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, CONDOM, FEMALE, TRAY WITHOUT DRAINAGE BAG TRAY WITHOUT DRAINAGE BAG TRAY WITH DRAINAGE BAG WITH TRAY WITH BULB OR PISTON SYRINGE, BULB OR PISTON.)

a4623 tracheostomy, inner cannula 5.61 a4624 tracheal suction catheter, any type othe 1.40 a4625 tracheostomy care kit for new tracheosto 4.25 a4626 tracheostomy cleaning brush ea 1.51 a4628 oropharyngeal suction catheter, each 2.02 a4629 tracheostomy care kit for established tr 3.08 a4630 replacement batteries, medically necessa 2.46

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  Care, Tracheostomy, Tracheostomy care

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