Request To Establish A Code For Sodium Tetradecyl Sulfate

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2008 HCPCS REQUEST LIST
Attachment #07.01
Request to establish a code for sodium tetradecyl sulfate injection, trade name:
Sotradecol.
Attachment #07.02
Request to (1) revise code A9516 which currently reads: “Iodine I-123 Sodium Iodide
Capsule(s), Diagnostic, per 100 Microcuries” to read: “Iodine I-123 Sodium Iodide,
Diagnostic, per 100 Microcuries, up to 600 Microcuries”; and (2) to establish a new code for Iodine I-123 sodium iodide. Suggested language: “Iodine I-123 sodium iodide, diagnostic, per millicurie” For use for quantities greater than 600 microcuries (Do not use
AXXXX for quantities equal to or less than 600 microcuries, see A9516)
Attachment #07.03
Request to establish a code for Technetium Tc-99M filtered sulfur colloid. Suggested language: “Technetium Tc-99M filtered sulfur colloid, diagnostic, per study dose”
Attachment #07.04
Request to establish a code for Technetium Tc-99M exametazime autologous labeled white blood cells. Suggested language: “Technetium Tc-99M exametazime labeled autologous white blood cells, diagnostic, per study dose”
Attachment #07.05
Request to either revise code A9547 or to delete code A9547 and establish a code for
Indium In-111 autologous labeled white blood cells. Suggested language: “Indium In111 autologous labeled white blood cells, diagnostic, per study dose”
Attachment #07.06
Request to establish a code for Indium In-111 autologous labeled platelets. Suggested language: “Indium In-111 autologous labeled platelets, diagnostic, per study dose”
Attachment #07.07
Request to establish 2 codes: one for ostomy pliers and one for circular cutting discs, trade names: Stomico Ostomy Pliers and Stomico Cutting Disc.
Attachment #07.08
Request to establish a code for a support pad for the neck and head, trade name:
Flexion/Extension MRI Device.
Attachment #07.09
Request to establish a code for a device for treating Otitis Media with Effusion,
Aerotitis/Barotitis and Eustachian Tube Dysfunction, trade name: EarPopper®.
Attachment #07.10

Request to establish a code for vacuum sealed waterproof cast, bandage, PICC line, orthotic, prosthetic protectors, trade name: XeroSox and Stay Dry Pro Pump. Suggested language: “Vacuum-sealed waterproof body, cast, dressing, bandage, PICC line, orthotics, and prosthetic protector”
Attachment #07.11
Request to establish a permanent code for Hyperbaric oxygen under pressure, full body chamber, per 30 minute interval, currently identified by C1300 Hyperbaric oxygen under pressure, full body chamber, per 30 minute interval.
Attachment #07.12
Request to establish a code for idursulfase, Trade Name: ELAPRASE™.
Attachment #07.13
Request to remove the “Vibrant Soundbridge” reference from the current HCPCS code
V5095 Semi-Implantable Middle Ear Hearing Prosthesis.
Attachment #07.14
Request to establish a code for Maternity support, Brand name: Comfy Cradle Maternity
Support #3090RT (Please note the 3090RT is the same product as the 3090 only in a retail (RT) package).
Attachment #07.15
Request to establish a code for Maternity support, Brand name: Mother-To-Be without insert #0055 Maternity Support #3090RT (Please note the 3090RT is the same product as the 3090 only in a retail (RT) package).
Attachment #07.16
Request to establish a code for a maternity support with thermoplastic insert, Trade
Name: Mother-To-Be with Insert #0050.
Attachment #07.17
Request to establish a code for a maternity support, Trade Name: Loving Comfort
Maternity Support #0230.
Attachment #07.18
Request to establish a code for Maternity support, Brand name: Comfy Cradle Maternity
Support #3090.
Attachment #07.19
Request to establish a code for Maternity support, Brand name: Comfy Cradle Maternity
Support with insert #3091.
Attachment #07.20
Request to add a new HCPCS Level II code to describe the Pump It Up prosthetic socket.

Attachment #07.21
Request to establish a code for a stoma cap/covering, Trade Name: AMpatch.
Attachment #07.22
Request to establish a new code for Ostomy/Urological
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