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Sleeve for intermittent limb compression device, replacement only, each

HCPCS code

Medical Policies and Guidelines for Sleeve for intermittent limb compression device, replacement only, each

Related policies from health plans

Pneumatic Compression Devices for Prevention of Deep Vein Thrombosis of the
Pneumatic Compression Pumps (CG049)
CG-DME-46 Pneumatic Compression Devices for Prevention of Deep Vein Thrombosis of the Extremities in the Home Setting

Similar Codes


ICD10CM codes

T84.120A - Displacement of internal fixation device of right humerus, initial encounter
Z44.022 - Encounter for fitting and adjustment of partial artificial left arm
Z44.021 - Encounter for fitting and adjustment of partial artificial right arm
Z44.029 - Encounter for fitting and adjustment of partial artificial arm, unspecified arm
T84.129A - Displacement of internal fixation device of unspecified bone of limb, initial encounter
Z44.02 - Encounter for fitting and adjustment of partial artificial arm
T84.120D - Displacement of internal fixation device of right humerus, subsequent encounter
T84.119A - Breakdown (mechanical) of internal fixation device of unspecified bone of limb, initial encounter
Z44.019 - Encounter for fitting and adjustment of complete artificial arm, unspecified arm
Z44.00 - Encounter for fitting and adjustment of unspecified artificial arm

HCPCS codes

A4600 - Sleeve for intermittent limb compression device, replacement only, each
E0676 - Intermittent limb compression device (includes all accessories), not otherwise specified
L6632 - Upper extremity addition, latex suspension sleeve, each
L7600 - Prosthetic donning sleeve, any material, each
A4397 - Irrigation supply; sleeve, each
L8415 - Prosthetic sheath, upper limb, each
K0019 - Arm pad, replacement only, each
A4356 - External urethral clamp or compression device (not to be used for catheter clamp), each
A4363 - Ostomy clamp, any type, replacement only, each
A6545 - Gradient compression wrap, non-elastic, below knee, 30-50 mm hg, each

CPT4 codes

29583 - Application of multi-layer compression system; upper arm and forearm
29584 - Application of multi-layer compression system; upper arm, forearm, hand, and fingers
36578 - Replacement, catheter only, of central venous access device, with subcutaneous port or pump, central
33240 - Insertion of implantable defibrillator pulse generator only; with existing single lead
36585 - Replacement, complete, of a peripherally inserted central venous access device, with subcutaneous po
29582 - Application of multi-layer compression system; thigh and leg, including ankle and foot, when perform
26020 - Drainage of tendon sheath, digit and/or palm, each
33211 - Insertion or replacement of temporary transvenous dual chamber pacing electrodes (separate procedure
33231 - Insertion of implantable defibrillator pulse generator only; with existing multiple leads
33230 - Insertion of implantable defibrillator pulse generator only; with existing dual leads