KVÅKVÅA4640 — Replacement pad for use with medically necessary alternating pressure pad owned by patient
KVÅKVÅA4422 — Ostomy absorbent material (sheet/pad/crystal packet) for use in ostomy pouch to thicken liquid stomal output, each
KVÅKVÅA6231 — Gauze, impregnated, hydrogel, for direct wound contact, sterile, pad size 16 sq. in. or less, 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
KVÅKVÅA6233 — Gauze, impregnated, hydrogel, for direct wound contact, sterile, pad size more than 48 sq. in., each dressing
KVÅKVÅA6203 — Composite dressing, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing
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
KVÅKVÅA6205 — Composite dressing, sterile, pad size more than 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
KVÅKVÅA6211 — Foam dressing, wound cover, sterile, pad size more than 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
KVÅKVÅA6214 — Foam dressing, wound cover, sterile, pad size more than 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
KVÅKVÅA6218 — Gauze, non-impregnated, non-sterile, pad size more than 48 sq. in., without adhesive border, each dressing
KVÅKVÅA6219 — Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, 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
KVÅKVÅA6221 — Gauze, non-impregnated, sterile, pad size more than 48 sq. in., with any size adhesive border, 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
KVÅKVÅA6236 — Hydrocolloid dressing, wound cover, sterile, pad size more than 48 sq. in., without adhesive border, each dressing
KVÅKVÅA6237 — Hydrocolloid dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size 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
KVÅKVÅA6239 — Hydrocolloid dressing, wound cover, sterile, pad size more than 48 sq. in., with any size adhesive border, each dressing
KVÅKVÅA6242 — Hydrogel dressing, wound cover, sterile, pad size 16 sq. in. or less, without 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
KVÅKVÅA6244 — Hydrogel dressing, wound cover, sterile, pad size more than 48 sq. in., without adhesive border, each dressing
KVÅKVÅA6245 — Hydrogel dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size 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
KVÅKVÅA6247 — Hydrogel dressing, wound cover, sterile, pad size more than 48 sq. in., with any size adhesive border, each dressing
KVÅKVÅA6251 — Specialty absorptive dressing, wound cover, sterile, pad size 16 sq. in. or less, without 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
KVÅKVÅA6253 — Specialty absorptive dressing, wound cover, sterile, pad size more than 48 sq. in., without adhesive border, each dressing
KVÅKVÅA6254 — Specialty absorptive dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size 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
KVÅKVÅA6256 — Specialty absorptive dressing, wound cover, sterile, pad size more than 48 sq. in., with any size adhesive border, each dressing
KVÅKVÅA6402 — Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, 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
KVÅKVÅA6404 — Gauze, non-impregnated, sterile, pad size more than 48 sq. in., without adhesive border, each dressing
KVÅKVÅA6460 — Synthetic resorbable wound dressing, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing
