Diabetic & Hospital Equipment - Holistic Medical Supply

DM02: COMMODES/URINALS/BEDPANS (BOC Category)

SITZ TYPE BATH OR EQUIPMENT, PORTABLE, USED WITH OR WITHOUT COMMODE

HCPCS Code

E0160

SITZ TYPE BATH OR EQUIPMENT, PORTABLE, USED WITH OR WITHOUT COMMODE, WITH FAUCET ATTACHMENT/S

HCPCS Code

E0161

SITZ BATH CHAIR

HCPCS Code

E0162

COMMODE CHAIR, MOBILE OR STATIONARY, WITH FIXED ARMS

HCPCS Code

E0163

COMMODE CHAIR, MOBILE OR STATIONARY, WITH DETACHABLE ARMS

HCPCS Code

E0165

PAIL OR PAN FOR USE WITH COMMODE CHAIR, REPLACEMENT ONLY

HCPCS Code

E0167

COMMODE CHAIR, EXTRA WIDE AND/OR HEAVY DUTY, STATIONARY OR MOBILE, WITH OR WITHOUT ARMS, ANY TYPE, EACH

HCPCS Code

E0168

COMMODE CHAIR WITH INTEGRATED SEAT LIFT MECHANISM, ELECTRIC, ANY TYPE

HCPCS Code

E0170

COMMODE CHAIR WITH INTEGRATED SEAT LIFT MECHANISM, NON-ELECTRIC, ANY TYPE

HCPCS Code

E0171

FOOT REST, FOR USE WITH COMMODE CHAIR, EACH

HCPCS Code

E0175

BED PAN, STANDARD, METAL OR PLASTIC

HCPCS Code

E0275

BED PAN, FRACTURE, METAL OR PLASTIC

HCPCS Code

E0276

URINAL; MALE, JUG-TYPE, ANY MATERIAL

HCPCS Code

E0325

URINAL; FEMALE, JUG-TYPE, ANY MATERIAL

HCPCS Code

E0326

DM05: BLOOD GLUCOSE MONITORS AND/OR SUPPLIES (NON-MAIL ORDER) (BOC Category)

REPLACEMENT BATTERY, ALKALINE (OTHER THAN J CELL), FOR USE WITH MEDICALLY NECESSARY HOME BLOOD GLUCOSE MONITOR OWNED BY PATIENT, EACH

HCPCS Code

A4233

REPLACEMENT BATTERY, ALKALINE, J CELL, FOR USE WITH MEDICALLY NECESSARY HOME BLOOD GLUCOSE MONITOR OWNED BY PATIENT, EACH

HCPCS Code

A4234

REPLACEMENT BATTERY, LITHIUM, FOR USE WITH MEDICALLY NECESSARY HOME BLOOD GLUCOSE MONITOR OWNED BY PATIENT, EACH

HCPCS Code

A4235

REPLACEMENT BATTERY, SILVER OXIDE, FOR USE WITH MEDICALLY NECESSARY HOME BLOOD GLUCOSE MONITOR OWNED BY PATIENT, EACH

HCPCS Code

A4236

SUPPLY ALLOWANCE FOR ADJUNCTIVE, NON-IMPLANTED CONTINUOUS GLUCOSE MONITOR (CGM), INCLUDES ALL SUPPLIES AND ACCESSORIES, 1 MONTH SUPPLY = 1 UNIT OF SERVICE

HCPCS Code

A4238

SUPPLY ALLOWANCE FOR NON-ADJUNCTIVE, NON-IMPLANTED CONTINUOUS GLUCOSE MONITOR (CGM), INCLUDES ALL SUPPLIES AND ACCESSORIES, 1 MONTH SUPPLY = 1 UNIT OF SERVICE

HCPCS Code

A4239

BETADINE OR PHISOHEX SOLUTION, PER PINT

HCPCS Code

A4246

BETADINE OR IODINE SWABS/WIPES, PER BOX

HCPCS Code

A4247

BLOOD GLUCOSE TEST OR REAGENT STRIPS FOR HOME BLOOD GLUCOSE MONITOR, PER 50 STRIPS

HCPCS Code

A4253

PLATFORMS FOR HOME BLOOD GLUCOSE MONITOR, 50 PER BOX

HCPCS Code

A4255

NORMAL, LOW AND HIGH CALIBRATOR SOLUTION / CHIPS

HCPCS Code

A4256

REPLACEMENT LENS SHIELD CARTRIDGE FOR USE WITH LASER SKIN PIERCING DEVICE, EACH

HCPCS Code

A4257

SPRING-POWERED DEVICE FOR LANCET, EACH

HCPCS Code

A4258

LANCETS, PER BOX OF 100

HCPCS Code

A4259

INTEGRATED LANCING AND BLOOD SAMPLE TESTING CARTRIDGES FOR HOME BLOOD GLUCOSE MONITOR, PER 50 TESTS

HCPCS Code

A4271

HOME BLOOD GLUCOSE MONITOR

HCPCS Code

E0607

SKIN PIERCING DEVICE FOR COLLECTION OF CAPILLARY BLOOD, LASER, EACH

HCPCS Code

E0620

BLOOD GLUCOSE MONITOR WITH INTEGRATED VOICE SYNTHESIZER

HCPCS Code

E2100

BLOOD GLUCOSE MONITOR WITH INTEGRATED LANCING/BLOOD SAMPLE

HCPCS Code

E2101

ADJUNCTIVE, NON-IMPLANTED CONTINUOUS GLUCOSE MONITOR OR RECEIVER

HCPCS Code

E2102

NON-ADJUNCTIVE, NON-IMPLANTED CONTINUOUS GLUCOSE MONITOR OR RECEIVER

HCPCS Code

E2103

HOME BLOOD GLUCOSE MONITOR FOR USE WITH INTEGRATED LANCING/BLOOD SAMPLE TESTING CARTRIDGE

HCPCS Code

E2104

SUPPLY ALLOWANCE FOR THERAPEUTIC CONTINUOUS GLUCOSE MONITOR (CGM), INCLUDES ALL SUPPLIES AND ACCESSORIES, 1 MONTH SUPPLY = 1 UNIT OF SERVICE

HCPCS Code

K0553

RECEIVER (MONITOR), DEDICATED, FOR USE WITH THERAPEUTIC GLUCOSE CONTINUOUS MONITOR SYSTEM

HCPCS Code

K0554

DM06: BLOOD GLUCOSE MONITORS AND/OR SUPPLIES (MAIL ORDER) (BOC Category)

REPLACEMENT BATTERY, ALKALINE (OTHER THAN J CELL), FOR USE WITH MEDICALLY NECESSARY HOME BLOOD GLUCOSE MONITOR OWNED BY PATIENT, EACH

HCPCS Code

A4233

REPLACEMENT BATTERY, ALKALINE, J CELL, FOR USE WITH MEDICALLY NECESSARY HOME BLOOD GLUCOSE MONITOR OWNED BY PATIENT, EACH

HCPCS Code

A4234

REPLACEMENT BATTERY, LITHIUM, FOR USE WITH MEDICALLY NECESSARY HOME BLOOD GLUCOSE MONITOR OWNED BY PATIENT, EACH

HCPCS Code

A4235

REPLACEMENT BATTERY, SILVER OXIDE, FOR USE WITH MEDICALLY NECESSARY HOME BLOOD GLUCOSE MONITOR OWNED BY PATIENT, EACH

HCPCS Code

A4236

SUPPLY ALLOWANCE FOR ADJUNCTIVE, NON-IMPLANTED CONTINUOUS GLUCOSE MONITOR (CGM), INCLUDES ALL SUPPLIES AND ACCESSORIES, 1 MONTH SUPPLY = 1 UNIT OF SERVICE

HCPCS Code

A4238

SUPPLY ALLOWANCE FOR NON-ADJUNCTIVE, NON-IMPLANTED CONTINUOUS GLUCOSE MONITOR (CGM), INCLUDES ALL SUPPLIES AND ACCESSORIES, 1 MONTH SUPPLY = 1 UNIT OF SERVICE

HCPCS Code

A4239

BETADINE OR PHISOHEX SOLUTION, PER PINT

HCPCS Code

A4246

BETADINE OR IODINE SWABS/WIPES, PER BOX

HCPCS Code

A4247

BLOOD GLUCOSE TEST OR REAGENT STRIPS FOR HOME BLOOD GLUCOSE MONITOR, PER 50 STRIPS

HCPCS Code

A4253

PLATFORMS FOR HOME BLOOD GLUCOSE MONITOR, 50 PER BOX

HCPCS Code

A4255

NORMAL, LOW AND HIGH CALIBRATOR SOLUTION / CHIPS

HCPCS Code

A4256

REPLACEMENT LENS SHIELD CARTRIDGE FOR USE WITH LASER SKIN PIERCING DEVICE, EACH

HCPCS Code

A4257

SPRING-POWERED DEVICE FOR LANCET, EACH

HCPCS Code

A4258

LANCETS, PER BOX OF 100

HCPCS Code

A4259

INTEGRATED LANCING AND BLOOD SAMPLE TESTING CARTRIDGES FOR HOME BLOOD GLUCOSE MONITOR, PER 50 TESTS

HCPCS Code

A4271

HOME BLOOD GLUCOSE MONITOR

HCPCS Code

E0607

SKIN PIERCING DEVICE FOR COLLECTION OF CAPILLARY BLOOD, LASER, EACH

HCPCS Code

E0620

BLOOD GLUCOSE MONITOR WITH INTEGRATED VOICE SYNTHESIZER

HCPCS Code

E2100

BLOOD GLUCOSE MONITOR WITH INTEGRATED LANCING/BLOOD SAMPLE

HCPCS Code

E2101

ADJUNCTIVE, NON-IMPLANTED CONTINUOUS GLUCOSE MONITOR OR RECEIVER

HCPCS Code

E2102

NON-ADJUNCTIVE, NON-IMPLANTED CONTINUOUS GLUCOSE MONITOR OR RECEIVER

HCPCS Code

E2103

HOME BLOOD GLUCOSE MONITOR FOR USE WITH INTEGRATED LANCING/BLOOD SAMPLE TESTING CARTRIDGE

HCPCS Code

E2104

SUPPLY ALLOWANCE FOR THERAPEUTIC CONTINUOUS GLUCOSE MONITOR (CGM), INCLUDES ALL SUPPLIES AND ACCESSORIES, 1 MONTH SUPPLY = 1 UNIT OF SERVICE

HCPCS Code

K0553

RECEIVER (MONITOR), DEDICATED, FOR USE WITH THERAPEUTIC GLUCOSE CONTINUOUS MONITOR SYSTEM

HCPCS Code

K0554

DM08: HEAT & COLD APPLICATIONS (BOC Category)

PARAFFIN, PER POUND

HCPCS Code

A4265

HEAT LAMP, WITHOUT STAND (TABLE MODEL), INCLUDES BULB, OR INFRARED ELEMENT

HCPCS Code

E0200

PHOTOTHERAPY (BILIRUBIN) LIGHT WITH PHOTOMETER

HCPCS Code

E0202

HEAT LAMP, WITH STAND, INCLUDES BULB, OR INFRARED ELEMENT

HCPCS Code

E0205

ELECTRIC HEAT PAD, STANDARD

HCPCS Code

E0210

ELECTRIC HEAT PAD, MOIST

HCPCS Code

E0215

WATER CIRCULATING HEAT PAD WITH PUMP

HCPCS Code

E0217

FLUID CIRCULATING COLD PAD WITH PUMP, ANY TYPE

HCPCS Code

E0218

HYDROCOLLATOR UNIT, INCLUDES PADS

HCPCS Code

E0225

PARAFFIN BATH UNIT, PORTABLE (SEE MEDICAL SUPPLY CODE A4265 FOR PARAFFIN)

HCPCS Code

E0235

PUMP FOR WATER CIRCULATING PAD

HCPCS Code

E0236

HYDROCOLLATOR UNIT, PORTABLE

HCPCS Code

E0239

PAD FOR WATER CIRCULATING HEAT UNIT, FOR REPLACEMENT ONLY

HCPCS Code

E0249

DM11: INFRARED HEATING PADS SYSTEMS AND/OR SUPPLIES (BOC Category)

REPLACEMENT PAD FOR INFRARED HEATING PAD SYSTEM, EACH

HCPCS Code

A4639

INFRARED HEATING PAD SYSTEM

HCPCS Code

E0221

DM12: EXTERNAL INFUSION PUMPS (BOC Category)

DISPOSABLE DRUG DELIVERY SYSTEM, FLOW RATE OF 50 ML OR GREATER PER HOUR

HCPCS Code

A4305

DISPOSABLE DRUG DELIVERY SYSTEM, FLOW RATE OF LESS THAN 50 ML PER HOUR

HCPCS Code

A4306

AMBULATORY INFUSION PUMP, MECHANICAL, REUSABLE, FOR INFUSION 8 HOURS OR GREATER

HCPCS Code

E0779

AMBULATORY INFUSION PUMP, MECHANICAL, REUSABLE, FOR INFUSION LESS THAN 8 HOURS

HCPCS Code

E0780

AMBULATORY INFUSION PUMP, SINGLE OR MULTIPLE CHANNELS, ELECTRIC OR BATTERY OPERATED, WITH ADMINISTRATIVE EQUIPMENT, WORN BY PATIENT

HCPCS Code

E0781

INFUSION PUMP USED FOR UNINTERRUPTED PARENTERAL ADMINISTRATION OF MEDICATION, (E.G., EPOPROSTENOL OR TREPROSTINOL)

HCPCS Code

K0455