KVÅKVÅ5A09357 — Assistance with Respiratory Ventilation, Less than 24 Consecutive Hours, Continuous Positive Airway Pressure
KVÅKVÅ5A09358 — Assistance with Respiratory Ventilation, Less than 24 Consecutive Hours, Intermittent Positive Airway Pressure
KVÅKVÅ5A09359 — Assistance with Respiratory Ventilation, Less than 24 Consecutive Hours, Continuous Negative Airway Pressure
KVÅKVÅ5A0935A — Assistance with Respiratory Ventilation, Less than 24 Consecutive Hours, High Flow/Velocity Cannula
KVÅKVÅ5A0935B — Assistance with Respiratory Ventilation, Less than 24 Consecutive Hours, Intermittent Negative Airway Pressure
KVÅKVÅ5A09B5K — Assistance with Respiratory Ventilation, Less than 8 Consecutive Hours, Intubated Prone Positioning
KVÅKVÅA6207 — Contact layer, sterile, more than 16 sq. in. but less than or equal to 48 sq. in., each dressing
KVÅKVÅA6258 — Transparent film, sterile, more than 16 sq. in. but less than or equal to 48 sq. in., each dressing
KVÅKVÅE2611 — General use wheelchair back cushion, width less than 22 inches, any height, including any type mounting hardware
KVÅKVÅE2613 — Positioning wheelchair back cushion, posterior, width less than 22 inches, any height, including any type mounting hardware
KVÅKVÅA6022 — Collagen dressing, sterile, size more than 16 sq. in. but less than or equal to 48 sq. in., each
KVÅKVÅA6204 — Composite dressing, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing
KVÅKVÅA6220 — Gauze, non-impregnated, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing
KVÅKVÅA6223 — Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size more than 16 sq. in., but less than or equal to 48 sq. in., without adhesive border, each dressing
KVÅKVÅA6403 — Gauze, non-impregnated, sterile, pad size more than 16 sq. in. less than or equal to 48 sq. in., without adhesive border, each dressing
KVÅKVÅA6442 — Conforming bandage, non-elastic, knitted/woven, non-sterile, width less than three inches, per yard
KVÅKVÅA6445 — Conforming bandage, non-elastic, knitted/woven, sterile, width less than three inches, per yard
KVÅKVÅA6448 — Light compression bandage, elastic, knitted/woven, width less than three inches, per yard
KVÅKVÅA6453 — Self-adherent bandage, elastic, non-knitted/non-woven, width less than three inches, per yard
KVÅKVÅE2500 — Speech generating device, digitized speech, using pre-recorded messages, less than or equal to 8 minutes recording time
KVÅKVÅE2607 — Skin protection and positioning wheelchair seat cushion, width less than 22 inches, any depth
KVÅKVÅE2615 — Positioning wheelchair back cushion, posterior-lateral, width less than 22 inches, any height, including any type mounting hardware
KVÅKVÅE2620 — Positioning wheelchair back cushion, planar back with lateral supports, width less than 22 inches, any height, including any type mounting hardware
KVÅKVÅE2622 — Skin protection wheelchair seat cushion, adjustable, width less than 22 inches, any depth
KVÅKVÅE2624 — Skin protection and positioning wheelchair seat cushion, adjustable, width less than 22 inches, any depth
KVÅKVÅA6222 — Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing
KVÅKVÅA4720 — Dialysate solution, any concentration of dextrose, fluid volume greater than 249 cc, but less than or equal to 999 cc, for peritoneal dialysis
KVÅKVÅA4721 — Dialysate solution, any concentration of dextrose, fluid volume greater than 999 cc but less than or equal to 1999 cc, for peritoneal dialysis
KVÅKVÅA4722 — Dialysate solution, any concentration of dextrose, fluid volume greater than 1999 cc but less than or equal to 2999 cc, for peritoneal dialysis
KVÅKVÅA4723 — Dialysate solution, any concentration of dextrose, fluid volume greater than 2999 cc but less than or equal to 3999 cc, for peritoneal dialysis
KVÅKVÅA4724 — Dialysate solution, any concentration of dextrose, fluid volume greater than 3999 cc but less than or equal to 4999 cc, for peritoneal dialysis
KVÅKVÅA4725 — Dialysate solution, any concentration of dextrose, fluid volume greater than 4999 cc but less than or equal to 5999 cc, for peritoneal dialysis
KVÅKVÅA6210 — Foam dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing
KVÅKVÅA6213 — Foam dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing
KVÅKVÅA6217 — Gauze, non-impregnated, non-sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing
KVÅKVÅA6235 — Hydrocolloid dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing
KVÅKVÅA6238 — Hydrocolloid dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing
KVÅKVÅA6243 — Hydrogel dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing
KVÅKVÅA6246 — Hydrogel dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing
KVÅKVÅA6252 — Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing
KVÅKVÅA6255 — Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing
KVÅKVÅA6461 — Synthetic resorbable wound dressing, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing
KVÅKVÅE0301 — Hospital bed, heavy duty, extra wide, with weight capacity greater than 350 pounds, but less than or equal to 600 pounds, with any type side rails, without mattress
KVÅKVÅE0303 — Hospital bed, heavy duty, extra wide, with weight capacity greater than 350 pounds, but less than or equal to 600 pounds, with any type side rails, with mattress
KVÅKVÅE1225 — Wheelchair accessory, manual semi-reclining back, (recline greater than 15 degrees, but less than 80 degrees), each
KVÅKVÅE2502 — Speech generating device, digitized speech, using pre-recorded messages, greater than 8 minutes but less than or equal to 20 minutes recording time
KVÅKVÅE2504 — Speech generating device, digitized speech, using pre-recorded messages, greater than 20 minutes but less than or equal to 40 minutes recording time
KVÅKVÅA6229 — Gauze, impregnated, water or normal saline, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing
KVÅKVÅA6232 — Gauze, impregnated, hydrogel, for direct wound contact, sterile, pad size greater than 16 sq. in., but less than or equal to 48 sq. in., each dressing
KVÅKVÅA6441 — Padding bandage, non-elastic, non-woven/non-knitted, width greater than or equal to three inches and less than five inches, per yard
KVÅKVÅA6443 — Conforming bandage, non-elastic, knitted/woven, non-sterile, width greater than or equal to three inches and less than five inches, per yard
