Transcription of DME Fee Schedule Effective 20160701
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DME Fee Schedule Effective 20160701
NYS Medicaid DME Services Fee Schedule ( Effective 7/1/2016)CODEDESCRIPTIONFEERENTAL FEEBRA4216 STERILE WATER, SALINE AND/OR DEXTROSE, WATER/SALINE,500 FOR MAINTENANCE OF DRUG SET FOR EXTERNAL INSULIN PUMP, SET FOR EXTERNAL INSULIN PUMP, BATTERY, ALKALINE (OTHER BATTERY, ALKALINE, J CELL, BATTERY, LITHIUM, FOR USE OR PEROXIDE, PER WIPES, PER OR PHISOHEX SOLUTION, PER TEST OR REAGENT STRIPS OR KETONE TEST OR REAGENT STRIP, GLUCOSE TEST OR REAGENT STRIPS , LOW AND HIGH CALIBRATOR DEVICE FOR LANCET, , PER BOX OF , PER SUPPLY, CONDOM, MALE, SUPPLY.)
a4450 tape, non-waterproof, per 18 square inch 0.06 a4452 tape, waterproof, per 18 square inches 0.11 a4455 adhesive remover or solvent (for tape, c 1.28 a4456 adhesive remover, wipes, any type, each 0.24 a4458 enema bag with tubing, reusable 16.26 a4463 surgical dressing holder, reusable, each 11.15 a4481 tracheostoma filter, any type, any ...
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