Item Brochure
9
INDEX
10000 Sterile Water Bottles - (8) Six Packs A9999 4
10062 Suction Catheter Trays with Sterile Water 6 Fr A4624, A4216, A4930 4
10082 Suction Catheter Trays with Sterile Water 8 Fr A4624, A4216, A4930 4
10102 Suction Catheter Trays with Sterile Water 10 Fr A4624, A4216, A4930 4
10122 Suction Catheter Trays with Sterile Water 12 Fr A4624, A4216, A4930 4
10142 Suction Catheter Trays with Sterile Water 14 Fr A4624, A4216, A4930 4
10182 Suction Catheter Trays with Sterile Water 18 Fr A4624, A4216, A4930 4
1020 Sterile Saline Bottles - (8) Six Packs A9999 4
1022 Sterile Saline Bottles - Bulk A9999 4
1024 Sterile Water Bottles - Bulk A9999 4
12062 Suction Catheter Trays with Sterile Saline 6 Fr A4624, A4930, A4216 4
12082 Suction Catheter Traays with Sterile Saline 8 Fr A4624, A4930, A4216 4
12102 Suction Catheter Trays with Sterile Saline 10 Fr A4624, A4930, A4216 4
12142 Suction Catheter Trays with Sterile Saline 14 Fr A4624, A4930, A4216 4
12153 Suction Catheter Trays with Sterile Saline 14 Fr A4624, A4930, A4216 4
12182 Suction Catheter Trays with Sterile Saline 18 Fr A4624, A4930, A4216 4
12191 Suction Catheter Trays, Sterile Water 14 Fr with drape A4624, A4216, A4930 4
140980 Directional Suction Catheter Mini-Tray 10 Fr A4624 3
140981 Directional Suction Catheter Mini-Tray 12 Fr A4624 3
140982 Directional Suction Catheter Mini-Tray 14 Fr A4624 3
140983 Directional Suction Catheter Mini-Tray 16 Fr A4624 3
140988 Directional Suction on Catheter Mini-Tray 8 Fr A4624 3
141900 Sterile Straight Packed Suction Catheters, Directional Valve 10 Fr A4624 2
141901 Sterile Straight Packed Suction Catheters, Directional Valve 12 Fr A4624 2
141902 Sterile Straight Packed Suction Catheters, Directional Valve 14 Fr A4624 2
141903 Sterile Straight Packed Suction Catheters, Directional Valve 16 Fr A4624 2
141904 Sterile Straight Packed Suction Catheters, Directional Valve 18 Fr A4624 2
141906 Sterile Straight Packed Suction Catheters, Directional Valve 6 Fr A4624 2
141908 Sterile Straight Packed Suction Catheters, Directional Valve 8 Fr A4624 2
15000 Specimen Collection 6
30500 Sterile Straight Packed Suction Catheters, Chimney Valve 5 Fr A4624 2
30520 Sterile Single Coil Packed Suction Catheters, Chimney Valve 5 Fr A4624 2
30579 Suction Catheter Mini Soft Kits without Solution 5 Fr A4624, A4930 3
30620 Sterile Single Coil Packed Suction Catheters, Chimney Valve 6 Fr A4624 2
30677 Suction Catheter Mini Soft Kits without Solution 6 Fr A4624, A4930 3
30688 Sterile Straight Packed Suction Catheters, Chimney Valve 6 Fr A4624 2
30820 Sterile Single Coil Packed Suction Catheters, Chimney Valve 8 Fr A4624 2
30877 Suction Catheter Mini Soft Kits without Solution 8 Fr A4624, A4930 3
30888 Sterile Straight Packed Suction Catheters, Chimney Valve 8 Fr A4624 2
31000 Sterile Straight Packed Suction Catheters, Chimney Valve 10 Fr A4624 2
31020 Sterile Single Coil Packed Suction Catheters, Chimney Valve 10 Fr A4624 2
31044 Sterile Straight Packed Suction Catheters, Chimney Valve 10 Fr A4624 2
31077 Suction Catheter Mini Soft Kits without Solution 10 Fr A4624, A4930 3
31079 Suction Catheter Mini Soft Kits without Solution 10 Fr A4624, A4930 3
31200 Sterile Straight Packed Suction Catheters, Chimney Valve 12 Fr A4624 2
31220 Sterile Single Coil Packed Suction Catheters, Chimney Valve 12 Fr A4624 2
31244 Sterile Straight Packed Suction Catheters, Chimney Valve A4624 2
31279 Suction Catheter Mini Soft Kits without Solution 12 Fr A4624, A4930 3
31400 Sterile Straight Packed Suction Catheters, Chimney Valve 14 Fr A4624 2
31420 Sterile Single Coil Packed Suction Catheters, Chimney Valve 14 Fr A4624 2
CODE PRODUCT HCPCS CODES PAGE
1-800-962-9888
31444 Sterile Straight Packed Suction Catheters, Chimney Valve 14 Fr A4624 2
31445 Sterile Straight Packed Suction Catheters, Chimney Valve 14 Fr A4624 2
31479 Suction Catheter Mini Soft Kits without Solution 14 Fr A4624, A4930 3
31600 Sterile Straight Packed Suction Catheters, Chimney Valve 16 Fr A4624 2
31620 Sterile Single Coil Packed Suction Catheters, Chimney Valve 16 Fr A4624 2
31644 Sterile Straight Packed Suction Catheters, Chimney Valve 16 Fr A4624 2
31679 Suction Catheter Mini Soft Kits without Solution 16 Fr A4624, A4930 3
31800 Sterile Straight Packed Suction Catheters, Chimney Valve 18 Fr A4624 2
31820 Sterile Single Coil Packed Suction Catheters, Chimney Valve 18 Fr A4624 2
31879 Suction Catheter Mini Soft Kits without Solution 18 Fr A4624, A4930 3
33000 Sterile Coil Packed Suction Catheters, Straight Connector 10 Fr A4624 2
33400 Sterile Coil Packed Suction Catheters, Straight Connector 14 Fr A4624 2
33425 Sterile Straight Packed Suction Catheters, Straight Connector 14 Fr A4624 2
33800 Sterile Coil Packed Suction Catheters, Straight Connector 18 Fr A4624 2
36524 Argyle Suction Catheter Tray with Chimney Valve 5 Fr A4624 3
36626 Argyle Suction Catheter Tray with Chimney Valve 6 Fr A4624 3
36826 Argyle Suction Catheter Tray with Chimney Valve 8 Fr A4624 3
37024 Argyle Suction Catheter Tray with Chimney Valve 10 Fr A4624 3
37224 Argyle Suction Catheter Tray with Chimney Valve12 Fr A4624 3
37424 Argyle Suction Catheter Tray with Chimney Valve 14 Fr A4624 3
37524 Argyle Suction Catheter Tray with Chimney Valve 16 Fr A4624 3
37724 Argyle Suction Catheter Tray with Chimney Valve 18 Fr A4624 3
42201 Tracheostomy Care Tray A4629 7
47800 Tracheostomy Care Tray A4629 7
47802 Tracheostomy Care Tray A4629 7
47815 Tracheostomy Care Tray A4629, A4624 7
47835 Tracheostomy Care Tray A4629 7
47850 Tracheostomy Care Tray 7
47885 Tracheostomy Care Tray A4629 7
47890 Economy Trach Care Kit A9270 7
47891 Tracheostomy Care Tray A9270 7
47892 Soft Pack Trach Care Kit A9270 7
49000 Tracheostomy Tube Holder A4999 7
8884724500 Argyle Specimen Traps A9999 6
8884724504 Argyle Specimen Traps A9999 6
8886864304 LUKI Disposable Aspirating Tube 6
8886864604 LUKI Disposable Aspirating Tube 6
8888257360 Argyle DeLee Mucus Traps with Vacuum Breaker A9270 5
8888257378 Argyle DeLee Mucus Traps with Vacuum Breaker A9270 5
8888257386 Argyle DeLee Mucus Traps with Vacuum Breaker A9270 5
8888257469 Argyle DeLee Mucus Traps with Vacuum Breaker and Filter A9270 5
8888257477 Argyle DeLee Mucus Traps with Vacuum Breaker and Filter A9270 5
8888257485 Argyle DeLee Mucus Traps with Vacuum Breaker and Filter A9270 5
8888257527 Argyle DeLee Suction Catheters with Mucus Trap A9270 5
8888257535 Argyle DeLee Suction Catheters with Mucus Trap A9270 5
8888257550 Argyle DeLee Suction Catheters with Mucus Trap A9270 5
8888258608 Argyle Lukens Specimen Container A9270 6
DISCLAIMER: The Centers for Medicare and Medicaid Services was the primary source of any HCPCS information contained in this document. Covidien does not represent or guarantee that any HCPCS information contained in this document is complete,
accurate, or applicable to any particular patient or third-party payer and disclaims all liability for any consequence resulting from any reliance on such information. The final billing-related decisions for any product must be made by the health care provider
considering the medical necessity of the product furnished as well as the requirements of third-party payers and any local, state, or federal laws and regulations that apply to the product furnished. Covidien is providing this information in an educational
capacity with the understanding that Covidien is not engaged in rendering legal, accounting, or other professional services. Covidien encourages all health care providers to consult with their own advisors regarding coding and payment.
CODE PRODUCT HCPCS CODES PAGE