| 2005 October Update Durable Medical Equipment, Prosthetic, Orthotics, and Supplies | ||||||||
| Effective January 1, 2005 | ||||||||
| Proc | Mod | Amount | Proc | Mod | Amount | Proc | Mod | Amount |
| A4561 | $ 18.63 | A6243 | $ 12.31 | K0731 | $ 50.93 | |||
| A4562 | $ 46.38 | A6244 | $ 39.28 | K0732* | $ 126.96 | |||
| A6010 | $ 30.96 | A6245 | $ 7.27 | L8600 | $ 545.82 | |||
| A6011 | $ 2.28 | A6246 | $ 9.92 | L8603 | $ 351.66 | |||
| A6021 | $ 21.02 | A6247 | $ 23.78 | L8606 | $ 182.61 | |||
| A6022 | $ 21.02 | A6248 | $ 16.24 | L8610 | $ 469.40 | |||
| A6023 | $ 190.30 | A6251 | $ 1.99 | L8612 | $ 638.02 | |||
| A6024 | $ 6.19 | A6252 | $ 3.25 | L8613 | $ 236.84 | |||
| A6154 | $ 14.36 | A6253 | $ 6.34 | L8614 | $ 15,819.35 | |||
| A6196 | $ 7.35 | A6254 | $ 1.21 | L8615 | $ 355.07 | |||
| A6197 | $ 16.44 | A6255 | $ 3.03 | L8616 | $ 82.70 | |||
| A6199 | $ 5.29 | A6257 | $ 1.53 | L8617 | $ 72.23 | |||
| A6200 | $ 9.50 | A6258 | $ 4.30 | L8618 | $ 20.64 | |||
| A6201 | $ 20.80 | A6259 | $ 10.94 | L8619 | $ 6,791.15 | |||
| A6202 | $ 34.88 | A6266 | $ 1.92 | L8620** | $ 109.98 | |||
| A6203 | $ 3.35 | A6402 | $ 0.12 | L8621 | $ 0.49 | |||
| A6204 | $ 6.23 | A6403 | $ 0.43 | L8622 | $ 0.26 | |||
| A6207 | $ 7.34 | A6407 | $ 1.88 | L8630 | $ 270.19 | |||
| A6209 | $ 7.48 | A6410 | $ 0.39 | L8631 | $ 1,794.63 | |||
| A6210 | $ 19.92 | A7040 | $ 36.86 | L8641 | $ 283.93 | |||
| A6211 | $ 29.37 | A7041 | $ 69.26 | L8642 | $ 277.80 | |||
| A6212 | $ 9.70 | A7042 | $ 163.54 | L8658 | $ 244.76 | |||
| A6214 | $ 10.29 | A7043 | $ 23.18 | L8659 | $ 1,519.23 | |||
| A6216 | $ 0.05 | E0749 | RR KF | $ 270.14 | L8670 | $ 446.41 | ||
| A6219 | $ 0.95 | E0752 | $ 379.73 | Q0480*** | $ 70,907.06 | |||
| A6220 | $ 2.58 | E0754 | $ 865.16 | Q0481*** | $ 11,440.02 | |||
| A6222 | $ 2.13 | E0756 | $ 6,897.84 | Q0482*** | $ 3,583.23 | |||
| A6223 | $ 2.42 | E0757 | $ 4,928.36 | Q0483*** | $ 14,761.30 | |||
| A6224 | $ 3.61 | E0758 | $ 4,338.09 | Q0484*** | $ 2,866.60 | |||
| A6229 | $ 3.61 | E0759 | $ 631.64 | Q0485*** | $ 276.77 | |||
| A6231 | $ 4.68 | E0781 | RR | $ 264.87 | Q0486*** | $ 230.35 | ||
| A6232 | $ 6.88 | E0782 | NU KF | $ 4,078.58 | Q0487*** | $ 268.74 | ||
| A6233 | $ 19.19 | E0782 | RR KF | $ 407.87 | Q0489*** | $ 12,797.26 | ||
| A6234 | $ 6.54 | E0782 | UE KF | $ 3,058.94 | Q0490*** | $ 553.54 | ||
| A6235 | $ 16.82 | E0783 | NU KF | $ 7,777.24 | Q0491*** | $ 870.24 | ||
| A6236 | $ 27.25 | E0783 | RR KF | $ 777.74 | Q0492*** | $ 70.11 | ||
| A6237 | $ 7.91 | E0783 | UE KF | $ 5,832.94 | Q0493*** | $ 199.64 | ||
| A6238 | $ 22.79 | E0785 | KF | $ 448.86 | Q0494*** | $ 168.93 | ||
| A6240 | $ 12.24 | E0786 | NU KF | $ 7,312.42 | Q0495*** | $ 3,288.56 | ||
| A6241 | $ 2.57 | E0786 | RR KF | $ 731.24 | Q0496*** | $ 1,180.32 | ||
| A6242 | $ 6.07 | E0786 | UE KF | $ 5,484.33 | Q0497*** | $ 368.56 | ||
| Q0498 | $ 404.39 | Q0501 | $ 402.07 | Q0503*** | $ 1,023.78 | |||
| Q0499 | $ 131.39 | Q0502 | $ 511.88 | Q0504*** | $ 540.23 | |||
| Q0500 | $ 24.04 | |||||||
| *Code is Effective July 1, 2005 | 9/29/2005 | |||||||
| **Code is Effective January 1, 2005-June 30, 2005 | ||||||||
| ***Code is Effective October 1, 2005 | ||||||||