| A5 |
Dressing for five wounds |
Dressing for five wounds |
| A5051 |
Pouch clsd w barr attached |
Ostomy pouch, closed; with barrier attached (1 piece), each |
| A5052 |
Clsd ostomy pouch w/o barr |
Ostomy pouch, closed; without barrier attached (1 piece), each |
| A5053 |
Clsd ostomy pouch faceplate |
Ostomy pouch, closed; for use on faceplate, each |
| A5054 |
Clsd ostomy pouch w/flange |
Ostomy pouch, closed; for use on barrier with flange (2 piece), each |
| A5055 |
Stoma cap |
Stoma cap |
| A5056 |
1 pc ost pouch w filter |
Ostomy pouch, drainable, with extended wear barrier attached, with filter, (1 piece), each |
| A5057 |
1 pc ost pou w built-in conv |
Ostomy pouch, drainable, with extended wear barrier attached, with built in convexity, with filter, (1 piece), each |
| A5061 |
Pouch drainable w barrier at |
Ostomy pouch, drainable; with barrier attached, (1 piece), each |
| A5062 |
Drnble ostomy pouch w/o barr |
Ostomy pouch, drainable; without barrier attached (1 piece), each |
| A5063 |
Drain ostomy pouch w/flange |
Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each |
| A5071 |
Urinary pouch w/barrier |
Ostomy pouch, urinary; with barrier attached (1 piece), each |
| A5072 |
Urinary pouch w/o barrier |
Ostomy pouch, urinary; without barrier attached (1 piece), each |
| A5073 |
Urinary pouch on barr w/flng |
Ostomy pouch, urinary; for use on barrier with flange (2 piece), each |
| A5081 |
Stoma plug or seal, any type |
Stoma plug or seal, any type |
| A5082 |
Continent stoma catheter |
Continent device; catheter for continent stoma |
| A5083 |
Stoma absorptive cover |
Continent device, stoma absorptive cover for continent stoma |
| A5093 |
Ostomy accessory convex inse |
Ostomy accessory; convex insert |
| A5102 |
Bedside drain btl w/wo tube |
Bedside drainage bottle with or without tubing, rigid or expandable, each |
| A5105 |
Urinary suspensory |
Urinary suspensory with leg bag, with or without tube, each |
| A5112 |
Urinary leg bag |
Urinary drainage bag, leg or abdomen, latex, with or without tube, with straps, each |
| A5113 |
Latex leg strap |
Leg strap; latex, replacement only, per set |
| A5114 |
Foam/fabric leg strap |
Leg strap; foam or fabric, replacement only, per set |
| A5120 |
Skin barrier, wipe or swab |
Skin barrier, wipes or swabs, each |
| A5121 |
Solid skin barrier 6x6 |
Skin barrier; solid, 6 x 6 or equivalent, each |
| A5122 |
Solid skin barrier 8x8 |
Skin barrier; solid, 8 x 8 or equivalent, each |
| A5126 |
Disk/foam pad +or- adhesive |
Adhesive or non-adhesive; disk or foam pad |
| A5131 |
Appliance cleaner |
Appliance cleaner, incontinence and ostomy appliances, per 16 oz. |
| A5200 |
Percutaneous catheter anchor |
Percutaneous catheter/tube anchoring device, adhesive skin attachment |
| A5500 |
Diab shoe for density insert |
For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe |
| A5501 |
Diabetic custom molded shoe |
For diabetics only, fitting (including follow-up), custom preparation and supply of shoe molded from cast(s) of patient's foot (custom molded shoe), per shoe |
| A5503 |
Diabetic shoe w/roller/rockr |
For diabetics only, modification (including fitting) of off-the-shelf depth-inlay shoe or custom-molded shoe with roller or rigid rocker bottom, per shoe |
| A5504 |
Diabetic shoe with wedge |
For diabetics only, modification (including fitting) of off-the-shelf depth-inlay shoe or custom-molded shoe with wedge(s), per shoe |
| A5505 |
Diab shoe w/metatarsal bar |
For diabetics only, modification (including fitting) of off-the-shelf depth-inlay shoe or custom-molded shoe with metatarsal bar, per shoe |
| A5506 |
Diabetic shoe w/off set heel |
For diabetics only, modification (including fitting) of off-the-shelf depth-inlay shoe or custom-molded shoe with off-set heel(s), per shoe |
| A5507 |
Modification diabetic shoe |
For diabetics only, not otherwise specified modification (including fitting) of off-the-shelf depth-inlay shoe or custom-molded shoe, per shoe |
| A5508 |
Diabetic deluxe shoe |
For diabetics only, deluxe feature of off-the-shelf depth-inlay shoe or custom-molded shoe, per shoe |
| A5510 |
Compression form shoe insert |
For diabetics only, direct formed, compression molded to patient's foot without external heat source, multiple-density insert(s) prefabricated, per shoe |
| A5512 |
Multi den insert direct form |
For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or 3/16 inch material of shore a 40 durometer (or higher), prefabricated, each |
| A5513 |
Multi den insert custom mold |
For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer (or higher), includes arch filler and other shaping material, custom fabricated, each |
| A5514 |
Mult den insert dir carv/cam |
For diabetics only, multiple density insert, made by direct carving with cam technology from a rectified cad model created from a digitized scan of the patient, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer (or higher), includes arch filler and other shaping material, custom fabricated, each |
