KVÅKVÅB4034 — Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape
KVÅKVÅB4035 — Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape
KVÅKVÅB4036 — Enteral feeding supply kit; gravity fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape
KVÅKVÅB4148 — Enteral feeding supply kit; elastomeric control fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape
KVÅKVÅA4238 — Supply allowance for adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service
KVÅKVÅA4239 — Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service
KVÅKVÅA6594 — Gradient compression bandaging supply, bandage liner, lower extremity, any size or length, each
KVÅKVÅA6595 — Gradient compression bandaging supply, bandage liner, upper extremity, any size or length, each
KVÅKVÅA6596 — Gradient compression bandaging supply, conforming gauze, per linear yard, any width, each
KVÅKVÅA6600 — Gradient compression bandaging supply, high density foam sheet, per 250 square centimeters, each
KVÅKVÅA6602 — Gradient compression bandaging supply, high density foam roll for bandage, per linear yard, any width, each
KVÅKVÅA6603 — Gradient compression bandaging supply, low density channel foam sheet, per 250 square centimeters, each
KVÅKVÅA6604 — Gradient compression bandaging supply, low density flat foam sheet, per 250 square centimeters, each
KVÅKVÅA6606 — Gradient compression bandaging supply, padded textile, per linear yard, any width, each
KVÅKVÅA6607 — Gradient compression bandaging supply, tubular protective absorption layer, per linear yard, any width, each
KVÅKVÅA6608 — Gradient compression bandaging supply, tubular protective absorption padded layer, per linear yard, any width, each
KVÅKVÅA5500 — For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe
KVÅKVÅA5501 — For diabetics only, fitting (including follow-up), custom preparation and supply of shoe molded from cast(s) of patient's foot (custom molded shoe), per shoe
KVÅKVÅE0434 — Portable liquid oxygen system, rental; includes portable container, supply reservoir, humidifier, flowmeter, refill adaptor, contents gauge, cannula or mask, and tubing
KVÅKVÅE0435 — Portable liquid oxygen system, purchase; includes portable container, supply reservoir, flowmeter, humidifier, contents gauge, cannula or mask, tubing and refill adaptor
KVÅKVÅE0447 — Portable oxygen contents, liquid, 1 month's supply = 1 unit, prescribed amount at rest or nighttime exceeds 4 liters per minute (lpm)
KVÅKVÅA9276 — Sensor; invasive (e.g., subcutaneous), disposable, for use with non-durable medical equipment interstitial continuous glucose monitoring system, one unit = 1 day supply
KVÅKVÅE0433 — Portable liquid oxygen system, rental; home liquefier used to fill portable liquid oxygen containers, includes portable containers, regulator, flowmeter, humidifier, cannula or mask and tubing, with or without supply reservoir and contents gauge
KVÅKVÅE0491 — Oral device/appliance for neuromuscular electrical stimulation of the tongue muscle, used in conjunction with the power source and control electronics unit, controlled by hardware remote, 90-day supply
KVÅKVÅE0493 — Oral device/appliance for neuromuscular electrical stimulation of the tongue muscle, used in conjunction with the power source and control electronics unit, controlled by phone application, 90-day supply
