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, CONDOM, FEMALE, TRAY WITHOUT DRAINAGE BAG TRAY WITHOUT DRAINAGE BAG TRAY WITH DRAINAGE BAG WITH TRAY WITH BULB OR PISTON SYRINGE, BULB OR PISTON, EXTERNAL CATHETER WITH INTEGRAL DRAINAGE TUBING, ANY TYPE, CATHETER ANCHORING DEVICE, CATHETER ANCHORING DEVICE.)
a4230 infusion set for external insulin pump, 15.05 a4231 infusion set for external insulin pump, 6.27 a4233 replacement battery, alkaline (other tha 0.71 a4234 replacement battery, alkaline, j cell, f 3.25 a4235 replacement battery, lithium, for use wi 2.34 a4244 alcohol or peroxide, per pint 1.12 a4245 alcohol wipes, per box 1.39
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