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DME ESRD Supply HCPCS for ESRD PPS Consolidated Billing Edits
Long Description
STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML STERILE SALINE OR WATER, METERED DOSE DISPENSER, 10 ML CHLORHEXIDINE CONTAINING ANTISEPTIC, 1 ML TAPE, NON-WATERPROOF, PER 18 SQUARE INCHES SPHYGMOMANOMETER/BLOOD PRESSURE APPARATUS WITH CUFF ORAL THERMOMETER, REUSABLE, ANY TYPE, EACH FOAM DRESSING, WOUND FILLER, STERILE, PER GRAM SKIN SEALANTS, PROTECTANTS, MOISTURIZERS, OINTMENTS, ANY WOUND CLEANSERS, STERILE, ANY TYPE, ANY SIZE GAUZE, NON-IMPREGNATED, STERILE, PAD SIZE 16 SQ. IN. OR LESS,

DME ESRD Supply HCPCS Not Payable to DME Suppliers
Long Description
PERITONEAL DIALYSIS CATHETER ANCHORING DEVICE, BELT, EACH DISPOSABLE CYCLER SET USED WITH CYCLER DIALYSIS MACHINE, DRAINAGE EXTENSION LINE, STERILE, FOR DIALYSIS, EACH EXTENSION LINE WITH EASY LOCK CONNECTORS, USED WITH CHEMICALS/ANTISEPTICS SOLUTION USED TO CLEAN/STERILIZE ACTIVATED CARBON FILTER FOR HEMODIALYSIS, EACH DIALYZER (ARTIFICIAL KIDNEYS), ALL TYPES, ALL SIZES, FOR BICARBONATE CONCENTRATE, SOLUTION, FOR HEMODIALYSIS, PER BICARBONATE CONCENTRATE, POWDER, FOR HEMODIALYSIS, PER ACETATE CONCENTRATE SOLUTION, FOR HEMODIALYSIS, PER ACID CONCENTRATE, SOLUTION, FOR HEMODIALYSIS, PER GALLON TREATED WATER (DEIONIZED, DISTILLED, OR REVERSE OSMOSIS) "Y SET" TUBING FOR PERITONEAL DIALYSIS DIALYSATE SOLUTION, ANY CONCENTRATION OF DEXTROSE, FLUID VOLUME GREATER THAN 249CC, BUT LESS THAN OR EQUAL TO DIALYSATE SOLUTION, ANY CONCENTRATION OF DEXTROSE, FLUID VOLUME GREATER THAN 999CC BUT LESS THAN OR EQUAL TO DIALYSATE SOLUTION, ANY CONCENTRATION OF DEXTROSE, FLUID VOLUME GREATER THAN 1999CC BUT LESS THAN OR EQUAL TO DIALYSATE SOLUTION, ANY CONCENTRATION OF DEXTROSE, FLUID VOLUME GREATER THAN 2999CC BUT LESS THAN OR EQUAL TO DIALYSATE SOLUTION, ANY CONCENTRATION OF DEXTROSE, FLUID VOLUME GREATER THAN 3999CC BUT LESS THAN OR EQUAL TO DIALYSATE SOLUTION, ANY CONCENTRATION OF DEXTROSE, FLUID VOLUME GREATER THAN 4999CC BUT LESS THAN OR EQUAL TO DIALYSATE SOLUTION, ANY CONCENTRATION OF DEXTROSE, FLUID VOLUME GREATER THAN 5999CC, FOR PERITONEAL DIALYSIS DIALYSATE SOLUTION, NON-DEXTROSE CONTAINING, 500 ML FISTULA CANNULATION SET FOR HEMODIALYSIS, EACH TOPICAL ANESTHETIC, FOR DIALYSIS, PER GRAM INJECTABLE ANESTHETIC, FOR DIALYSIS, PER 10 ML SHUNT ACCESSORY, FOR HEMODIALYSIS, ANY TYPE, EACH BLOOD TUBING, ARTERIAL OR VENOUS, FOR HEMODIALYSIS, EACH BLOOD TUBING, ARTERIAL AND VENOUS COMBINED, FOR DIALYSATE SOLUTION TEST KIT, FOR PERITONEAL DIALYSIS, ANY DIALYSATE CONCENTRATE, POWDER, ADDITIVE FOR PERITONEAL DIALYSATE CONCENTRATE, SOLUTION, ADDITIVE FOR PERITONEAL BLOOD COLLECTION TUBE, VACUUM, FOR DIALYSIS, PER 50 SERUM CLOTTING TIME TUBE, FOR DIALYSIS, PER 50 BLOOD GLUCOSE TEST STRIPS, FOR DIALYSIS, PER 50 OCCULT BLOOD TEST STRIPS, FOR DIALYSIS, PER 50 AMMONIA TEST STRIPS, FOR DIALYSIS, PER 50 PROTAMINE SULFATE, FOR HEMODIALYSIS, PER 50 MG DISPOSABLE CATHETER TIPS FOR PERITONEAL DIALYSIS, PER 10 PLUMBING AND/OR ELECTRICAL WORK FOR HOME HEMODIALYSIS CONTRACTS, REPAIR AND MAINTENANCE, FOR HEMODIALYSIS MISCELLANEOUS DIALYSIS SUPPLIES, NOT OTHERWISE SPECIFIED VENOUS PRESSURE CLAMP, FOR HEMODIALYSIS, EACH KIDNEY, DIALYSATE DELIVERY SYST. KIDNEY MACHINE, PUMP RECIRCULAT- ING, AIR REMOVAL SYST, FLOWRATE METER, POWER OFF, HEATER AND TEMPERATURE CONTROL WITH ALARM, I.V.POLES, PRESSURE GAUGE, CONCENTRATE CONTAINER AIR BUBBLE DETECTOR FOR HEMODIALYSIS, EACH, REPLACEMENT PRESSURE ALARM FOR HEMODIALYSIS, EACH, REPLACEMENT BATH CONDUCTIVITY METER FOR HEMODIALYSIS, EACH BLOOD LEAK DETECTOR FOR HEMODIALYSIS, EACH, REPLACEMENT TRANSDUCER PROTECTORS/FLUID BARRIERS, FOR HEMODIALYSIS, UNIPUNCTURE CONTROL SYSTEM FOR HEMODIALYSIS AUTOMATIC INTERMITTENT PERITIONEAL DIALYSIS SYSTEM CYCLER DIALYSIS MACHINE FOR PERITONEAL DIALYSIS DELIVERY AND/OR INSTALLATION CHARGES FOR HEMODIALYSIS REVERSE OSMOSIS WATER PURIFICATION SYSTEM, FOR DEIONIZER WATER PURIFICATION SYSTEM, FOR HEMODIALYSIS BLOOD PUMP FOR HEMODIALYSIS, REPLACEMENT WATER SOFTENING SYSTEM, FOR HEMODIALYSIS RECIPROCATING PERITONEAL DIALYSIS SYSTEM COMPACT (PORTABLE) TRAVEL HEMODIALYZER SYSTEM SORBENT CARTRIDGES, FOR HEMODIALYSIS, PER 10 DIALYSIS EQUIPMENT, NOT OTHERWISE SPECIFIED LABS SUBJECT TO ESRD CONSOLIDATED BILLING
CPT/ HCPCS
Short Description
Assay of serum albumin
Complete (cbc), automated (HgB, Hct, RBC, WBC, and Platelet count) and Complete (cbc), automated (HgB, Hct, RBC, WBC, and Platelet count) Drugs Subject to ESRD Consolidated Billing
Category
Access management
Anemia management
Cellular management
Anti-infectives

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