|
Foam drg > 48 sq in w/o brdr
|
DEVI:HCPCS |
|
|
Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing
|
DEVI:HCPCS |
|
|
Foam drg <=16 sq in w/border
|
DEVI:HCPCS |
|
|
Foam drg >16<=48 sq in w/bdr
|
DEVI:HCPCS |
|
|
Foam dressing, wound cover, sterile, pad size more than 48 sq. in., with any size adhesive border, each dressing
|
DEVI:HCPCS |
|
|
Foam drg > 48 sq in w/border
|
DEVI:HCPCS |
|
|
Non-sterile gauze>16<=48 sq
|
DEVI:HCPCS |
|
|
Gauze >16 <=48 sq in w/bordr
|
DEVI:HCPCS |
|
|
Gauze <=16 in no w/sal w/o b
|
DEVI:HCPCS |
|
|
Gauze, impregnated, water or normal saline, sterile, pad size more than 48 sq. in., without adhesive border, each dressing
|
DEVI:HCPCS |
|
|
Gauze > 48 sq in water/salne
|
DEVI:HCPCS |
|
|
Hydrogel dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing
|
DEVI:HCPCS |
|
|
Hydrogel drg <=16 in w/o bdr
|
DEVI:HCPCS |
|
|
Hydrogel drg >16<=48 w/o bdr
|
DEVI:HCPCS |
|
|
Hydrogel dressing, wound cover, sterile, pad size more than 48 sq. in., without adhesive border, each dressing
|
DEVI:HCPCS |
|
