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
KVÅKVÅC7565 — Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (i.e., open, laparoscopic, robotic), recurrent, including implantation of mesh or other prosthesis when performed, total length of defect(s) less than 3 cm, reducible with removal of total or near total non-infected mesh or other prosthesis at the time of initial or recurrent anterior abdominal hernia repair or parastomal hernia repair
KVÅKVÅA6451 — Moderate compression bandage, elastic, knitted/woven, load resistance of 1.25 to 1.34 foot pounds at 50% maximum stretch, width greater than or equal to three inches and less than five inches, per yard
KVÅKVÅC7500 — Debridement, bone including epidermis, dermis, subcutaneous tissue, muscle and/or fascia, if performed, first 20 sq cm or less with manual preparation and insertion of deep (e.g., subfacial) drug-delivery device(s)
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
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
KVÅKVÅA6203 — Composite dressing, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing
KVÅKVÅA6207 — Contact layer, sterile, more than 16 sq. in. but less than or equal to 48 sq. in., each dressing
KVÅKVÅA6219 — Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing
KVÅKVÅA6258 — Transparent film, sterile, more than 16 sq. in. but less than or equal to 48 sq. in., each dressing
KVÅKVÅA6402 — Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, 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
KVÅKVÅB4164 — Parenteral nutrition solution: carbohydrates (dextrose), 50% or less (500 ml = 1 unit) - home mix
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
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
KVÅKVÅA6209 — Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing
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
KVÅKVÅA6212 — Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size 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
KVÅKVÅA6216 — Gauze, non-impregnated, non-sterile, pad size 16 sq. in. or less, without 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
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
KVÅKVÅA6228 — Gauze, impregnated, water or normal saline, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing
KVÅKVÅA6231 — Gauze, impregnated, hydrogel, for direct wound contact, sterile, pad size 16 sq. in. or less, each dressing
KVÅKVÅA6234 — Hydrocolloid dressing, wound cover, sterile, pad size 16 sq. in. or less, 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
