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Home infusion therapy, all supplies necessary for restoration of catheter patency or declotting.
2025 HCPCS code S5521
All supplies (including catheter) necessary for insertion of a midline venous catheter for home infusion therapy.
2025 HCPCS code S9001
Supply of a home uterine monitor and any associated nursing services.
2025 HCPCS code S8415
Supplies for home delivery of infant.
2025 HCPCS code S8460
Post-mastectomy camisole undergarment.
2025 HCPCS code S1015
IV tubing extension set.
2025 HCPCS code S1016
Non-PVC intravenous administration set for infusion of medications such as paclitaxel.
2025 HCPCS code S0500
Disposable contact lens, per lens.
2025 HCPCS code S0514
Colored contact lens, for vision correction, per lens.
2025 HCPCS code S0516
Supply of safety eyeglass frames to protect eyes during work or activities.
2025 HCPCS code S0508
Trifocal vision prescription lens for safety glasses, athletic glasses, or sunglasses.
2025 HCPCS code S0510
Supply of a nonprescription lens for safety glasses, sunglasses, or sports glasses.
2025 HCPCS code Q4300
Acesso TL, per square centimeter.
2025 HCPCS code Q4301
Activate™ Matrix, per square centimeter, a skin substitute used in wound care.
2025 HCPCS code Q4302
Complete™ ACA, per square centimeter, for wound care.
2025 HCPCS code Q4304
Grafix Plus, per square centimeter.
2025 HCPCS code Q4305
American amnion ac tri-layer, per square centimeter.
2025 HCPCS code Q4308
Sanopellis, per square centimeter.
2025 HCPCS code Q4310
Procenta, per 100 mg
2025 HCPCS code Q4274
Esano AC, per square centimeter. This code represents the supply of Esano™ AC, a dual–layer allograft derived from human amniotic membrane used as a cover or barrier for acute and chronic wounds.
2025 HCPCS code Q4275
Esano ACA, per square centimeter.
2025 HCPCS code Q4294
Amnio Quad-Core, a four-layer amniotic membrane allograft, per square centimeter.
2025 HCPCS code Q4225
AmnioBind™ or DermaBind™ TL, per square centimeter
2025 HCPCS code Q4214
Cellesta cord, per square centimeter. Dehydrated human umbilical cord allograft used in tissue regeneration and wound healing.
2025 HCPCS code Q4284
DermaBind SL™, a human amniotic membrane allograft, is used for wound management and reported per square centimeter.
2025 HCPCS code Q4256
MLG Complete™, per square centimeter, a skin substitute used in wound management.
2025 HCPCS code Q4258
Enverse, per square centimeter.
2025 HCPCS code Q4260
Signature APatch, per square centimeter.
2025 HCPCS code Q4146
Tensix® human allograft, per square centimeter
2025 HCPCS code Q4262
Dual Layer Impax™ membrane, per square centimeter. This is a dehydrated human amniotic membrane allograft used in wound management.
2025 HCPCS code Q4263
SurGraft TL, per square centimeter.
2025 HCPCS code Q4239
Amniotic tissue membrane allograft, per square centimeter.
2025 HCPCS code Q4237
Cryo-Cord, per square centimeter.
2025 HCPCS code Q4179
Flowerderm™, an acellular dermal allograft, per square centimeter.
Processed human dermal allografts, including FlexHD®, AlloPatch® HD, or Matrix HD, per square centimeter, for surgical use in wound healing and tissue repair.
2025 HCPCS code Q4143
Repriza, per square centimeter.
2025 HCPCS code Q4234
Xcellerate, per square centimeter.
2025 HCPCS code Q4238
Dermal matrix allograft, per square centimeter.
2025 HCPCS code Q4271
Complete FT, per square centimeter. Dehydrated human amniotic membrane allograft for wound management.
2025 HCPCS code S8420
Gradient pressure aid, sleeve and glove combination, custom fabricated from a patient model.
2025 HCPCS code A4671
Disposable cycler set for dialysis.
2025 HCPCS code A2021
Neomatrix, per square centimeter
2025 HCPCS code A2017
Permeaderm glove, each.
2025 HCPCS code Q4254
Novafix DL, per square centimeter. This code represents the supply of Novafix DL, a dehydrated human amnion chorion membrane allograft used in wound healing.
2025 HCPCS code Q4276
Orion, per square centimeter. This code represents the supply of Orion, a dual-layer allograft derived from human amniotic membrane used in wound management.
2025 HCPCS code S8265
Haberman Feeder, for babies with impaired sucking ability.
2025 HCPCS code Q4289
RevoShield + Amniotic Barrier, per square centimeter for wound care.
2025 HCPCS code Q4288
DermaBind CH™, per square centimeter; a placental chorion-derived wound covering.
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