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Prism Medical: HCPCS CODES Flashcards

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2661711793A4450TAPE, NON-WATERPROOF, PER 18 SQUARE INCHES0
2661712683A4452TAPE, WATERPROOF, PER 18 SQUARE INCHES1
2661713727A4461SURGICAL DRESSING HOLDER, NON-REUSABLE, EACH2
2661714597A4463SURGICAL DRESSING HOLDER, REUSABLE, EACH3
2661715248A4465NON-ELASTIC BINDER FOR EXTREMITY4
2661716465A4490SURGICAL STOCKINGS ABOVE KNEE LENGTH, EACH5
2661716466A4495SURGICAL STOCKINGS THIGH LENGTH, EACH6
2661717286A4500SURGICAL STOCKINGS BELOW KNEE LENGTH, EACH7
2661718473A4510SURGICAL STOCKINGS FULL LENGTH, EACH8
2661719730A4649SURGICAL SUPPLY; MISCELLANEOUS9
2661720399A6010COLLAGEN BASED WOUND FILLER, DRY FORM, STERILE, PER GRAM OF COLLAGEN10
2661722986A6011COLLAGEN BASED WOUND FILLER, GEL/PASTE, PER GRAM OF COLLAGEN11
2661724106A6021COLLAGEN DRESSING, STERILE, SIZE 16 SQ. IN. OR LESS, EACH12
2661724107A6022COLLAGEN DRESSING, STERILE, SIZE MORE THAN 16 SQ. IN. BUT LESS THAN OR EQUAL TO 48 SQ. IN., EACH13
2661725587A6023COLLAGEN DRESSING, STERILE, SIZE MORE THAN 48 SQ. IN., EACH14
2661710724A6024COLLAGEN DRESSING WOUND FILLER, STERILE, PER 6 INCHES15
2661735278A6025GEL SHEET FOR DERMAL OR EPIDERMAL APPLICATION, (E.G., SILICONE, HYDROGEL, OTHER), EACH16
2661736201A6154WOUND POUCH, EACH17
2661737328A6196ALGINATE OR OTHER FIBER GELLING DRESSING, WOUND COVER, STERILE, PAD SIZE 16 SQ. IN. OR LESS, EACH DRESSING18
2661738195A6197ALGINATE OR OTHER FIBER GELLING DRESSING, WOUND COVER, STERILE, PAD SIZE MORE THAN 16 SQ. IN. BUT LESS THAN OR EQUAL TO 48 SQ. IN., EACH DRESSING19
2661739538A6198ALGINATE OR OTHER FIBER GELLING DRESSING, WOUND COVER, STERILE, PAD SIZE MORE THAN 48 SQ. IN., EACH DRESSING20
2661741619A6199ALGINATE OR OTHER FIBER GELLING DRESSING, WOUND FILLER, STERILE, PER 6 INCHES21
2661742658A6203COMPOSITE DRESSING, STERILE, PAD SIZE 16 SQ. IN. OR LESS, WITH ANY SIZE ADHESIVE BORDER, EACH DRESSING22
2661743468A6204COMPOSITE DRESSING, STERILE, PAD SIZE MORE THAN 16 SQ. IN. BUT LESS THAN OR EQUAL TO 48 SQ. IN., WITH ANY SIZE ADHESIVE BORDER, EACH DRESSING23
2661744843A6205COMPOSITE DRESSING, STERILE, PAD SIZE MORE THAN 48 SQ. IN., WITH ANY SIZE ADHESIVE BORDER, EACH DRESSING24
2661745579A6206CONTACT LAYER, STERILE, 16 SQ. IN. OR LESS, EACH DRESSING25
2661745580A6207CONTACT LAYER, STERILE, MORE THAN 16 SQ. IN. BUT LESS THAN OR EQUAL TO 48 SQ. IN., EACH DRESSING26
2661747770A6208CONTACT LAYER, STERILE, MORE THAN 48 SQ. IN., EACH DRESSING27
2661732735A6209FOAM DRESSING, WOUND COVER, STERILE, PAD SIZE 16 SQ. IN. OR LESS, WITHOUT ADHESIVE BORDER, EACH DRESSING28
2661761413A6210FOAM DRESSING, WOUND COVER, STERILE, PAD SIZE MORE THAN 16 SQ. IN. BUT LESS THAN OR EQUAL TO 48 SQ. IN., WITHOUT ADHESIVE BORDER, EACH DRESSING29
2661762725A6211FOAM DRESSING, WOUND COVER, STERILE, PAD SIZE MORE THAN 48 SQ. IN., WITHOUT ADHESIVE BORDER, EACH DRESSING30
2661763756A6212FOAM DRESSING, WOUND COVER, STERILE, PAD SIZE 16 SQ. IN. OR LESS, WITH ANY SIZE ADHESIVE BORDER, EACH DRESSING31
2661765078A6213FOAM DRESSING, WOUND COVER, STERILE, PAD SIZE MORE THAN 16 SQ. IN. BUT LESS THAN OR EQUAL TO 48 SQ. IN., WITH ANY SIZE ADHESIVE BORDER, EACH DRESSING32
2661765992A6214FOAM DRESSING, WOUND COVER, STERILE, PAD SIZE MORE THAN 48 SQ. IN., WITH ANY SIZE ADHESIVE BORDER, EACH DRESSING33
2661768391A6215FOAM DRESSING, WOUND FILLER, STERILE, PER GRAM34
2661768392A6216GAUZE, NON-IMPREGNATED, NON-STERILE, PAD SIZE 16 SQ. IN. OR LESS, WITHOUT ADHESIVE BORDER, EACH DRESSING35
2661751542A6217LESS THAN OR EQUAL TO 48 SQ. IN., WITHOUT ADHESIVE BORDER, EACH DRESSING36
2661773045A6218GAUZE, NON-IMPREGNATED, NON-STERILE, PAD SIZE MORE THAN 48 SQ. IN., WITHOUT ADHESIVE BORDER, EACH DRESSING37
2661773690A6219GAUZE, NON-IMPREGNATED, STERILE, PAD SIZE 16 SQ. IN. OR LESS, WITH ANY SIZE ADHESIVE BORDER, EACH DRESSING38
2661774716A6220GAUZE, NON-IMPREGNATED, STERILE, PAD SIZE MORE THAN 16 SQ. IN. BUT LESS THAN OR EQUAL TO 48 SQ. IN., WITH ANY SIZE ADHESIVE BORDER, EACH DRESSING39
2661775437A6221GAUZE, NON-IMPREGNATED, STERILE, PAD SIZE MORE THAN 48 SQ. IN., WITH ANY SIZE ADHESIVE BORDER, EACH DRESSING40
2661778690A6222GAUZE, IMPREGNATED WITH OTHER THAN WATER, NORMAL SALINE, OR HYDROGEL, STERILE, PAD SIZE 16 SQ. IN. OR LESS, WITHOUT ADHESIVE BORDER, EACH DRESSING41
2661778691A6223GAUZE, IMPREGNATED WITH OTHER THAN WATER, NORMAL SALINE, OR HYDROGEL, STERILE, PAD SIZE MORE THAN 16 SQ. IN., BUT LESS THAN OR EQUAL TO 48 SQ. IN., WITHOUT ADHESIVE BORDER, EACH DRESSING42
2661781451A6224GAUZE, IMPREGNATED WITH OTHER THAN WATER, NORMAL SALINE, OR HYDROGEL, STERILE, PAD SIZE MORE THAN 48 SQ. IN., WITHOUT ADHESIVE BORDER, EACH DRESSING43
2661782550A6228GAUZE, IMPREGNATED, WATER OR NORMAL SALINE, STERILE, PAD SIZE 16 SQ. IN. OR LESS, WITHOUT ADHESIVE BORDER, EACH DRESSING44
2661784874A6229GAUZE, IMPREGNATED, WATER OR NORMAL SALINE, STERILE, PAD SIZE MORE THAN 16 SQ. IN. BUT LESS THAN OR EQUAL TO 48 SQ. IN., WITHOUT ADHESIVE BORDER, EACH DRESSING45
2661789727A6230GAUZE, IMPREGNATED, WATER OR NORMAL SALINE, STERILE, PAD SIZE MORE THAN 48 SQ. IN., WITHOUT ADHESIVE BORDER, EACH DRESSING46
2661791004A6231GAUZE, IMPREGNATED, HYDROGEL, FOR DIRECT WOUND CONTACT, STERILE, PAD SIZE 16 SQ. IN. OR LESS, EACH DRESSING47
2661792099A6232GAUZE, IMPREGNATED, HYDROGEL, FOR DIRECT WOUND CONTACT, STERILE, PAD SIZE GREATER THAN 16 SQ. IN., BUT LESS THAN OR EQUAL TO 48 SQ. IN., EACH DRESSING48
2661793008A6233GAUZE, IMPREGNATED, HYDROGEL, FOR DIRECT WOUND CONTACT, STERILE, PAD SIZE MORE THAN 48 SQ. IN., EACH DRESSING49
2661793009A6234HYDROCOLLOID DRESSING, WOUND COVER, STERILE, PAD SIZE 16 SQ. IN. OR LESS, WITHOUT ADHESIVE BORDER, EACH DRESSING50
2661794690A6235HYDROCOLLOID DRESSING, WOUND COVER, STERILE, PAD SIZE MORE THAN 16 SQ. IN. BUT LESS THAN OR EQUAL TO 48 SQ. IN., WITHOUT ADHESIVE BORDER, EACH DRESSING51
2661796886A6236HYDROCOLLOID DRESSING, WOUND COVER, STERILE, PAD SIZE MORE THAN 48 SQ. IN., WITHOUT ADHESIVE BORDER, EACH DRESSING52
2661795512A6237HYDROCOLLOID DRESSING, WOUND COVER, STERILE, PAD SIZE 16 SQ. IN. OR LESS, WITH ANY SIZE ADHESIVE BORDER, EACH DRESSING53
2661799001A6238HYDROCOLLOID DRESSING, WOUND COVER, STERILE, PAD SIZE MORE THAN 16 SQ. IN. BUT LESS THAN OR EQUAL TO 48 SQ. IN., WITH ANY SIZE ADHESIVE BORDER, EACH DRESSING54
2661804609A6239HYDROCOLLOID DRESSING, WOUND COVER, STERILE, PAD SIZE MORE THAN 48 SQ. IN., WITH ANY SIZE ADHESIVE BORDER, EACH DRESSING55
2661807190A6240HYDROCOLLOID DRESSING, WOUND FILLER, PASTE, STERILE, PER OUNCE56
2661807191A6241HYDROCOLLOID DRESSING, WOUND FILLER, DRY FORM, STERILE, PER GRAM57
2661770993A6242HYDROGEL DRESSING, WOUND COVER, STERILE, PAD SIZE 16 SQ. IN. OR LESS, WITHOUT ADHESIVE BORDER, EACH DRESSING58
2661809048A6243HYDROGEL DRESSING, WOUND COVER, STERILE, PAD SIZE MORE THAN 16 SQ. IN. BUT LESS THAN OR EQUAL TO 48 SQ. IN., WITHOUT ADHESIVE BORDER, EACH DRESSING59
2661810348A6244HYDROGEL DRESSING, WOUND COVER, STERILE, PAD SIZE MORE THAN 48 SQ. IN., WITHOUT ADHESIVE BORDER, EACH DRESSING60
2661811834A6245HYDROGEL DRESSING, WOUND COVER, STERILE, PAD SIZE 16 SQ. IN. OR LESS, WITH ANY SIZE ADHESIVE BORDER, EACH DRESSING61
2661814833A6246HYDROGEL DRESSING, WOUND COVER, STERILE, PAD SIZE MORE THAN 16 SQ. IN. BUT LESS THAN OR EQUAL TO 48 SQ. IN., WITH ANY SIZE ADHESIVE BORDER, EACH DRESSING62
2661816437A6247HYDROGEL DRESSING, WOUND COVER, STERILE, PAD SIZE MORE THAN 48 SQ. IN., WITH ANY SIZE ADHESIVE BORDER, EACH DRESSING63
2661817508A6248HYDROGEL DRESSING, WOUND FILLER, GEL, PER FLUID OUNCE64
2661818407A6250SKIN SEALANTS, PROTECTANTS, MOISTURIZERS, OINTMENTS, ANY TYPE, ANY SIZE65
2661819321A6251SPECIALTY ABSORPTIVE DRESSING, WOUND COVER, STERILE, PAD SIZE 16 SQ. IN. OR LESS, WITHOUT ADHESIVE BORDER, EACH DRESSING66
2661819362A6252SPECIALTY ABSORPTIVE DRESSING, WOUND COVER, STERILE, PAD SIZE MORE THAN 16 SQ. IN. BUT LESS THAN OR EQUAL TO 48 SQ. IN., WITHOUT ADHESIVE BORDER, EACH DRESSING67
2661821278A6253SPECIALTY ABSORPTIVE DRESSING, WOUND COVER, STERILE, PAD SIZE MORE THAN 48 SQ. IN., WITHOUT ADHESIVE BORDER, EACH DRESSING68
2661823643A6254SPECIALTY ABSORPTIVE DRESSING, WOUND COVER, STERILE, PAD SIZE 16 SQ. IN. OR LESS, WITH ANY SIZE ADHESIVE BORDER, EACH DRESSING69
2661825753A6255SPECIALTY ABSORPTIVE DRESSING, WOUND COVER, STERILE, PAD SIZE MORE THAN 16 SQ. IN. BUT LESS THAN OR EQUAL TO 48 SQ. IN., WITH ANY SIZE ADHESIVE BORDER, EACH DRESSING70
2661826669A6256SPECIALTY ABSORPTIVE DRESSING, WOUND COVER, STERILE, PAD SIZE MORE THAN 48 SQ. IN., WITH ANY SIZE ADHESIVE BORDER, EACH DRESSING71
2661826670A6257TRANSPARENT FILM, STERILE, 16 SQ. IN. OR LESS, EACH DRESSING72
2661827790A6258TRANSPARENT FILM, STERILE, MORE THAN 16 SQ. IN. BUT LESS THAN OR EQUAL TO 48 SQ. IN., EACH DRESSING73
2661828433A6259TRANSPARENT FILM, STERILE, MORE THAN 48 SQ. IN., EACH DRESSING74
2661804610A6260WOUND CLEANSERS, ANY TYPE, ANY SIZE75
2661834970A6261WOUND FILLER, GEL/PASTE, PER FLUID OUNCE, NOT OTHERWISE SPECIFIED76
2661835813A6262WOUND FILLER, DRY FORM, PER GRAM, NOT OTHERWISE SPECIFIED77
2661836929A6266GAUZE, IMPREGNATED, OTHER THAN WATER, NORMAL SALINE, OR ZINC PASTE, STERILE, ANY WIDTH, PER LINEAR YARD78
2661838359A6402GAUZE, NON-IMPREGNATED, STERILE, PAD SIZE 16 SQ. IN. OR LESS, WITHOUT ADHESIVE BORDER, EACH DRESSING79
2661838360A6403GAUZE, NON-IMPREGNATED, STERILE, PAD SIZE MORE THAN 16 SQ. IN. LESS THAN OR EQUAL TO 48 SQ. IN., WITHOUT ADHESIVE BORDER, EACH DRESSING80
2661841281A6404GAUZE, NON-IMPREGNATED, STERILE, PAD SIZE MORE THAN 48 SQ. IN., WITHOUT ADHESIVE BORDER, EACH DRESSING81
2661842291A6407PACKING STRIPS, NON-IMPREGNATED, STERILE, UP TO 2 INCHES IN WIDTH, PER LINEAR YARD82
2661844700A6410EYE PAD, STERILE, EACH83
2661846224A6411EYE PAD, NON-STERILE, EACH84
2661846918A6412EYE PATCH, OCCLUSIVE, EACH85
2661847817A6413ADHESIVE BANDAGE, FIRST-AID TYPE, ANY SIZE, EACH86
2661848323A6441PADDING BANDAGE, NON-ELASTIC, NON-WOVEN/NON-KNITTED, WIDTH GREATER THAN OR EQUAL TO THREE INCHES AND LESS THAN FIVE INCHES, PER YARD87
2661849026A6442CONFORMING BANDAGE, NON-ELASTIC, KNITTED/WOVEN, NON-STERILE, WIDTH LESS THAN THREE INCHES, PER YARD88
2661850052A6443CONFORMING BANDAGE, NON-ELASTIC, KNITTED/WOVEN, NON-STERILE, WIDTH GREATER THAN OR EQUAL TO THREE INCHES AND LESS THAN FIVE INCHES, PER YARD89
2661852244A6444CONFORMING BANDAGE, NON-ELASTIC, KNITTED/WOVEN, NON-STERILE, WIDTH GREATER THAN OR EQUAL TO 5 INCHES, PER YARD90
2661853155A6445CONFORMING BANDAGE, NON-ELASTIC, KNITTED/WOVEN, STERILE, WIDTH LESS THAN THREE INCHES, PER YARD91
2661854332A6446CONFORMING BANDAGE, NON-ELASTIC, KNITTED/WOVEN, STERILE, WIDTH GREATER THAN OR EQUAL TO THREE INCHES AND LESS THAN FIVE INCHES, PER YARD92
2661856146A6447CONFORMING BANDAGE, NON-ELASTIC, KNITTED/WOVEN, STERILE, WIDTH GREATER THAN OR EQUAL TO FIVE INCHES, PER YARD93
2661856979A6448LIGHT COMPRESSION BANDAGE, ELASTIC, KNITTED/WOVEN, WIDTH LESS THAN THREE INCHES, PER YARD94
2661858090A6449LIGHT COMPRESSION BANDAGE, ELASTIC, KNITTED/WOVEN, WIDTH GREATER THAN OR EQUAL TO THREE INCHES AND LESS THAN FIVE INCHES, PER YARD95
2661859109A6450LIGHT COMPRESSION BANDAGE, ELASTIC, KNITTED/WOVEN, WIDTH GREATER THAN OR EQUAL TO FIVE INCHES, PER YARD96
2661859127A6451MODERATE COMPRESSION BANDAGE, ELASTIC, KNITTED/WOVEN, LOAD RESISTANCE OF 1.25 TO 1.34 FOOT POUNDS AT 50% MAXIMUM STRETCH, WIDTH GREATER THAN OR EQUAL TO THREE INCHES AND LESS THAN FIVE INCHES, PER YARD97
2661834971A6452HIGH COMPRESSION BANDAGE, ELASTIC, KNITTED/WOVEN, LOAD RESISTANCE GREATER THAN OR EQUAL TO 1.35 FOOT POUNDS AT 50% MAXIMUM STRETCH, WIDTH GREATER THAN OR EQUAL TO THREE INCHES AND LESS THAN FIVE INCHES, PER YARD98
2661863062A6453SELF-ADHERENT BANDAGE, ELASTIC, NON-KNITTED/NON-WOVEN, WIDTH LESS THAN THREE INCHES, PER YARD99
2661864081A6454SELF-ADHERENT BANDAGE, ELASTIC, NON-KNITTED/NON-WOVEN, WIDTH GREATER THAN OR EQUAL TO THREE INCHES AND LESS THAN FIVE INCHES, PER YARD100
2661865040A6455SELF-ADHERENT BANDAGE, ELASTIC, NON-KNITTED/NON-WOVEN, WIDTH GREATER THAN OR EQUAL TO FIVE INCHES, PER YARD101
2661865041A6456ZINC PASTE IMPREGNATED BANDAGE, NON-ELASTIC, KNITTED/WOVEN, WIDTH GREATER THAN OR EQUAL TO THREE INCHES AND LESS THAN FIVE INCHES, PER YARD102
2661866634A6457TUBULAR DRESSING WITH OR WITHOUT ELASTIC, ANY WIDTH, PER LINEAR YARD103
2661868037A6501COMPRESSION BURN GARMENT, BODYSUIT (HEAD TO FOOT), CUSTOM FABRICATED104
2661870291A6502COMPRESSION BURN GARMENT, CHIN STRAP, CUSTOM FABRICATED105
2661871002A6503COMPRESSION BURN GARMENT, FACIAL HOOD, CUSTOM FABRICATED106
2661871003A6504COMPRESSION BURN GARMENT, GLOVE TO WRIST, CUSTOM FABRICATED107
2661872106A6505COMPRESSION BURN GARMENT, GLOVE TO ELBOW, CUSTOM FABRICATED108
2661874871A6506COMPRESSION BURN GARMENT, GLOVE TO AXILLA, CUSTOM FABRICATED109
2661875988A6507COMPRESSION BURN GARMENT, FOOT TO KNEE LENGTH, CUSTOM FABRICATED110
2661876628A6508COMPRESSION BURN GARMENT, FOOT TO THIGH LENGTH, CUSTOM FABRICATED111
2661876629A6509COMPRESSION BURN GARMENT, UPPER TRUNK TO WAIST INCLUDING ARM OPENINGS (VEST), CUSTOM FABRICATED112
2661878970A6510COMPRESSION BURN GARMENT, TRUNK, INCLUDING ARMS DOWN TO LEG OPENINGS (LEOTARD), CUSTOM FABRICATED113
2661879558A6511COMPRESSION BURN GARMENT, LOWER TRUNK INCLUDING LEG OPENINGS (PANTY), CUSTOM FABRICATED114
2661880402A6512COMPRESSION BURN GARMENT, NOT OTHERWISE CLASSIFIED115
2661880937A6513COMPRESSION BURN MASK, FACE AND/OR NECK, PLASTIC OR EQUAL, CUSTOM FABRICATED116
2661882062A6530GRADIENT COMPRESSION STOCKING, BELOW KNEE, 18-30 MMHG, EACH117
2661883027A6531GRADIENT COMPRESSION STOCKING, BELOW KNEE, 30-40 MMHG, EACH118
2661883028A6532GRADIENT COMPRESSION STOCKING, BELOW KNEE, 40-50 MMHG, EACH119
2661886032A6533GRADIENT COMPRESSION STOCKING, THIGH LENGTH, 18-30 MMHG, EACH120
2661887176A6534GRADIENT COMPRESSION STOCKING, THIGH LENGTH, 30-40 MMHG, EACH121
2661889377A6535GRADIENT COMPRESSION STOCKING, THIGH LENGTH, 40-50 MMHG, EACH122
2661861836A6536GRADIENT COMPRESSION STOCKING, FULL LENGTH/CHAP STYLE, 18-30 MMHG, EACH123
2661891633A6537GRADIENT COMPRESSION STOCKING, FULL LENGTH/CHAP STYLE, 30-40 MMHG, EACH124
2661893116A6538GRADIENT COMPRESSION STOCKING, FULL LENGTH/CHAP STYLE, 40-50 MMHG, EACH125
2661893117A6539GRADIENT COMPRESSION STOCKING, WAIST LENGTH, 18-30 MMHG, EACH126
2661894095A6540GRADIENT COMPRESSION STOCKING, WAIST LENGTH, 30-40 MMHG, EACH127
2661895067A6541GRADIENT COMPRESSION STOCKING, WAIST LENGTH, 40-50 MMHG, EACH128
2661895068A6544GRADIENT COMPRESSION STOCKING, GARTER BELT129
2661896061A6545GRADIENT COMPRESSION WRAP, NON-ELASTIC, BELOW KNEE, 30-50 MM HG, EACH130
2661896708A6549GRADIENT COMPRESSION STOCKING/SLEEVE, NOT OTHERWISE SPECIFIED131
2661889378A9270NON-COVERED ITEM OR SERVICE132

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