biliary, BX Velocity Transhepatic Biliary Stent and Delivery System (18mm in length) |
C1876 |
| C5025 |
Stent, biliary, BX Velocity Transhepatic Biliary Stent and Delivery System (23mm in length) |
C1876 |
| C5026 |
Stent, biliary, BX Velocity Transhepatic Biliary Stent and Delivery System (28 or 33mm in length) |
C1876 |
| C5027 |
Stent, coronary, BX Velocity with Hepacoat on Raptor Stent System (8 or 13mm in length), BX Velocity e.5/5.0 Balloon Expandable Stent with RAPTOR Over-the-Wire Delivery System |
C1874 |
| C5028 |
Stent, coronary, BX Velocity with Hepacoat on Raptor Stent System (18mm in length) |
C1874 |
| C5029 |
Stent, coronary, BX Velocity with Hepacoat on Raptor Stent System (23mm in length) |
C1874 |
| C5030 |
Stent, coronary, S660 with Discrete Technology Over-the-Wire Coronary Stent System (9mm, 12mm), S660 with Discrete Technology Rapid Exchange Coronary Stent System (9mm, 12mm), BiodivYsio AS PC Coated Coronary Stent Delivery System (11mm) |
C1876 |
| C5031 |
Stent, coronary, S660 with Discrete Technology Over-the-Wire Coronary Stent System (15mm, 18mm), S60 with Discrete Technology Rapid Exchange Coronary Stent System (15mm, 18mm), BiodivYsio AS PC Coated Coronary Stent Delivery System (15mm) |
C1876 |
| C5032 |
Stent, coronary, S660 with Discrete Technology Over-the-Wire Coronary Stent System 24mm, 30mm, S660 with Discrete Technology Rapid Exchange Coronary Stent System 24mm, 30mm |
C1876 |
| C5033 |
Stent, coronary, Niroyal Advance Premounted Stent System (9mm), Tenax-XR Stent and Delivery system |
C1876 |
| C5034 |
Stent, coronary, Niroyal Advance Premounted Stent System (12mm, 15mm) |
C1876 |
| C5035 |
Stent, coronary, Niroyal Advance Premounted Stent System (18mm) |
C1876 |
| C5036 |
Stent, coronary, Niroyal Advance Premounted Stent System (25mm) |
C1876 |
| C5037 |
Stent, coronary, Niroyal Advance Premounted Stent System (31mm) |
C1876 |
| C5038 |
Stent, coronary, BX Velocity Balloon-Expandable Stent with Raptor Over-the-Wire Delivery System |
C1876 |
| C5039 |
Stent, peripheral, IntraCoil Peripheral Stent (40mm stent length) |
C1877 |
| C5039 |
Stent, Dynalink Biliary Self-Expanding Stent System |
C1876 |
| C5040 |
Stent, peripheral, IntraCoil Peripheral Stent (60mm stent length) |
C1877 |
| C5041 |
Stent, coronary, Medtronic BeStent 2 Over-the-Wire Coronary Stent System (24mm, 30mm), Medtronic BeStent 2 Rapid Exchange Coronary Stent System (24mm, 30mm) |
C1876 |
| C5042 |
Stent, coronary, Medtronic BeStent 2 Over-the-Wire Coronary Stent System (18mm), Medtronic BeStent 2 Rapid Exchange (18mm) |
C1876 |
| C5042 |
Stent, coronary, Medtronic BeStent 2 Over-the-Wire Coronary Stent System (18mm) |
C1876 |
| C5043 |
Stent, coronary, Medtronic BeStent 2 Over-the-Wire Coronary Stent System (15mm), Medtronic BeStent 2 Rapid Exchange (15mm) |
C1876 |
| C5043 |
Stent, coronary, Medtronic BeStent 2 Over-the-Wire Coronary Stent System (15mm) |
C1876 |
| C5044 |
Stent, coronary, Medtronic BeStent 2 Over-the-Wire Coronary Stent System (9mm, 12mm), Medtronic BeStent 2 Rapid Exchange Coronary Stent System (9mm, 12mm) |
C1876 |
| C5044 |
Stent, coronary, Medtronic BeStent 2 Over-the-Wire Coronary Stent System (9mm, 12mm) |
C1876 |
| C5045 |
Stent, coronary, Multilink Tetra Coronary Stent System |
C1876 |
| C5046 |
Stent, coronary, Radius 20mm Self Expanding Stent with Over the Wire Delivery System |
C1876 |
| C5047 |
Stent, coronary, Niroyal Elite Premounted Stent System (15mm, 25mm, 31mm) |
C1876 |
| C5048 |
Stent, coronary, GR II Coronary Stent |
C1877 |
| C5130 |
Stent, colon, Wilson-Cook Colonic Z-Stent |
C1877 |
| C5131 |
Stent, colorectal, Bard Memotherm Colorectal Stent Models30R060 |
C1877 |
| C5132 |
Stent, colorectal, Bard Memotherm Colorectal Stent Models30R080 |
C1877 |
| C5133 |
Stent, colorectal, Bard Memotherm Colorectal Stent Models30R100 |
C1877 |
| C5134 |
Stent, enteral, Wallstent Enteral Endoprosthesis and Unistep Delivery System (90mm in length), Wallstent RP Enteral Endoprosthesis and Unistep Delivery System (90mm in length) |
C1876 |
| C5279 |
Stent, ureteral, Boston Scientific Contour Soft Percuflex Stent with Hydroplus Coating (Braided), Contour Soft Percuflex Stent with Hydroplus Coating, Contour VL Variable Length Percuflex Stent with Hydroplus Coating, Percuflex Plus Stent with Hydroplus Coating, Percuflex Stent (Braided), Contour Closed Soft Percuflex Stent with HydroPlus Coating, Contour Injection Soft Percuflex Stent with HydroPlus Coating, Soft Percuflex Stent, Percuflex Tail Plus Tapered Ureteral Stent, Contour Polaris Ureteral Stent with Hydroplus Coating, Mardis Firm Stent with HydroPlus Coating, Mardis Soft Stent with HydroPlus Coating, Mardis Soft Variable Length Stent with HydroPlus Coating, Nottingham One-Step Tapered Dilators with HydroPlus Coating, Stretch VL Variable Length Flexima Stent with HydroPlus Coating, Percuflex Urinary Diversion Stent |
C2617 |
| C5280 |
Stent, ureteral, Bard Inlay Double Pigtail Ureteral Stent, Circon Surgitek Classic Double Pigtail Ureteral Stent, Circon Surgitek Classic Double Pigtail Hydrophilic Coated Ureteral Stent, Circon Surgitek QuadraCoil Ureteral Stent, Circon Surgitek Double J II Ureteral Stent, Circon Surgitek Lithostent Ureteral Stent, Circon Surgitek Soft-Curl Ureteral Stent, Cook Urological LSe Double Pigtail Ureteral Stent, Cook Urological LSe Multi Length Ureteral Stent, Cook Urological Multi Length Ureteral Stent, Cook Urological Double Pigtail Ureteral Stent, Cook Urological Double Pigtail Ureteral Stent with AQ (Hydrophilic) Coating, Cook Urological Mazer Antegrade Double Pigtail Ureteral Stent Set |
C2617 |
| C5280 |
Cook Urological Cystostomy Catheter, Cook Urological Ureteral Dilator Set, Cook Urological Fascial Dilator Set |
C2627 |
| C5281 |
Stent, tracheobronchial, Wallgraft Tracheobronchial Endoprosthesis with Unistep Delivery System (70mm in length) |
C1876 |
| C5282 |
Stent, tracheobronchial, Wallgraft Tracheobronchial Endoprosthesis with Unistep Delivery System (20mm, 30mm, 50mm in length) |
C1876 |
| C5283 |
Wallstent Transjugular Intrahepatic Portosystemic Shunt (TIPS) with Unistep Plus Delivery System (94 mm in length), Wallstent RP TIPS Endoprosthesis with Unistep Plus Delivery System (94 mm in length) |
C1876 |
| C5284 |
Stent, tracheobronchial, UltraFlex Tracheobronchial Endoprothesis (covered) and the Unistep Plus Delivery System |
C1874 |
| C5284 |
Stent, tracheobronchial, UltraFlex Tracheobronchial Endoprosthesis (non-covered) and the Unistep Plus Delivery System |
C1876 |
| C5600 |
Vascular Closure Device, VasoSeal ES (Extravascular Security) Device, VasoSeal Vascular Hemostasis Device |
C1760 |
| C5601 |
Vascular closure device, Vascular Solutions Duett Sealing Device 1000 |
C1760 |
| C6001 |
Mesh, hernia, Bard Composix Mesh, per 8 or 21 inches, Atrium Hernia/Surgical Mesh, Bard Composix E/X Mesh, Bard Kugel Hernia Patch (large circle, 12 cm x 12 cm), Bard Kugel Hernia Patch (small circle, 8 cm x 8 cm), Bard Kugel Hernia Patch (large oval, 14 cm x 18 cm), Bard Kugel Hernia Patch (medium oval, 11 cm x 14 cm), Bard Kugel Hernia Patch (small oval, 8 cm x 12 cm), Bard Mesh PerFix Plug, Bard Visilex Mesh (3 in x 6 in), Bard Visilex Mesh (4.5 in x 6 in) |
C1781 |
| C6002 |
Mesh, hernia, Bard Composix Mesh, per 32 inches |
C1781 |
| C6003 |
Mesh, hernia, Bard Composix Mesh, per 48 inches |
C1781 |
| C6004 |
Mesh, hernia, Bard Composix Mesh, per 80 inches |
C1781 |
| C6005 |
Mesh, hernia, Bard Composix Mesh, per 140 inches |
C1781 |
| C6006 |
Mesh, hernia, Bard Composix Mesh, per 144 inches |
C1781 |
| C6012 |
Pelvicol Acellular Collagen Matrix, per 8 or 14 square centimeters |
C1763 |
| C6012 |
Contigen Bard Collagen Implant (Contigen Implant) |
C2631 |
| C6013 |
Pelvicol Acellular Collagen Matrix, per 21, 24, or 28 square centimeters |
C1763 |
| C6014 |
Pelvicol Acellular Collagen Matrix, per 40square centimeters |
C1763 |
| C6015 |
Pelvicol Acellular Collagen Matrix, per 48 square centimeters |
C1763 |
| C6016 |
Pelvicol Acellular Collagen Matrix, per 96 square centimeters |
C1763 |
| C6017 |
Gore-Tex DualMesh Biomaterial, per 75 or 96 square centimeters (1mm thick) |
C1781 |
| C6018 |
Gore-Tex DualMesh Biomaterial, per 150 square centimeters oval shaped (1mm thick) |
C1781 |
| C6019 |
Gore-Tex DualMesh Biomaterial, per 285 square centimeters oval shaped (1mm thick) |
C1781 |
| C6020 |
Gore-Tex DualMesh Biomaterial, per 432 square centimeters (1mm thick) |
C1781 |
| C6021 |
Gore-Tex DualMesh Biomaterial, per 600 square centimeters (1mm thick) |
C1781 |
| C6022 |
Gore-Tex DualMesh Biomaterial, per 884 square centimeters oval shaped (1mm thick) |
C1781 |
| C6023 |
Gore-Tex DualMesh Plus Biomaterial, per 75 square centimeters (1mm thick), Gore-Tex DualMesh Plus Biomaterial, per 96 square centimeters (1mm thick) |
C1781 |
| C6024 |
Gore-Tex DualMesh Plus Biomaterial, per 150 square centimeters oval shaped (1mm thick) |
C1781 |
| C6025 |
Gore-Tex DualMesh Plus Biomaterial, per 285 square centimeters oval shaped (1mm thick) |
C1781 |
| C6026 |
Gore-Tex DualMesh Plus Biomaterial, per 432 square centimeters (1mm thick) |
C1781 |
| C6027 |
Gore-Tex DualMesh Plus Biomaterial, per 600 square centimeters (1mm thick) |
C1781 |
| C6028 |
Gore-Tex DualMesh Plus Biomaterial, per 884 square centimeters oval shaped (1mm thick) |
C1781 |
| C6029 |
Gore-Tex DualMesh Plus Biomaterial, per 150 square centimeters oval shaped (2mm thick) |
C1781 |
| C6030 |
Gore-Tex DualMesh Plus Biomaterial, per 285 square centimeters oval shaped (2mm thick) |
C1781 |
| C6031 |
Gore-Tex DualMesh Plus Biomaterial, per 432 square centimeters (2mm thick) |
C1781 |
| C6032 |
Gore-Tex DualMesh Plus Biomaterial, per 600 square centimeters (2mm thick) |
C1781 |
| C6033 |
Gore-Tex DualMesh Plus Biomaterial, per 884 square centimeters (2mm thick) |
C1781 |
| C6034 |
Bard Reconix ePTFE Reconstruction Patch 150 square centimeters (2mm thick) |
C1781 |
| C6035 |
Bard Reconix ePTFE Reconstruction Patch 150 square centimeters (1mm thick), 75 square centimeters (2mm thick) |
C1781 |
| C6036 |
Bard Reconix ePTFE Reconstruction Patch 50 or 75 square centimeters (1mm thick), 50 square centimeters (2mm thick) |
C1781 |
| C6037 |
Bard Reconix ePTFE Reconstruction Patch 300 square centimeters (1 mm thick) |
C1781 |
| C6038 |
Bard Reconix ePTFE Reconstruction Patch 600 square centimeters (1mm thick), 300 square centimeters (2mm thick) |
C1781 |
| C6039 |
Bard Reconix ePTFE Reconstruction Patch 884 square centimeters oval shaped (1mm thick) |
C1781 |
| C6040 |
Bard Reconix ePTFE Reconstruction Patch 600 square centimeters (2mm thick) |
C1781 |
| C6041 |
Bard Reconix ePTFE Reconstruction Patch 884 square centimeters oval shaped (2mm thick) |
C1781 |
| C6050 |
Sling fixation system for treatment of stress urinary incontinence, Female In-Fast Sling Fixation System with Electric Inserter with Sling Material |
C1771 |
| C6050 |
Sling fixation system for treatment of stress urinary incontinence, Female In-Fast Sling Fixation System with Electric Inserter without Sling Material, Advanced UroScience Acyst |
C2631 |
| C6051 |
DePuy Orthotech Restore, Stratasis Urethral Sling, 20/40 cm |
C1763 |
| C6052 |
Stratasis Urethral Sling, 60 cm |
C1763 |
| C6053 |
Surgisis Soft Tissue Graft, per 70cm, 105cm, 140cm |
C1763 |
| C6054 |
Surgisis Enhanced Strength Soft Tissue Graft, per 4.2cm, 20cm, 28cm, 40cm |
C1763 |
| C6055 |
Surgisis Enhanced Strength Soft Tissue Graft, per 52.5cm, 60cm, 70cm |
C1763 |
| C6056 |
Surgisis Enhanced Strength Soft Tissue Graft, per 105cm, 140cm |
C1763 |
| C6057 |
Surgisis Hernia Graft, per 195cm |
C1763 |
| C6058 |
SurgiPro Hernia-Mate Plug, medium or large |
C1781 |
| C6080 |
Sling fixation system for treatment of stress urinary incontinence, AMS Male InVance Fixation System with Electric Inserter with Sling Material and Disposable Pressure Sensor, Male Straight-In Fixation System with Electric Inserter with Sling Material and Disposable Pressure Sensor |
C1771 |
| C6080 |
Sling fixation system for treatment of stress urinary incontinence, AMS Male InVance Fixation System with Electric Inserter without Sling Material and Disposable Pressure Sensor, Male Straight-In Fixation System with Electric Inserter without Sling Material and Disposable Pressure Sensor |
C2631 |
| C6200 |
Vascular graft, Exxcel Soft ePTFE Vascular Graft, Exxcel ePTFE Vascular Graft (6mm or greater in diameter) |
C1768 |
| C6200 |
Vena cava filter, B. Braun Vena Tech LGM Vena Cava Filter (Dual Approach--model # 31328, Jugular Approach-model # 31326, Femoral Approach--model # 31327), Cordis TrapEase Permanent Vena Cava Filter, Stainless Steel Green Field Vena Cava Filter with 12 Fr Introducer System |
C1880 |
| C6201 |
Vascular graft, Impra Venaflo Vascular Graft with Carbon (Straight Graft, 10cm or 20cm in length), Atrium Hybrid PTFE Vascular Graft |
C1768 |
| C6202 |
Vascular graft, Impra Venaflo Vascular Graft with Carbon, Straight Graft, 30cm or 40cm in length |
C1768 |
| C6203 |
Vascular graft, Impra Venaflo Vascular Graft with Carbon, Straight Graft (50cm in length) or CenterFlex Venaflo Stepped Graft (45cm in length) |
C1768 |
| C6204 |
Vascular graft, Impra Venaflo Vascular Graft with Carbon, Stepped Graft, 20cm, 25cm, 30cm, 35cm, 40cm, or 45cm in length |
C1768 |
| C6205 |
Vascular graft, Impra Carboflo Vascular Graft (Straight Graft, 10 cm in length), Atrium Advanta PTFE Vascular Graft |
C1768 |
| C6206 |
Vascular graft, Impra Carboflo Vascular Graft, Straight Graft, 20 cm in length |
C1768 |
| C6207 |
Vascular graft, Impra Carboflo Vascular Graft, Straight Graft, 30 cm, 35cm, or 40cm in length |
C1768 |
| C6208 |
Vascular graft, Impra Carboflo Vascular Graft, Straight Graft (50cm in length), Access Tapered Graft (40cm in length), or Stepped Graft (45 or 50 cm in length) |
C1768 |
| C6209 |
Vascular graft, Impra Carboflo Vascular Graft, CenterFlex Straight Graft (40cm or 50cm in length) or CenterFlex Stepped Graft (40cm, 45cm or 50 cm in length) |
C1768 |
| C6210 |
Exxcel ePTFE Vascular Graft (less than 6mm in diameter), Hemashield Woven Double Velour Fabric, Hemashield Finesse Ultra-thin, Knitted Cardiovascular Patch |
C1768 |
| C6500 |
Sheath, guiding, Preface Braided Guiding Sheath (anterior curve, multipurpose curve, posterior curve) |
C1893 |
| C6501 |
Sheath, Soft Tip Sheaths |
C1893 |
| C6502 |
Sheath, electrophysiology, Perry Exchange Dilator |
C1893 |
| C6525 |
Sheath, Spectranetics Laser Sheath 500-001, 500-012, 500-013 |
C2629 |
| C6650 |
Introducer, guiding, Fast-Cath Two-Piece Guiding Introducer (models 406869, 406892, 406893, 406904), Fast-Cath Duo SL1 Guiding Introducer, Fast-Cath Duo SL2 Guiding Introducer |
C1893 |
| C6650 |
Introducer, Fast-Cath Hemostasis Introducer, Maximum Hemostasis Introducer, AccuStick II with RO Marker Introducer System, Cook Extra Large Check-Flo Introducer, Cook Keller-Timmermans Introducer |
C1894 |
| C6651 |
Introducer, guiding, Seal-Away CS Guiding Introducer 407508, 407510 |
C1892 |
| C6652 |
Introducer, Bard Safety Excalibur Introducer, Bard Radstic Microintroducer, Bard Universal Microintroducer |
C1894 |
| C6700 |
Perfluoron (per 2ml vial, 5ml vial, or 7ml vial) |
C1784 |
| C6700 |
Synthetic absorbable sealant, Focal Seal-L |
C2615 |
| C8099 |
Spectranetics Lead Locking Device (models 518-018, 518-019, 518-020) |
C1773 |
| C8099 |
Oscor C/VS Permanent Implantable Pacing Lead Adaptor (models C/VS-10, C/VS-40), Oscor M/VS Permanent Implantable Pacing Lead Adaptor (models M/VS-10, M/VS-40), Oscor VS/M Permanent Implantable Pacing Lead Adaptor (model VS/M-10), Oscor VV Permanent Implantable Pacing Lead Extension (models VV-10, VV-40), Oscor C/VS Permanent Implantable Pacing Lead Extension (VKU-10V, VKU-20V, VKU-40V, VKU-10M, VKU-20M, VKU-40M), Oscor C/VS Permanent Implantable Pacing Lead Adaptor (BVS/VS-15, B/VS-15, B/VS-20) |
C1883 |
| C8102 |
Surgi-Vision Esophageal Stylet Internal Coil |
C1770 |
| L8614 |
Cochlear device/system |
L8614 |
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