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ENTERALS Category Covidien Reorder Number Product
ENTERALS DISCLAIMER: The Centers for Medicare and Medicaid Services was the primary source of any HCPCS information contained on this website. Covidien does not represent or guarantee that any HCPCS information contained on this website is complete, accurate, or applicable to any particular patient or third-party payer and disclaims all liability for any consequence resulting from any reliance on such information. The final billing-related decisions for any product must be made by the health care provider considering the medical necessity of the product furnished as well as the requirements of third-party payers and any local, state, or federal laws and regulations that apply to the product furnished. Covidien is providing this information in an educational capacity with the understanding that Covidien is not engaged in rendering legal, accounting, or other professional services. Covidien encourages all health care providers to consult with their own advisors regarding coding and payment. REIMBURSEMENT HOT LINE 800-346-7197 X6076 Category Enteral Access Enteral Access Enteral Access Enteral Access Enteral Access Enteral Access Enteral Access Enteral Access Enteral Access Enteral Access Enteral Access Enteral Access Enteral Access Enteral Access Enteral Access Enteral Access Enteral Access Enteral Access Enteral Access Enteral Access Enteral Access Enteral Access Enteral Access Enteral Access Enteral Access Enteral Access Enteral Access Enteral Access Enteral Access Enteral Access Enteral Access Enteral Access Enteral Access Enteral Access Enteral Access Enteral Access Enteral Access Enteral Access Enteral Access Enteral Access Enteral Access Enteral Access Enteral Access Enteral Access Enteral Access Enteral Access Enteral Access Covidien Reorder Number 712080 712100 712120 712150 712170 712200 712230 712250 712270 712300 712350 712400 712450 712500 714080 714100 714120 714150 714170 714200 714230 714250 714270 714300 714350 714400 714450 714500 716080 716100 716120 716150 716170 716200 716230 716250 716270 716300 716350 716400 716450 716500 718080 718100 718120 718150 718170 Product Description Nutriport™ Balloon Slg 12 Fr. X 0.8Cm Nutriport™ Balloon Slg 12 Fr. X 1.0Cm Nutriport™ Balloon Slg 12 Fr. X 1.2Cm Nutriport™ Balloon Slg 12 Fr. X 1.5Cm Nutriport™ Balloon Slg 12 Fr. X 1.7Cm Nutriport™ Balloon Slg 12 Fr. X 2.0Cm Nutriport™ Balloon Slg 12 Fr. X 2.3Cm Nutriport™ Balloon Slg 12 Fr. X 2.5Cm Nutriport™ Balloon Slg 12 Fr. X 2.7Cm Nutriport™ Balloon Slg 12 Fr. X 3.0Cm Nutriport™ Balloon Slg 12 Fr. X 3.5Cm Nutriport™ Balloon Slg 12 Fr. X 4.0Cm Nutriport™ Balloon Slg 12 Fr. X 4.5Cm Nutriport™ Balloon Slg 12 Fr. X 5.0Cm Nutriport™ Balloon Slg 14 Fr. X 0.8Cm Nutriport™ Balloon Slg 14 Fr. X 1.0Cm Nutriport™ Balloon Slg 14 Fr. X 1.2Cm Nutriport™ Balloon Slg 14 Fr. X 1.5Cm Nutriport™ Balloon Slg 14 Fr. X 1.7Cm Nutriport™ Balloon Slg 14 Fr. X 2.0Cm Nutriport™ Balloon Slg 14 Fr. X 2.3Cm Nutriport™ Balloon Slg 14 Fr. X 2.5Cm Nutriport™ Balloon Slg 14 Fr. X 2.7Cm Nutriport™ Balloon Slg 14 Fr. X 3.0Cm Nutriport™ Balloon Slg 14 Fr. X 3.5Cm Nutriport™ Balloon Slg 14 Fr. X 4.0Cm Nutriport™ Balloon Slg 14 Fr. X 4.5Cm Nutriport™ Balloon Slg 14 Fr. X 5.0Cm Nutriport™ Balloon Slg 16 Fr. X 0.8Cm Nutriport™ Balloon Slg 16 Fr. X 1.0Cm Nutriport™ Balloon Slg 16 Fr. X 1.2Cm Nutriport™ Balloon Slg 16 Fr. X 1.5Cm Nutriport™ Balloon Slg 16 Fr. X 1.7Cm Nutriport™ Balloon Slg 16 Fr. X 2.0Cm Nutriport™ Balloon Slg 16 Fr. X 2.3Cm Nutriport™ Balloon Slg 16 Fr. X 2.5Cm Nutriport™ Balloon Slg 16 Fr. X 2.7Cm Nutriport™ Balloon Slg 16 Fr. X 3.0Cm Nutriport™ Balloon Slg 16 Fr. X 3.5Cm Nutriport™ Balloon Slg 16 Fr. X 4.0Cm Nutriport™ Balloon Slg 16 Fr. X 4.5Cm Nutriport™ Balloon Slg 16 Fr. X 5.0Cm Nutriport™ Balloon Slg 18 Fr. X 0.8Cm Nutriport™ Balloon Slg 18 Fr. X 1.0Cm Nutriport™ Balloon Slg 18 Fr. X 1.2Cm Nutriport™ Balloon Slg 18 Fr. X 1.5Cm Nutriport™ Balloon Slg 18 Fr. X 1.7Cm Page 1 HCPCS Code B4088 B4088 B4088 B4088 B4088 B4088 B4088 B4088 B4088 B4088 B4088 B4088 B4088 B4088 B4088 B4088 B4088 B4088 B4088 B4088 B4088 B4088 B4088 B4088 B4088 B4088 B4088 B4088 B4088 B4088 B4088 B4088 B4088 B4088 B4088 B4088 B4088 B4088 B4088 B4088 B4088 B4088 B4088 B4088 B4088 B4088 B4088 HRI's 08080-7120-80 08080-7121-00 08080-7121-20 08080-7121-50 08080-7121-70 08080-7122-00 08080-7122-30 08080-7122-50 08080-7122-70 08080-7123-00 08080-7123-50 08080-7124-00 08080-7124-50 08080-7125-00 08080-7140-80 08080-7141-00 08080-7141-20 08080-7141-50 08080-7141-70 08080-7142-00 08080-7142-30 08080-7142-50 08080-7142-70 08080-7143-00 08080-7143-50 08080-7144-00 08080-7144-50 08080-7145-00 08080-7160-80 08080-7161-00 08080-7161-20 08080-7161-50 08080-7161-70 08080-7162-00 08080-7162-30 08080-7162-50 08080-7162-70 08080-0716-30 08080-7163-50 08080-7164-00 08080-7164-50 08080-7165-00 08080-7160-80 08080-7161-00 08080-7161-20 08080-7161-50 08080-7161-70 ENTERALS DISCLAIMER: The Centers for Medicare and Medicaid Services was the primary source of any HCPCS information contained on this website. Covidien does not represent or guarantee that any HCPCS information contained on this website is complete, accurate, or applicable to any particular patient or third-party payer and disclaims all liability for any consequence resulting from any reliance on such information. The final billing-related decisions for any product must be made by the health care provider considering the medical necessity of the product furnished as well as the requirements of third-party payers and any local, state, or federal laws and regulations that apply to the product furnished. Covidien is providing this information in an educational capacity with the understanding that Covidien is not engaged in rendering legal, accounting, or other professional services. Covidien encourages all health care providers to consult with their own advisors regarding coding and payment. REIMBURSEMENT HOT LINE 800-346-7197 X6076 Category Enteral Access Enteral Access Enteral Access Enteral Access Enteral Access Enteral Access Enteral Access Enteral Access Enteral Access Enteral Access Enteral Access Enteral Access Enteral Access Enteral Access Enteral Access Enteral Access Enteral Access Enteral Access Enteral Access Enteral Access Enteral Access Enteral Access Enteral Access Enteral Access Enteral Access Enteral Access Enteral Access Enteral Access Enteral Access Enteral Access Enteral Access Enteral Access Enteral Access Enteral Access Enteral Access Enteral Access Enteral Access Enteral Access Enteral Access Enteral Access Enteral Access Enteral Access Enteral Access Enteral Access Enteral Access Enteral Access Covidien Reorder Number 718200 718230 718250 718270 718300 718350 718400 718450 718500 720080 720100 720120 720150 720170 720200 720230 720250 720270 720300 720350 720400 720450 720500 724080 724100 724120 724150 724170 724200 724230 724250 724270 724300 724350 724400 724450 724500 8884741212 8884741215 8884741220 8884741225 8884741230 8884741235 8884741240 8884741245 8884741250 Product Description Nutriport™ Balloon Slg 18 Fr. X 2.0Cm Nutriport™ Balloon Slg 18 Fr. X 2.3Cm Nutriport™ Balloon Slg 18 Fr. X 2.5Cm Nutriport™ Balloon Slg 18 Fr. X 2.7Cm Nutriport™ Balloon Slg 18 Fr. X 3.0Cm Nutriport™ Balloon Slg 18 Fr. X 3.5Cm Nutriport™ Balloon Slg 18 Fr. X 4.0Cm Nutriport™ Balloon Slg 18 Fr. X 4.5Cm Nutriport™ Balloon Slg 18 Fr. X 5.0Cm Nutriport™ Balloon Slg 20 Fr. X 0.8Cm Nutriport™ Balloon Slg 20 Fr. X 1.0Cm Nutriport™ Balloon Slg 20 Fr. X 1.2Cm Nutriport™ Balloon Slg 20 Fr. X 1.5Cm Nutriport™ Balloon Slg 20 Fr. X 1.7Cm Nutriport™ Balloon Slg 20 Fr. X 2.0Cm Nutriport™ Balloon Slg 20 Fr. X 2.3Cm Nutriport™ Balloon Slg 20 Fr. X 2.5Cm Nutriport™ Balloon Slg 20 Fr. X 2.7Cm Nutriport™ Balloon Slg 20 Fr. X 3.0Cm Nutriport™ Balloon Slg 20 Fr. X 3.5Cm Nutriport™ Balloon Slg 20 Fr. X 4.0Cm Nutriport™ Balloon Slg 20 Fr. X 4.5Cm Nutriport™ Balloon Slg 20 Fr. X 5.0Cm Nutriport™ Balloon Slg 24 Fr. X 0.8Cm Nutriport™ Balloon Slg 24 Fr. X 1.0Cm Nutriport™ Balloon Slg 24 Fr. X 1.2Cm Nutriport™ Balloon Slg 24 Fr. X 1.5Cm Nutriport™ Balloon Slg 24 Fr. X 1.7Cm Nutriport™ Balloon Slg 24 Fr. X 2.0Cm Nutriport™ Balloon Slg 24 Fr. X 2.3Cm Nutriport™ Balloon Slg 24 Fr. X 2.5Cm Nutriport™ Balloon Slg 24 Fr. X 2.7Cm Nutriport™ Balloon Slg 24 Fr. X 3.0Cm Nutriport™ Balloon Slg 24 Fr. X 3.5Cm Nutriport™ Balloon Slg 24 Fr. X 4.0Cm Nutriport™ Balloon Slg 24 Fr. X 4.5Cm Nutriport™ Balloon Slg 24 Fr. X 5.0Cm Entristar™ Skin Level Gastrostomy Kit 12 Fr. 1.2Cm Entristar™ Skin Level Gastrostomy Kit 12 Fr. 1.5Cm Entristar™ Skin Level Gastrostomy Kit 12 Fr. 2.0Cm Entristar™ Skin Level Gastrostomy Kit 12 Fr. 2.5Cm Entristar™ Skin Level Gastrostomy Kit 12 Fr. 3.0Cm Entristar™ Skin Level Gastrostomy Kit 12 Fr. 3.5Cm Entristar™ Skin Level Gastrostomy Kit 12 Fr. 4.0Cm Entristar™ Skin Level Gastrostomy Kit 12 Fr. 4.5Cm Entristar™ Skin Level Gastrostomy Kit 12 Fr. 5.0Cm Page 2 HCPCS Code B4088 B4088 B4088 B4088 B4088 B4088 B4088 B4088 B4088 B4088 B4088 B4088 B4088 B4088 B4088 B4088 B4088 B4088 B4088 B4088 B4088 B4088 B4088 B4088 B4088 B4088 B4088 B4088 B4088 B4088 B4088 B4088 B4088 B4088 B4088 B4088 B4088 B4088 B4088 B4088 B4088 B4088 B4088 B4088 B4088 B4088 HRI's 08080-7162-00 08080-7162-30 08080-7162-50 08080-7162-70 08080-0716-30 08080-7163-50 08080-7164-00 08080-7164-50 08080-7165-00 08080-7120-80 08080-7121-00 08080-7121-20 08080-7121-50 08080-7121-70 08080-7122-00 08080-7122-30 08080-7122-50 08080-7122-70 08080-7123-00 08080-7123-50 08080-7124-00 08080-7124-50 08080-7125-00 08080-7120-80 08080-7121-00 08080-7121-20 08080-7121-50 08080-7121-70 08080-7122-00 08080-7122-30 08080-7122-50 08080-7122-70 08080-7123-00 08080-7123-50 08080-7124-00 08080-7124-50 08080-7125-00 08080-7412-12 08080-7412-15 08080-7412-20 08080-7412-25 08080-7412-30 08080-7412-35 08080-7412-40 08080-7412-45 08080-7412-50 ENTERALS DISCLAIMER: The Centers for Medicare and Medicaid Services was the primary source of any HCPCS information contained on this website. Covidien does not represent or guarantee that any HCPCS information contained on this website is complete, accurate, or applicable to any particular patient or third-party payer and disclaims all liability for any consequence resulting from any reliance on such information. The final billing-related decisions for any product must be made by the health care provider considering the medical necessity of the product furnished as well as the requirements of third-party payers and any local, state, or federal laws and regulations that apply to the product furnished. Covidien is providing this information in an educational capacity with the understanding that Covidien is not engaged in rendering legal, accounting, or other professional services. Covidien encourages all health care providers to consult with their own advisors regarding coding and payment. REIMBURSEMENT HOT LINE 800-346-7197 X6076 Category Enteral Access Enteral Access Enteral Access Enteral Access Enteral Access Enteral Access Enteral Access Enteral Access Enteral Access Enteral Access Enteral Access Enteral Access Enteral Access Enteral Access Enteral Access Enteral Access Enteral Access Covidien Reorder Number 8884741623 8884741631 8884741649 8884741656 8884741664 8884741672 8884741680 8884741805 8884741813 8884741821 8884742019 8884742027 8884742035 8884742043 8884742050 8884742068 8884742076 Enteral Feeding Enteral Feeding Enteral Feeding Enteral Feeding Enteral Feeding Enteral Feeding Enteral Feeding Enteral Feeding Enteral Feeding Enteral Feeding 382400 382491 382492 383400 712054 713650 714650 716154 772055 773656 Enteral Feeding Enteral Feeding 773662 774655 Enteral Feeding Enteral Feeding Enteral Feeding Enteral Feeding HCPCS Code B4088 B4088 B4088 B4088 B4088 B4088 B4088 B9998 B9998 B9998 B4088 B4088 B4088 B4088 B4088 B4088 B4088 HRI's 08080-7416-23 08080-7416-31 08080-7416-49 08080-7416-56 08080-7416-64 08080-7416-72 08080-7416-80 08080-7418-05 08080-7418-13 08080-7418-21 08080-7420-19 08080-7420-27 08080-7420-35 08080-742043 08080-7420-50 08080-7420-68 08080-7420-76 B9002 B4035 B4035 B9002 B4035 B4035 B4035 B4035 B4035 B4035 08080-3824-00 08080-3824-91 08080-3824-92 08080-3834-00 08080-7120-54 08080-7136-50 08080-7146-50 08080-7161-54 08080-7720-55 08080-7736-56 B4035 B4035 08080-7736-62 08080-7746-55 774669 776150 776250 776255 Kangaroo ePump™ 1000 Ml Feed Set W/ 1000Ml Flush Set - Non-Sterile Kangaroo ePump™ Proximal Spike Set- Non-Sterile Kangaroo ePump™ Proximal Spike Feed And 1000 Ml Flush Set - NonSterile Kangaroo ePump™ 100 Ml Burette Recertification Set Kangaroo ePump™ 1200 Ml Rigid Container Pump Set- Non-Sterile Kangaroo ePump™ 600 Ml Container Pump Set - Non-Sterile B4035 B4035 B4035 B4035 08080-7746-69 08080-7761-50 08080-7762-50 08080-7762-55 Enteral Feeding 8884704639 Kangaroo™ Proximal Spike Pump Set With 1000Ml Flush Bag, Nonsterile B4035 08080-7046-39 Enteral Feeding Enteral Feeding 8884773642 F010484WT Kangaroo™ 1000Ml Bag And Pump Set With 1000Ml Flush Bag, Nonsterile B4035 Kangaroo ePump™ Battery B4035 08080-7436-42 08080-0104-84 Product Description Entristar™ Skin Level Gastrostomy Kit 16 Fr. 1.5Cm Entristar™ Skin Level Gastrostomy Kit 16 Fr. 1.7Cm Entristar™ Skin Level Gastrostomy Kit 16 Fr. 2.0Cm Entristar™ Skin Level Gastrostomy Kit 16 Fr. 2.4Cm Entristar™ Skin Level Gastrostomy Kit 16 Fr. 2.7Cm Entristar™ Skin Level Gastrostomy Kit 16 Fr. 3.0Cm Entristar™ Skin Level Gastrostomy Kit 16 Fr. 3.5Cm Stoma Measuring Device, Sterile Bolus Feeding Set, Non Sterile Continuous Feeding Set, Non-Sterile Entristar™ Skin Level Gastrostomy Kit 20 Fr. 1.5Cm Entristar™ Skin Level Gastrostomy Kit 20 Fr. 2.0Cm Entristar™ Skin Level Gastrostomy Kit 20 Fr. 2.5Cm Entristar™ Skin Level Gastrostomy Kit 20 Fr. 3.0Cm Entristar™ Skin Level Gastrostomy Kit 20 Fr. 3.5Cm Entristar™ Skin Level Gastrostomy Kit 20 Fr. 4.0Cm Entristar™ Skin Level Gastrostomy Kit 20 Fr. 4.5Cm Kangaroo ePump™ Enteral Feeding Pump: Includes Pump, Battery, Pole Clamp And Power Cord With One Year Warranty Kangaroo ePpump™ Power Adapter Kangaroo ePump™ Pole Clamp Kangaroo Joey™ With Pole Clamp Kangaroo ePump™ 500 Ml Pump Set - Sterile Kangaroo ePump™ 1000 Ml Pump Set - Sterile Kangaroo ePump™ Proximal Spike Set - Sterile Kangaroo ePump™ 100 Ml Burette Set - Sterile Kangaroo ePump™ 500 Ml Pump Set - Non-Sterile Kangaroo ePump™ 1000 Ml Pump Set - Non-Sterile Page 3
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