This section covers a wide variety of medical and surgical supplies, as well as some DME-related supplies and accessories. Medicare generally covers DME-related supplies, accessories, maintenance, and repair under the prosthetic devices provision.
Supra sdrm, per square centimeter (add-on, list separately in addition to primary procedure)
Suprathel, per square centimeter (add-on, list separately in addition to primary procedure)
Innovamatrix fs, per square centimeter (add-on, list separately in addition to primary procedure)
Omeza collagen matrix or omeza complete matrix, per 100 mg
Phoenix wound matrix, per square centimeter (add-on, list separately in addition to primary procedure)
Permeaderm b, per square centimeter (add-on, list separately in addition to primary procedure)
Permeaderm glove, each
Permeaderm c, per square centimeter (add-on, list separately in addition to primary procedure)
Kerecis omega3 marigen shield, per square centimeter (add-on, list separately in addition to primary procedure)
Ac5 advanced wound system (ac5)
Continued
Neomatrix, per square centimeter (add-on, list separately in addition to primary procedure)
Innovaburn or innovamatrix xl, per square centimeter (add-on, list separately in addition to primary procedure)
Innovamatrix pd, 1 mg
Resolve matrix or xenopatch, per square centimeter (add-on, list separately in addition to primary procedure)
Miro3d, per cubic centimeter (add-on, list separately in addition to primary procedure)
Restrata minimatrix, 5 mg
Matriderm, per square centimeter (add-on, list separately in addition to primary procedure)
Micromatrix flex, per mg
Mirotract wound matrix sheet, per cubic centimeter (add-on, list separately in addition to primary procedure)
Miro3d fibers, per milligram
Mirodry wound matrix, per square centimeter (add-on, list separately in addition to primary procedure)
Myriad matrix, per square centimeter (add-on, list separately in addition to primary procedure)
Myriad morcells, 4 milligrams
Foundation drs solo, per square centimeter (add-on, list separately in addition to primary procedure)
Corplex p or theracor p or allacor p, per milligram
Cohealyx collagen dermal matrix, per square centimeter (add-on, list separately in addition to primary procedure)
G4derm plus/suprello, per milliliter
Marigen pacto, per square centimeter (add-on, list separately in addition to primary procedure)
Innovamatrix fd, per square centimeter (add-on, list separately in addition to primary procedure)
Microlyte painguard, per square centimeter
Continued
Foundation drs+ duo, per square centimeter
Foundation drs+ solo, per square centimeter
Biobrane, per square centimeter
Biobrane glove, each
Novashield or novogen wound matrix, per square centimeter
Non-sheet form skin substitute, fda cleared as a device, not otherwise specified (list in addition to primary procedure)
Syringe with needle, sterile, 1 cc or less, each
Syringe with needle, sterile 2 cc, each
Syringe with needle, sterile 3 cc, each
Syringe with needle, sterile 5 cc or greater, each
Needle-free injection device, each
Supplies for self-administered injections
Non-coring needle or stylet with or without catheter
Syringe, sterile, 20 cc or greater, each
Needle, sterile, any size, each
Sterile water, saline and/or dextrose, diluent/flush, 10 ml
Sterile water/saline, 500 ml
Sterile saline or water, metered dose dispenser, 10 ml
Refill kit for implantable infusion pump
Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately)