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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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Transcription of DME Fee Schedule Effective 20160701

1 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.)

2 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, LEG SUPPLY MISCA4338 INDWELLING CATHETER; FOLEY TYPE, CATHETER, FOLEY TYPE, CATHETER; FOLEY TYPE, THREE EXTERNAL CATHETER, WITH OR URINARY CATHETER; URINARY CATHETER; COUDE ( URINARY CATHETER, WITH TRAY WITH DRAINAGE BAG BUT URETHRAL CLAMP OR COMPRESSION DRAINAGE BAG, DAY OR NIGHT, DRAINAGE BAG, LEG OR ABDOMEN, FACE PLATE, BARRIER.)

3 SOLID, 4 X 4 OR CLAMP, ANY TYPE, REPLACEMENT , LIQUID OR EQUAL, ANY TYPE, VENT, ANY TYPE, BELT, FILTER,ANY TYPE, 1 of 34 NYS Medicaid DME Services Fee Schedule ( Effective 7/1/2016)CODEDESCRIPTIONFEERENTAL FEEBRA4369 OSTOMY SKIN BARRIER, LIQUID (SPRAY, SKIN BARRIER,POWDER,PER SKIN BARRIER, SOLID 4X4 OR SKIN BARRIER, WITH FLANGE (SOLID, POUCH, DRAINABLE, WITH FACEPLATE POUCH, DRAINABLE, WITH POUCH, DRAINABLE, FOR USE ON POUCH, DRAINABLE, FOR USE ON POUCH, URINARY, WITH FACEPLATE POUCH, URINARY, WITH FACEPLATE POUCH, URINARY, FOR USE ON POUCH, URINARY, FOR USE ON POUCH, URINARY, FOR USE ON FACEPLATE EQUIVALENT, SILICONE RING, SKIN BARRIER, SOLID 4X4 OR POUCH, CLOSED.))

4 WITH BARRIER POUCH, DRAINABLE, WITH EXTENDED POUCH, DRAINABLE, WITH BARRIER POUCH, DRAINABLE, WITH EXTENDED POUCH, URINARY, WITH EXTENDED POUCH, URINARY, WITH STANDARD POUCH, URINARY, WITH EXTENDED DEODORANT, WITH OR WITHOUT DEODORANT FOR USE IN OSTOMY BELT W/PERISTOMAL HERNIA SUPPLY SLEEVE IRRIGATION SUPPLY; BAG, IRRIGATION SUPPLY; CONE/CATHETER, IRRIGATION SET , PER RING, SKIN BARRIER, NON-PECTIN BASED, SKIN BARRIER, PECTIN-BASED, SKIN BARRIER, WITH FLANGE (SOLID, SKIN BARRIER, WTIH FLANGE (SOLID, SKIN BARRIER, WITH FLANGE (SOLID, SKIN BARRIER, WITH FLANGE (SOLID, SKIN BARRIER, SOLID 4X4 OR POUCH, DRAINABLE, HIGH OUTPUT, POUCH, DRAINABLE, HIGH OUTPUT, SKIN BARRIER, WITH FLANGE (SOLID, SKIN BARRIER, WITH FLANGE (SOLID, POUCH, CLOSED, WITH BARRIER POUCH, CLOSED, WITH BARRIER POUCH, CLOSED; WITHOUT BARRIER POUCH, CLOSED.))))))

5 FOR USE ON POUCH, CLOSED; FOR USE ON SUPPLY; MISCELLANEOUSPage 2 of 34 NYS Medicaid DME Services Fee Schedule ( Effective 7/1/2016)CODEDESCRIPTIONFEERENTAL FEEBRA4422 OSTOMY ABSORBENT MATERIAL (SHEET/ POUCH, CLOSED; FOR USE ON POUCH, DRAINABLE, WITH BARRIER POUCH, DRAINABLE; FOR USE ON POUCH, DRAINABLE; FOR USE ON POUCH, DRAINABLE; FOR USE ON POUCH, URINARY, WITH EXTENDED WEAR POUCH, URINARY, WITH BARRIER POUCH, URINARY, WITH EXTENDED WEAR POUCH, URINARY; WITH BARRIER POUCH, URINARY; FOR USE ON BARRIER POUCH, URINARY; FOR USE ON BARRIER POUCH, URINARY.)

6 FOR USE ON BARRIER POUCH, DRAINABLE, HIGH OUTPUT, , NON-WATERPROOF, PER 18 square , WATERPROOF, PER 18 square REMOVER OR SOLVENT (FOR TAPE, REMOVER, WIPES, ANY TYPE, BAG WITH tubing , DRESSING HOLDER, REUSABLE, FILTER, ANY TYPE, ANY SIZE, STOCKINGS THIGH LENGTH, STOCKINGS BELOW KNEE LENGTH, STOCKINGS FULL LENGTH, UNDERPADS, ALL , ( , APNEA MONITOR), PER WIRES, ( , APNEA MONITOR), PER HYPERBARIC OXYGEN CHAMBER, DISPOA4602 REPLACEMENT BATTERY FOR EXTERNAL SUCTION CATHETER, CLOSED EXPIRATORY FLOW RATE METER, HAND ,(OXYGEN),PER CONCENTRATION , INNER SUCTION CATHETER, ANY TYPE CARE KIT FOR NEW CLEANING BRUSH SUCTION CATHETER, CARE KIT FOR ESTABLISHED BATTERIES, MEDICALLY BATTERY FOR EXTERNAL INFUSIOA4635 UNDERARM PAD,CRUTCH,REPLACEMENT , HANDGRIP, CANE, CRUTCH, 3 of 34 NYS Medicaid DME Services Fee Schedule ( Effective 7/1/2016))

7 CODEDESCRIPTIONFEERENTAL FEEBRA4637 REPLACEMENT, TIP, CANE, CRUTCH, WALKER, PAD FOR USE WITH SUPPLY MISCA4660 SPHYGMOMANOMETER/BLOOD PRESSURE BLOOD PRESSURE MONITOR - SEMI BLOOD PRESSURE MONITOR- FULLY , NON-STERILE, PER ,STERILE PER THERMOMETER, REUSABLE, ANY TYPE, THERMOMETER, REUSABLE, ANY TYPE, POUCH, CLOSED; WITH BARRIER POUCH, CLOSED; WITHOUT BARRIER POUCH, CLOSED; FOR USE ON POUCH, CLOSED; FOR USE ON CAP POUCH, DRAINABLE, WITH EXTENDED POUCH, DRAINABLE, WITH EXTENDED POUCH, DRAINABLE; WITH BARRIER POUCH, DRAINABLE; WITHOUT POUCH, DRAINABLE; FOR USE ON POUCH, URINARY; WITH BARRIER POUCH, URINARY; WITHOUT BARRIER POUCH, URINARY; FOR USE ON DEVICE; PLUG FOR CONTINENT DEVICE; CATHETER FOR DEVICE, STOMA ABSORPTIVE ACCESSORY CONVEX SUSPENSORY WITH LEG BAG, WITH DRAINAGE BAG, LEG OR ABDOMEN, STRAP; LATEX, REPLACEMENT ONLY, STRAP; FOAM OR FABRIC, BARRIER, WIPES OR SWABS, BARRIER; SOLID, 6 X 6 OR BARRIER; SOLID, 8 X 8 OR OR NON-ADHESIVE.

8 DISK OR CLEANER, INCONTINENCE AND CATHETER/TUBE ANCHORING DIABETICS ONLY, DIABETICS ONLY, FITTING, CUSTOM DIABETICS ONLY, MODIFICATION (OF DIABETICS ONLY, MODIFICATION ) OF DIABETICS ONLY, MODIFICATION OF SHOE OR CUSTOM-MOLDED SHOE DIABETICS ONLY, NOT OTHERWISE SPECIFIED DIABETICS ONLY, MULTIPLE DENSITY INSERT, DIABETICS ONLY, MULTIPLE DENSITY INSERT, BASED WOUND FILLER, DRY FORM, BASED WOUND FILLER, GEL/PASTE, 4 of 34 NYS Medicaid DME Services Fee Schedule ( Effective 7/1/2016)CODEDESCRIPTIONFEERENTAL FEEBRA6021 COLLAGEN DRESSING, STERILE, SIZE 16 DRESSING, STERILE, SIZE MORE DRESSING, STERILE, SIZE MORE DRESSING WOUND FILLER, STERILE, OR OTHER FIBER GELLING OR OTHER FIBER GELLING OR OTHER FIBER GELLING OR OTHER FIBER GELLING DRESSING, STERILE, PAD SIZE DRESSING, STERILE, PAD SIZE DRESSING, STERILE, PAD SIZE LAYER, STERILE, 16 SQ.

9 IN. OR LAYER, STERILE, MORE THAN 16 LAYER, STERILE, MORE THAN 48 DRESSING, WOUND COVER, STERILE, DRESSING, WOUND COVER, STERILE, DRESSING, WOUND COVER, STERILE, DRESSING, WOUND COVER, STERILE, DRESSING, WOUND COVER, STERILE, DRESSING, WOUND COVER, STERILE, NON-IMP NON-STER UP TO ; MORE THAN 16 UP TO ; MORE THAN 48 SQ , NON-IMPREGNATED, STERILE, PAD , NON-IMPREGNATED, STERILE, PAD , NON-IMPREGNATED, STERILE, PAD , IMPREGNATED WITH OTHER THAN , IMPREGNATED WITH OTHER THAN , IMPREGNATED WITH OTHER THAN , IMPREGNATED, WATER OR NORMAL , IMPREGNATED, WATER OR NORMAL , IMPREGNATED, WATER OR NORMAL , IMPREGNATED, HYDROGEL, FOR , IMPREGNATED, HYDROGEL, FOR , IMPREGNATED, HYDROGEL, FOR DRESSING, WOUND COVER, DRESSING, WOUND COVER, DRESSING, WOUND COVER, DRESSING, WOUND COVER, DRESSING, WOUND COVER.

10 DRESSING, WOUND COVER, DRESSING, WOUND FILLER, DRESSING, WOUND FILLER, DRESSING, WOUND COVER, STERILE, DRESSING, WOUND COVER, STERILE, DRESSING, WOUND COVER, STERILE, DRESSING, WOUND COVER, STERILE, DRESSING, WOUND COVER, STERILE, 5 of 34 NYS Medicaid DME Services Fee Schedule ( Effective 7/1/2016)CODEDESCRIPTIONFEERENTAL FEEBRA6247 HYDROGEL DRESSING, WOUND COVER, STERILE, DRESSING, WOUND FILLER, GEL, ABSORPTIVE DRESSING, WOUND ABSORPTIVE DRESSING, WOUND ABSORPTIVE DRESSING, WOUND ABSORPTIVE DRESSING, WOUND ABSORPTIVE DRESSING, WOUND ABSORPTIVE DRESSING, WOUND FILM, STERILE, 16 SQ.


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