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Lista de Jurisdicciones 2006

HCPCS DESCRIPTION JURISDICTION
A0021-A0999 Ambulance Services Local Carrier
A4206-A4209 Medical, Surgical, and Self-Administered Injection Supplies Local Carrier if incident to a physician’s service (not separately payable). If other DME REGIONAL Carrier.
A4210 Needle Free Injection Device DME REGIONAL Carrier
A4211 Medical, Surgical, and Self-Administered Injection Supplies Local Carrier if incident to a physician’s service (not separately payable). If other DME REGIONAL Carrier.
A4212 Non Coring Needle or Stylet with or without Catheter Local Carrier
A4213-A4215 Medical, Surgical, and Self-Administered Injection Supplies Local Carrier if incident to a physician’s service (not separately payable). If other DME REGIONAL Carrier.
A4216-A4218 Saline Local Carrier if incident to a physician’s service (not separately payable). If other DME REGIONAL Carrier.
A4220 Refill Kit for Implantable Pump Local Carrier
A4221-A4250 Medical, Surgical, and Self-Administered Injection Supplies Local Carrier if incident to a physician’s service (not separately payable). If other DME REGIONAL Carrier.
A4253-A4259 Diabetic Supplies DME REGIONAL Carrier
A4261 Cervical Cap for Contraceptive Use Local Carrier
A4262-A4263 Lacrimal Duct Implants Local Carrier
A4265 Paraffin Local Carrier if incident to a physician’s service (not separately payable). If other DME REGIONAL Carrier.
A4266-A4269 Contraceptives Local Carrier
A4270 Endoscope Sheath Local Carrier
A4280 Accessory for Breast Prosthesis DME REGIONAL Carrier
A4281-A4286 Accessory for Breast Pump DME REGIONAL Carrier
A4290 Sacral Nerve Stimulation Test Lead Local Carrier
A4300-A4301 Implantable Catheter Local Carrier
A4305-A4306 Disposable Drug Delivery System Local Carrier if incident to a physician’s service (not separately payable). If other DME REGIONAL Carrier.
A4310-A4359 Incontinence Supplies/Urinary Supplies If provided in the physician’s office for a temporary condition, the item is incident to the physician’s service & billed to the Local Carrier. If provided in the physician’s office or other place of service for a permanent condition, the item is a prosthetic device & billed to the DME REGIONAL Carrier.
A4361-A4434 Ostomy Supplies If provided in the physician’s office for a temporary condition, the item is incident to the physician’s service & billed to the Local Carrier. If provided in the physician’s office or other place of service for a permanent condition, the item is a prosthetic device & billed to the DME REGIONAL Carrier.
A4450-A4455 Tape; Adhesive Remover Local Carrier if incident to a physician’s service (not separately payable). If other DME REGIONAL Carrier.
A4458 Enema Bag DME REGIONAL Carrier
A4462 Abdominal Dressing Local Carrier if incident to a physician’s service (not separately payable). If other DME REGIONAL Carrier.
A4465 Non-elastic Binder for Extremity DME REGIONAL Carrier
A4470 Gravlee Jet Washer Local Carrier
A4480 Vabra Aspirator Local Carrier
A4481 Tracheostomy Supply Local Carrier if incident to a physician’s service (not separately payable). If other DME REGIONAL Carrier.
A4483 Moisture Exchanger DME REGIONAL Carrier
A4490-A4510 Surgical Stockings DME REGIONAL Carrier
A4520 Diapers DME REGIONAL Carrier
A4550 Surgical Trays Local Carrier
A4554 Disposable Underpads DME REGIONAL Carrier
A4556-A4558 Electrodes; Lead Wires; Conductive Paste Local Carrier if incident to a physician’s service (not separately payable). If other DME REGIONAL Carrier.
A4561-A4562 Pessary Local Carrier
A4565 Sling Local Carrier
A4570 Splint Local Carrier
A4575 Topical Hyperbaric Oxygen Chamber, Disposable DME REGIONAL Carrier
A4580-A4590 Casting Supplies & Material Local Carrier
A4595 TENS Supplies Local Carrier if incident to a physician’s service (not separately payable). If other DME REGIONAL Carrier.
A4604 Tubing for Positive Airway Pressure Device DME REGIONAL Carrier
A4605 Tracheal Suction Catheter DME REGIONAL Carrier
A4606 Oxygen Probe for Oximeter DME REGIONAL Carrier
A4608 Transtracheal Oxygen Catheter DME REGIONAL Carrier
A4611-A4613 Oxygen Equipment Batteries and Supplies DME REGIONAL Carrier
A4614 Peak Flow Rate Meter Local Carrier if incident to a physician’s service (not separately payable). If other DME REGIONAL Carrier.
A4615-A4629 Oxygen & Tracheostomy Supplies Local Carrier if incident to a physician’s service (not separately payable). If other DME REGIONAL Carrier.
A4630-A4640 DME Supplies DME REGIONAL Carrier
A4641-A4642 Imaging Agent; Contrast Material Local Carrier
A4649 Miscellaneous Surgical Supplies Local Carrier if incident to a physician’s service (not separately payable) or if supply for implanted prosthetic device or implanted DME. If other DME REGIONAL Carrier.
A4651-A4932 Supplies for ESRD DME REGIONAL Carrier
A5051-A5093 Additional Ostomy Supplies If provided in the physician’s office for a temporary condition, the item is incident to the physician’s service & billed to the Local Carrier. If provided in the physician’s office or other place of service for a permanent condition, the item is a prosthetic device & billed to the DME REGIONAL Carrier.
A5102-A5200 Additional Incontinence and Ostomy Supplies If provided in the physician’s office for a temporary condition, the item is incident to the physician’s service & billed to the Local Carrier. If provided in the physician’s office or other place of service for a permanent condition, the item is a prosthetic device & billed to the DME REGIONAL Carrier.
A5500-A5513 Therapeutic Shoes DME REGIONAL Carrier
A6000 Non-Contact Wound Warming Cover DME REGIONAL Carrier
A6010-A6024 Surgical Dressing Local Carrier if incident to a physician’s service (not separately payable) or if supply for implanted prosthetic device or implanted DME. If other DME REGIONAL Carrier.
A6025 Silicone Gel Sheet Local Carrier if incident to a physician’s service (not separately payable) or if supply for implanted prosthetic device or implanted DME. If other DME REGIONAL Carrier.
A6154-A6411 Surgical Dressing Local Carrier if incident to a physician’s service (not separately payable) or if supply for implanted prosthetic device or implanted DME. If other DME REGIONAL Carrier.
A6412 Eye Patch Local Carrier if incident to a physician’s service (not separately payable) or if supply for implanted prosthetic device or implanted DME. If other DME REGIONAL Carrier.
A6441-A6512 Surgical Dressings Local Carrier if incident to a physician’s service (not separately payable) or if supply for implanted prosthetic device or implanted DME. If other DME REGIONAL Carrier.
A6513 Compression Burn Mask DME REGIONAL Carrier
A6530-A6549 Compression Gradient Stockings DME REGIONAL Carrier
A6550 Supplies for Negative Pressure Wound Therapy Electrical Pump DME REGIONAL Carrier
A7000-A7039 Accessories for Nebulizers, Aspirators, and Ventilators DME REGIONAL Carrier
A7040-A7041 Chest Drainage Supplies Local Carrier
A7042-A7043 Pleural Catheter Local Carrier
A7044-A7046 Respiratory Accessories DME REGIONAL Carrier
A7501-A7527 Tracheostomy Supplies DME REGIONAL Carrier
A9150 Non-Prescription Drugs Local Carrier
A9152-A9153 Vitamins Local Carrier
A9180 Lice Infestation Treatment Local Carrier
A9270 Noncovered Items or Services DME REGIONAL Carrier
A9275 Home Glucose Disposable Monitor DME REGIONAL Carrier
A9280 Alarm Device DME REGIONAL Carrier
A9281 Reaching/Grabbing Device DME REGIONAL Carrier
A9282 Wig DME REGIONAL Carrier
A9300 Exercise Equipment DME REGIONAL Carrier
A9500-A9700 Supplies for Radiology Procedures Local Carrier
A9900 Miscellaneous DME Supply or Accessory Local Carrier if used with implanted DME. If other DME REGIONAL Carrier.
A9901 Delivery DME REGIONAL Carrier
A9999 Miscellaneous DME Supply or Accessory Local Carrier if used with implanted DME. If other DME REGIONAL Carrier.
B4034-B9999 Enteral and Parenteral Therapy DME REGIONAL Carrier
D0120-D9999 Dental Procedures Local Carrier
E0100-E0105 Canes DME REGIONAL Carrier
E0110-E0118 Crutches DME REGIONAL Carrier
E0130-E0159 Walkers DME REGIONAL Carrier
E0160-E0175 Commodes DME REGIONAL Carrier
E0180-E0199 Decubitus Care Equipment DME REGIONAL Carrier
E0200-E0239 Heat/Cold Applications DME REGIONAL Carrier
E0249 Pad for Heating Unit DME REGIONAL Carrier
E0250-E0304 Hospital Beds DME REGIONAL Carrier
E0305-E0326 Hospital Bed Accessories DME REGIONAL Carrier
E0350-E0352 Electronic Bowel Irrigation System DME REGIONAL Carrier
E0370 Heel Pad DME REGIONAL Carrier
E0371-E0373 Decubitus Care Equipment DME REGIONAL Carrier
E0424-E0484 Oxygen and Related Respiratory Equipment DME REGIONAL Carrier
E0485-E0486 Oral Device to Reduce Airway Collapsability DME REGIONAL Carrier
E0500 IPPB Machine DME REGIONAL Carrier
E0550-E0585 Compressors/Nebulizers DME REGIONAL Carrier
E0600 Suction Pump DME REGIONAL Carrier
E0601 CPAP Device DME REGIONAL Carrier
E0602-E0604 Breast Pump DME REGIONAL Carrier
E0605 Vaporizer DME REGIONAL Carrier
E0606 Drainage Board DME REGIONAL Carrier
E0607 Home Blood Glucose Monitor DME REGIONAL Carrier
E0610-E0615 Pacemaker Monitor DME REGIONAL Carrier
E0616 Implantable Cardiac Event Recorder Local Carrier
E0617 External Defibrillator DME REGIONAL Carrier
E0618-E0619 Apnea Monitor DME REGIONAL Carrier
E0620 Skin Piercing Device DME REGIONAL Carrier
E0621-E0636 Patient Lifts DME REGIONAL Carrier
E0637-E0642 Standing Devices/Lifts DME REGIONAL Carrier
E0650-E0675 Pneumatic Compressor and Appliances DME REGIONAL Carrier
E0691-E0694 Ultraviolet Light Therapy Systems DME REGIONAL Carrier
E0700 Safety Equipment DME REGIONAL Carrier
E0701 Helmet DME REGIONAL Carrier
E0705 Transfer Board DME REGIONAL Carrier
E0710 Restraints DME REGIONAL Carrier
E0720-E0745 Electrical Nerve Stimulators DME REGIONAL Carrier
E0746 EMG Device Local Carrier
E0747-E0748 Osteogenic Stimulators DME REGIONAL Carrier
E0749 Implantable Osteogenic Stimulator Local Carrier
E0755 Reflex Stimulator DME REGIONAL Carrier
E0760 Ultrasonic Osteogenic Stimulator DME REGIONAL Carrier
E0761 Electromagnetic Treatment Device DME REGIONAL Carrier
E0762 Electrical Joint Stimulation Device DME REGIONAL Carrier
E0764 Functional Neuromuscular Stimulator DME REGIONAL Carrier
E0765 Nerve Stimulator DME REGIONAL Carrier
E0769 Electrical Wound Treatment Device DME REGIONAL Carrier
E0776 IV Pole DME REGIONAL Carrier
E0779-E0780 External Infusion Pumps DME REGIONAL Carrier
E0781 Ambulatory Infusion Pump Billable to both the local carrier and the DME REGIONAL Carrier. This item may be billed the DME REGIONAL Carrier whenever the infusion is initiated in the physician’s office but the patient does not return during the same business day.
E0782-E0783 Infusion Pumps, Implantable Local Carrier
E0784 Infusion Pumps, Insulin DME REGIONAL Carrier
E0785-E0786 Implantable Infusion Pump Catheter Local Carrier
E0791 Parenteral Infusion Pump DME REGIONAL Carrier
E0830 Ambulatory Traction Device DME REGIONAL Carrier
E0840-E0900 Traction Equipment DME REGIONAL Carrier
E0910-E0930 Trapeze/Fracture Frame DME REGIONAL Carrier
E0935 Passive Motion Exercise Device DME REGIONAL Carrier
E0940 Trapeze Equipment DME REGIONAL Carrier
E0941 Traction Equipment DME REGIONAL Carrier
E0942-E0945 Orthopedic Devices DME REGIONAL Carrier
E0946-E0948 Fracture Frame DME REGIONAL Carrier
E0950-E1298 Wheelchairs DME REGIONAL Carrier
E1300-E1310 Whirlpool Equipment DME REGIONAL Carrier
E1340 Repair or Non-routine Service Local Carrier if repair of implanted DME. If other DME REGIONAL Carrier.
E1353-E1392 Additional Oxygen Related Equipment DME REGIONAL Carrier
E1399 Miscellaneous DME Local Carrier if implanted DME. If other DME REGIONAL Carrier.
E1405-E1406 Additional Oxygen Equipment DME REGIONAL Carrier
E1500-E1699 Artificial Kidney Machines and Accessories DME REGIONAL Carrier
E1700-E1702 TMJ Device and Supplies DME REGIONAL Carrier
E1800-E1841 Dynamic Flexion Devices DME REGIONAL Carrier
E1902 Communication Board DME REGIONAL Carrier
E2000 Gastric Suction Pump DME REGIONAL Carrier
E2100-E2101 Blood Glucose Monitors with Special Features DME REGIONAL Carrier
E2120 Pulse Generator for Tympanic Treatment of Inner Ear DME REGIONAL Carrier
E2201-E2399 Wheelchair Accessories DME REGIONAL Carrier
E2402 Negative Pressure Wound Therapy Pump DME REGIONAL Carrier
E2500-E2599 Speech Generating Device DME REGIONAL Carrier
E2601-E2621 Wheelchair Cushions DME REGIONAL Carrier
E8000-E8002 Gate Trainers DME REGIONAL Carrier
G0008-G9130 Misc. Professional Services Local Carrier
J0120-J3570 Injection Local Carrier if incident to a physician’s service or used in an implanted infusion pump. If other DME REGIONAL Carrier.
J3590 Unclassified Biologics Local Carrier
J7030-J7130 Miscellaneous Drugs and Solutions Local Carrier if incident to a physician’s service or used in an implanted infusion pump. If other DME REGIONAL Carrier.
J7188-J7195 Antihemophilic Factor Local Carrier
J7197 Antithrombin III Local Carrier
J7198 Anti-inhibitor; per I.U. Local Carrier
J7199 Other Hemophilia Clotting Factors Local Carrier
J7300-J7306 Intrauterine Copper Contraceptive Local Carrier
J7308 Aminolevulinic Acid HCL Local Carrier
J7310 Ganciclovir Local Carrier if incident to a physician’s service or used in an implanted infusion pump. If other DME REGIONAL Carrier.
J7317-J7320 Injection Local Carrier
J7330 Autologous Cultured Chondrocytes Local Implant Carrier
J7340-J7350 Dermal and Epidermal – Tissue of Human Origin Local Carriers
J7500-J7599 Immunosuppressive Drugs Local Carrier if incident to a physician’s service or used in an implanted infusion pump. If other DME REGIONAL Carrier.
J7608-J7699 Inhalation Solutions Local Carrier if incident to a physician’s service. If other DME REGIONAL Carrier.
J7799 NOC, Other than Inhalation Drugs through DME Local carrier if incident to a physician’s service. If other DME REGIONAL Carrier.
J8498 Anti-emetic Drug DME REGIONAL Carrier
J8499 Prescription Drug, Oral, Non Chemotherapeutic Local carrier if incident to a physician’s service. If other DME REGIONAL Carrier.
J8501-J8999 Oral Anti-Cancer Drugs DME REGIONAL Carrier
J9000-J9999 Chemotherapy Drugs Local Carrier if incident to a physician’s service or used in an implanted infusion pump. If other DME REGIONAL Carrier.
K0001-K0108 Wheelchairs DME REGIONAL Carrier
K0195 Elevating Leg Rests DME REGIONAL Carrier
K0455 Infusion Pump used for Uninterrupted Administration of Epoprostenal DME REGIONAL Carrier
K0462 Loaner Equipment DME REGIONAL Carrier
K0552 External Infusion Pump Supplies DME REGIONAL Carrier
K0601-K0605 External Infusion Pump Batteries DME REGIONAL Carrier
K0606-K0609 Defibrilator Accessories DME REGIONAL Carrier
K0669 Wheelchair Cushion DME REGIONAL Carrier
K0730 Inhalation Drug Delivery System DME REGIONAL Carrier
L0100-L2090 Orthotics DME REGIONAL Carrier
L2106-L2116 Orthotics DME REGIONAL Carrier
L2126-L4398 Orthotics DME REGIONAL Carrier
L5000-L5999 Lower Limb Prosthetics DME REGIONAL Carrier
L6000-L7499 Upper Limb Prosthetics DME REGIONAL Carrier
L7500-L7520 Repair of Prosthetic Device Local Carrier if repair of implanted prosthetic device. If other DME REGIONAL Carrier.
L7600 Prosthetic Donning Sleeve DME REGIONAL Carrier
L7900 Vacuum Erection System DME REGIONAL Carrier
L8000-L8485 Prosthetics DME REGIONAL Carrier
L8499 Unlisted Procedure for Miscellaneous Prosthetic Services Local Carrier if implanted prosthetic device. If other DME REGIONAL Carrier.
L8500-L8501 Artificial Larynx; Tracheostomy Speaking Valve DME REGIONAL Carrier
L8505 Artificial Larynx Accessory DME REGIONAL Carrier
L8507-L8515 Voice Prosthesis DME REGIONAL Carrier
L8600-L8699 Prosthetic Implants Local Carrier
L9900 Miscellaneous Orthotic or Prosthetic Component or Accessory Local Carrier if used with implanted prosthetic device. If other DME REGIONAL Carrier.
M0064-M0301 Medical Services Local Carrier
P2028-P9615 Laboratory Tests Local Carrier
Q0035 Influenza Vaccine; Cardio-kymography Local Carrier
Q0081 Infusion Therapy Local Carrier if incident to a physician’s service or used in an implanted infusion pump. If other DME REGIONAL Carrier.
Q0083-Q0085 Chemotherapy Administration Local Carrier if incident to a physician’s service or used in an implanted infusion pump. If other DME REGIONAL Carrier.
Q0091 Smear Preparation Local Carrier
Q0092 Portable X-ray Setup Local Carrier
Q0111-Q0115 Miscellaneous Lab Services Local Carrier
Q0144 Azithromycin dihydrate Local Carrier if incident to a physician’s service. If other DME REGIONAL Carrier.
Q0163-Q0181 Anti-emetic DME REGIONAL Carrier
Q0480-Q0505 Ventricular Assist Devices Local Carrier
Q0510-Q0514 Drug Dispensing Fees DME REGIONAL Carrier
Q0515 Sermorelin Acetate Local Carrier
Q1003-Q1005 New Technology IOL Local Carrier
Q2004 Irregation Solution Local Carrier
Q2009 Fosphenytoin Local Carrier
Q2017 Teniposide Local Carrier
Q3001 Radio Elements for Brachytherapy Local Carrier
Q3014 Telehealth Originating Site Facility Fee Local Carrier
Q3019-Q3020 ALS Transport Local Carrier
Q3025-Q3026 Vaccines Local Carrier
Q3031 Collagen Skin Test Local Carrier
Q4001-Q4051 Splints and Casts Local Carrier
Q4079 Natalizumab Local Carrier
Q4080 Inhalation Drug Local Carrier if incident to a physician’s service. If other DME REGIONAL Carrier.
Q9945-Q9954 Imaging Agents Local Carrier
Q9955-Q9957 Microspheres Local Carrier
Q9958-Q9964 Imaging Agents Local Carrier
R0070-R0076 Diagnostic Radiology Services Local Carrier
V2020-V2025 Frames DME REGIONAL Carrier
V2100-V2513 Lenses DME REGIONAL Carrier
V2520-V2523 Hydrophilic Contact Lenses Local Carrier if incident to a physician’s service. If other DME REGIONAL Carrier.
V2530-V2531 Contact Lenses, Scleral DME REGIONAL Carrier
V2599 Contact Lens, Other Type Local Carrier if incident to a physician’s service. If other DME REGIONAL Carrier.
V2600-V2615 Low Vision Aids DME REGIONAL Carrier
V2623-V2629 Prosthetic Eyes DME REGIONAL Carrier
V2630-V2632 Intraocular Lenses Local Carrier
V2700-V2780 Miscellaneous Vision Service DME REGIONAL Carrier
V2781 Progressive Lens DME REGIONAL Carrier
V2782-V2784 Lenses DME REGIONAL Carrier
V2785 Processing—Corneal Tissue Local Carrier
V2786 Lense DME REGIONAL Carrier
V2788 Intraocular Lenses Local Carrier
V2790 Amniotic Membrane Local Carrier
V2797 Vision Supply DME REGIONAL Carrier
V2799 Miscellaneous Vision Service DME REGIONAL Carrier
V5008-V5299 Hearing Services Local Carrier
V5336 Repair/Modification of Augmentative Communicative System or Device DME REGIONAL Carrier
V5362-V5364 Speech Screening Local Carrier

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