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Item Category Code Item No Description Packaging Verified HCPCS

Gauze Dressings 6208 Sterile, Gauze Sponge, 2" x 2", 8-ply 2/pk, 50pk/bx, 30 bx/cs A6402Code

6312 Sterile, Gauze Sponge, 3" x 3", 12-ply 2/pk, 50pk/bx, 24 bx/cs A6402

6408 Sterile, Gauze Sponge, 4" x 4", 8-ply 2/pk, 50pk/bx, 12 bx/cs A6402

6412 Sterile, Gauze Sponge, 4" x 4", 12-ply 2/pk, 25pk/bx, 24 bx/cs A6402

6842 Sterile, Gauze Sponge, 8" x 4", 12-ply 2/pk, 25pk/bx, 20 bx/cs A6403

8500 Sterile, Basic Care Gauze Sponge, 2" x 2", 8-ply 2/pk, 50pk/bx, 30 bx/cs A6402 8501 Sterile, Basic Care Gauze Sponge, 3" x 3", 12-ply 2/pk, 50pk/bx, 24 bx/cs A6402 8502 Sterile, Basic Care Gauze Sponge, 4" x 4", 8-ply 2/pk, 50pk/bx, 12 bx/cs A6402 8503 Sterile, Basic Care Gauze Sponge, 4" x 4", 12-ply 2/pk, 25pk/bx, 24 bx/cs A6402

2085 Non-Sterile, Gauze Sponge, 2" x 2", 8-ply 200/bg, 25 bg/cs A6216

2128 Non-Sterile, Gauze Sponge, 2" x 2", 12-ply 200/bg, 40 bg/cs A6216

3084 Non-Sterile, Gauze Sponge, 3" x 3", 8-ply 200/bg, 20 bg/cs A6216

3124 Non-Sterile, Gauze Sponge, 3" x 3", 12-ply 200/bg, 20 bg/cs A6216

4084 Non-Sterile, Gauze Sponge, 4" x 4", 8-ply 200/bg, 20 bg/cs A6216

4122 Non-Sterile, Gauze Sponge, 4" x 4", 12-ply 200/bg, 10 bg/cs A6216

4162 Non-Sterile, Gauze Sponge, 4" x 4", 16-ply 200/bg, 10 bg/cs A6216

8412 Non-Sterile, Gauze Sponge, 8" x 4", 12-ply 200/bg, 10 bg/cs A6217

8505 Non-Sterile, Basic Care Gauze Sponge, 2" x 2", 8-ply 200/bg, 25 bg/cs A6216

8506 Non-Sterile, Basic Care Gauze Sponge, 2" x 2", 12-ply 200/bg, 40 bg/cs A6216

8507 Non-Sterile, Basic Care Gauze Sponge, 3" x 3", 8-ply 200/bg, 20 bg/cs A6216

8508 Non-Sterile, Basic Care Gauze Sponge, 3" x 3", 12-ply 200/bg, 20 bg/cs A6216

8509 Non-Sterile, Basic Care Gauze Sponge, 4" x 4", 8-ply 200/bg, 20 bg/cs A6216

8510 Non-Sterile, Basic Care Gauze Sponge, 4" x 4", 12-ply 200/bg, 10 bg/cs A6216

2128-100 Non-Sterile, Gauze Sponge, 2" x 2", 12-ply 100/bg, 80 bg/cs A6216

3124-100 Non-Sterile, Gauze Sponge, 3" x 3", 12-ply 100/bg, 40 bg/cs A6216

4122-100 Non-Sterile, Gauze Sponge, 4" x 4", 12-ply 100/bg, 20 bg/cs A6216

1212 Sterile, Gauze Pad, 2" x 2", 12-ply 1/pk, 100pk/bx, 24 bx/cs A6402

1312 Sterile, Gauze Pad, 3" x 3", 12-ply 1/pk, 100pk/bx, 24 bx/cs A6402

1412 Sterile, Gauze Pad, 4" x 4", 12-ply 1/pk, 100pk/bx, 12 bx/cs A6402

1212-10 Sterile, Gauze Pad, 2" x 2", 12-ply 10/bx, 60 bx/cs A6402

1212-25 Sterile, Gauze Pad, 2" x 2", 12-ply 25/bx, 24 bx/cs A6402

1212-36B Sterile, Gauze Pad, 2" x 2", 12-ply 1/pk, 3600 pks/cs A6402

1312-36B Sterile, Gauze Pad, 3" x 3", 12-ply 1/pk, 3600 pks/cs A6402

1313-10 Sterile, Gauze Pad, 3" x 3", 12-ply 10/bx, 60 bx/cs A6402

1313-25 Sterile, Gauze Pad, 3" x 3", 12-ply 25/bx, 24 bx/cs A6402

1412-18B Sterile, Gauze Pad, 4" x 4", 12-ply 1/pk, 1800 pks/cs A6402

1414-10 Sterile, Gauze Pad, 4" x 4", 12-ply 10/bx, 60 bx/cs A6402

1414-25 Sterile, Gauze Pad, 4" x 4", 12-ply 25/bx, 24 bx/cs A6402

408-10 Sterile, Type VII Tray Gauze, 4" x 4", 8-ply 10/ty, 128 ty/cs A6402

412-10 Sterile, Type VII Tray Gauze, 4" x 4", 12-ply 10/ty, 128 ty/cs A6402

(2)

416-10 Sterile, Type VII Tray Gauze, 4" x 4", 16-ply 10/ty, 128 ty/cs A6402

421-10 Sterile, Type VII Tray Gauze, 8" x 4", 12-ply 10/ty, 80 ty/cs A6403

432-2X Sterile, Gauze, X-Ray Detectable, 4" x 4", 32-ply 10/ty, 30 ty/cs A6402

416-2X Sterile, Gauze, X-Ray Detectable, 4" x 4", 16-ply 10/ty, 128 ty/cs A6402

482-2X Sterile, Gauze, X-Ray Detectable, 8" x 4", 12-ply 10/ty, 48 ty/cs A6403

488-2X Sterile, Gauze, X-Ray Detectable, 8" x 4", 24-ply 10/ty, 48 ty/cs A6403

4412-2X Non-Sterile, Gauze, X-Ray Det., 4" x 4", 12-ply, 10's 100/bg, 20 bg/cs A6216 4416-2X Non-Sterile, Gauze, X-Ray Det., 4" x 4", 16-ply, 10's 100/bg, 20 bg/cs A6216 4432-2X Non-Sterile, Gauze, X-Ray Detectable, 4" x 4", 32-ply 50/pk, 20 pk/cs A6216 4812-2X Non-Sterile, Gauze, X-Ray Detectable, 8" x 4", 12-ply 100/pk, 20 pk/cs A6217 4824-2X Non-Sterile, Gauze, X-Ray Detectable, 8" x 4", 24-ply 50/bg, 20 bg/cs A6217

5228 Sterile, Cotton Filled, 2" x 2", 8-ply 2/pk, 50 pk/bx, 24 bx/cs A6402

2280 Non-Sterile, Cotton Filled, 2" x 2", 8-ply 200/bg, 25 bg/cs A6216

2283 Sterile, Exodontia Sponge, 2"x2" 200/pk, 25 pk/cs A6402

2334 Non-Sterile, Super Sponge, Medium 100/bg, 6 bg/cs A6216

2463 Sterile, Super Sponge, Medium 2/pk, 20 pk/ty, 12 ty/cs A6402

2487 Sterile, Super Sponge, Medium 5/ty, 120 ty/cs A6402

2495 Sterile, Super Sponge, Medium 10/pk, 48 pk/cs A6402

1060 Sterile, Burn Gauze Pad, 4" x 8", 128-ply 2/pk, 50pks/cs A6403

C5119 Type VII Gauze, Sterile, 2" x 2", 8-ply 2/pk, 50pk/bx, 30bx/cs A6402

C5129 Type VII Gauze, Sterile, 3" x 3", 12-ply 2/pk, 50pk/bx, 24bx/cs A6402

C5139 Type VII Gauze, Sterile, 4" x 4", 12-ply 2/pk, 25pk/bx, 24bx/cs A6402

C517 Type VII Gauze, Sterile, 8" x 4", 12-ply 2/pk, 25pk/bx, 20bx/cs A6403

C5189 Type VII Gauze, Sterile, 4" x 4", 8-ply 2/pk, 50pk/bx, 12bx/cs A6402

C82082 Type VII Gauze, Non-Sterile, 2" x 2", 8-ply 200/bg, 25bg/cs A6216

C82122 Type VII Gauze, Non-Sterile, 2" x 2", 12-ply 200/bg, 40bg/cs A6216

C83082 Type VII Gauze, Non-Sterile, 3" x 3", 12-ply 200/bg, 20bg/cs A6216

C83083 Type VII Gauze, Non-Sterile, 3" x 3", 8-ply 200/bg, 20bg/cs A6216

C84088 Type VII Gauze, Non-Sterile, 4" x 4", 8-ply 200/bg, 20bg/cs A6216

C84124 Type VII Gauze, Non-Sterile, 4" x 4", 12-ply 200/bg, 10bg/cs A6216

C84166 Type VII Gauze, Non-Sterile, 4" x 4", 16-ply 200/bg, 10bg/cs A6216

Non-Woven Dressings 7224 Sterile, Non-Woven Sponge, 2" x 2", 4-ply 2/pk, 50 pk/bx, 30 bx/cs A6402

7334 Sterile, Non-Woven Sponge, 3" x 3", 4-ply 2/pk, 40 pk/bx, 30 bx/cs A6402

7444 Sterile, Non-Woven Sponge, 4" x 4", 4-ply 2/pk, 50 pk/bx, 12 bx/cs A6402

7454SP Sterile, Non-Woven Sponge, 4" x 4", 4-ply 5/pk, 20pk/bx, 8 bx/cs A6402

2102 Non-Sterile, Non-Woven Sponge, 2" x 2", 4-ply 200/bg, 20 bg/cs A6216

2103 Non-Sterile, Non-Woven Sponge, 3" x 3", 4-ply 200/bg, 20 bg/cs A6216

2104 Non-Sterile, Non-Woven Sponge, 4" x 4", 4-ply 200/bg, 10 bg/cs A6216

7224P Sterile, Premium Sponge, 2" x 2", 4-ply 2/pk, 50 pk/bx, 30 bx/cs A6402

7334P Sterile, Premium Sponge, 3" x 3", 4-ply 2/pk, 40 pk/bx, 30 bx/cs A6402

7444P Sterile, Premium Sponge, 4" x 4", 4-ply 2/pk, 50 pk/bx, 12 bx/cs A6402

6122 Sterile, New Sponge, 2" x 2", 4-ply 2/pk, 25pk/bx, 60 bx/cs A6402

6123 Sterile, New Sponge, 3" x 3", 4-ply 2/pk, 25pk/bx, 48 bx/cs A6402

6124 Sterile, New Sponge, 4" x 4", 4-ply 2/pk, 25pk/bx, 24 bx/cs A6402

6125 Sterile, New Sponge, 4" x 4", 4-ply 5/pk, 20pk/bx, 8 bx/cs A6402

6112 Non-Sterile, New Sponge, 2" x 2", 4-ply 200/bg, 40 bg/cs A6216

6113 Non-Sterile, New Sponge, 3" x 3", 4-ply 200/bg, 20 bg/cs A6216

(3)

6114 Non-Sterile, New Sponge, 4" x 4", 4-ply 200/bg, 10 bg/cs A6216

7265 Sterile, I.V. Sponge, 2" x 2", 6-ply 2/pk, 35 pk/bx, 20 bx/cs A6402

7470 Sterile, T-Drain Sponge, 4" x 4", 6-ply 2/pk, 25 pk/bx, 12 bx/cs A6402

7468 Sterile, 100% Cotton, T-Drain Sponge, 4" x 4", 16-ply 1/pk, 25 pk/ty, 12 ty/cs A6402 8746 Basic Care T-Drain Sponge, Sterile, 4"x4", 6-ply 2/pk, 25 pk/bx, 12 bx/cs A6402

Cover Sponges 5340 Non-Sterile, Top Sponge, 4" x 4" 100/bg, 20 bg/cs A6216

5350 Sterile, Top Sponge, 4" x 3" 2/pk, 25 pk/bx, 24 bx/cs A6402

5360 Sterile, Top Sponge, 4" x 4" 2/pk, 25 pk/bx, 24 bx/cs A6402

5434 Sterile, Post Op Sponge, 4" x 3" - Gauze Facing 2/pk, 25 pk/bx, 24 bx/cs A6402 5444 Sterile, Post Op Sponge, 4" x 4" - Gauze Facing 2/pk, 25 pk/bx, 24 bx/cs A6402

Specialty Dressings 841 Sterile, Eye Pad, 1-5/8" x 2-5/8" 1/pk, 50 pk/bx, 12 bx/cs A6410

841B Sterile, Eye Pad, 1-5/8" x 2-5/8" - BULK 1/pk, 1000 pk/cs A6410

123 Sterile, Non-Adherent Pad, 2" x 3", 1's 1/pk, 100 pk/bx, 12 bx/cs A6251

134 Sterile, Non-Adherent Pad, 3" x 4", 1's 1/pk, 100 pk/bx, 12 bx/cs A6251

138 Sterile, Non-Adherent Pad, 3" x 8", 1's 1/pk, 75 pk/bx, 8 bx/cs A6252

124 Sterile, Non-Adherent Pad with Adhesive, 2" x 3" 1/pk, 100 pk/bx, 24 bx/cs A6254 125 Sterile, Non-Adherent Pad with Adhesive, 3" x 4" 1/pk, 100 pk/bx, 12 bx/cs A6254

5590 Sterile, ABD Pad, 5" x 9" 1/pk, 25 pk/ty, 16 ty/cs A6252

5810 Sterile, ABD Pad, 8" x 10" 1/pk, 20 pk/ty, 16 ty/cs A6253

5875 Sterile, ABD Pad, 8" x 7.5" 1/pk, 20 pk/ty, 12 ty/cs A6252

5940 Non-Sterile, ABD Pad, 5" x 9" 25/bg, 16 bg/cs A6217

5942 Non-Sterile, ABD Pad, 8" x 7.5" 25/bg, 16 bg/cs A6218

5943 Non-Sterile, ABD Pad, 8" x 10" 25/bg, 16 bg/cs A6218

5944 Non-Sterile, ABD Pad, 10" x 12" 25/bg, 10 bg/cs A6218

5945 Non-Sterile, ABD Pad, 12" x 16" 25/bg, 6 bg/cs A6218

3050 Sterile, Trauma Dressing 12" x 30" 1/pk, 25 pk/cs A6404

1030TD Sterile, Trauma Dressing 10" x 30" 1/pk, 25 pk/cs A6404

1050 Sterile, Emergency Pressure Dressing 1/pk, 50 pk/cs A6446

9170 Sterile, Burn Gauze Pad, 18" x 18", 10-ply 1/pk, 100 pk/cs A6404

Advanced Wound Care 5150 Sterile, Wound Closure Strips, 1/8" x 3" 5/pk, 50 pk/bx, 4 bx/cs A4450

5151 Sterile, Wound Closure Strips, 1/4" x 3" 3/pk, 50 pk/bx, 4 bx/cs A4450

5152 Sterile, Wound Closure Strips, 1/4" x 1-1/2" 6/pk, 50 pk/bx, 4 bx/cs A4450

5156 Sterile, Wound Closure Strips, 1/4" x 4" 10/pk, 50 pk/bx, 4 bx/cs A4450

5157 Sterile, Wound Closure Strips, 1/2" x 4" 6/pk, 50 pk/bx, 4 bx/cs A4450

5158 Sterile, Wound Closure Strips, 1" x 4" 4/pk, 50 pk/bx, 4 bx/cs A4450

4045 Sterile, Semi-Permeable Dressing, 1-1/2" x 2" 1/pk, 100 pk/bx A6257

4067 Sterile, Semi-Permeable Dressing, 2-3/8" x 2-3/4" 1/pk, 100 pk/bx A6257

4112 Sterile, Semi-Permeable Dressing, 4" x 4-3/4" 1/pk, 50 pk/bx A6258

4152 Sterile, Semi-Permeable Dressing, 6" x 8" 1/pk, 10 pk/bx A6258

4070 Sterile, Non-Woven Island Dressing 2" x 3" 50/bx, 8 bx/cs A6219

4071 Sterile, Non-Woven Island Dressing 4" x 5" 25/bx, 8 bx/cs A6254

4072 Sterile, Non-Woven Island Dressing 4" x 8" 25/bx, 4 bx/cs A6254

4073 Sterile, Non-Woven Island Dressing 4" x 10" 25/bx, 4 bx/cs A6254

4074 Sterile, Non-Woven Island Dressing 4" x 14" 25/bx, 2 bx/cs A6254

4075 Sterile, Non-Woven Island Dressing 4" x 4" 25/bx, 8 bx/cs A6254

4076 Sterile, Non-Woven Island Dressing 6" x 6" 25/bx, 4 bx/cs A6254

4080 Sterile, Composite Island Dressing 4" x 10" 25/bx, 4 bx/cs A6203

(4)

4081 Sterile, Composite Island Dressing 4" x 14" 25/bx, 2 bx/cs A6204

4082 Sterile, Composite Island Dressing 4" x 4" 25/bx, 8 bx/cs A6203

4083 Sterile, Composite Island Dressing 6" x 6" 25/bx, 4 bx/cs A6203

4085 Sterile, Composite Island Dressing 4" x 6" 25/bx, 4 bx/cs A6203

4086 Sterile, Composite Island Dressing 6" x 8" 25/bx, 4 bx/cs A6204

Impregnated Gauze 204-12 Petrolatum Dressing, 1/2" x 72" 12/bx A6223

205-12 Petrolatum Dressing, 1" x 36" 12/bx A6223

206 Petrolatum Dressing, 3" x 9" 50/bx A6223

207-12 Petrolatum Dressing, 3" x 18" 12/bx A6224

208-12 Petrolatum Dressing, 3" x 36" 12/bx A6224

209-12 Petrolatum Dressing, 6" x 36" 12/bx A6224

210 Petrolatum Dressing, 1" x 8" 50/bx A6222

212 Xeroform Dressing, 1" x 8" 50/bx A6222

213 Xeroform Dressing, 5" x 9" 50/bx A6223

220 Oil Emulsion Dressing, 3" x 3" 50/bx A6222

221 Oil Emulsion Dressing, 3" x 8" 24/bx A6223

222 Oil Emulsion Dressing, 3" x 8", 3/pk 36/bx A6223

223 Oil Emulsion Dressing, 3" x 16" 36/bx A6223

260 Plain Packing Strips, 1/4" x 5 yds 12/cs A6407

261 Plain Packing Strips, 1/2" x 5 yds 12/cs A6407

262 Plain Packing Strips, 1" x 5 yds 12/cs A6407

263 Plain Packing Strips, 2" x 5 yds 12/cs A6407

270 Packing Strips, Iodoform, 1/4" x 5 yds 12/cs A6266

271 Packing Strips, Iodoform, 1/2" x 5 yds 12/cs A6266

272 Packing Strips, Iodoform, 1" x 5 yds 12/cs A6266

273 Packing Strips, Iodoform, 2" x 5 yds 12/cs A6266

Bandages AB100 Sterile, Antimicrobial Bandage Roll, 4"x4.1yd 1/pk, 100/cs A6266

640 Sterile, Bandage Roll, 3.5" x 3.6yds, 6-ply 1 rl/bg, 96 rl/cs A6446

645 Sterile, Bandage Roll, 4.5" x 4.1yds, 6-ply 1 rl/bg, 100 rl/cs A6446

650 Sterile, Bandage Roll, 4.5" x 4.1yds, 8-ply 1 rl/bg, 100 rl/cs A6446

545 Non-Sterile, Bandage Roll, 4.5", 6-ply 100 rl/cs A6443

8642 Sterile, Basic Care Bandage Roll, 2", 3 Ply, 4.5 yd 1 rl/bg, 96 rl/cs A6445

8643 Sterile, Basic Care Bandage Roll, 3", 3 Ply, 4.5 yd 1 rl/bg, 96 rl/cs A6446

8644 Sterile, Basic Care Bandage Roll, 6", 3 Ply, 4 yd 1 rl/bg, 48 rl/cs A6447

8645 Sterile, Basic Care Bandage Roll, 4.5" x 4.1yds, 3-ply 1 rl/bg, 100 rl/cs A6446

701 Sterile, Conforming Gauze, 2" 1/pk, 12 pk/bx, 8 bx/cs A6445

702 Sterile, Conforming Gauze, 2" 1/pk, 12 pk/bx, 8 bx/cs A6445

703 Sterile, Conforming Gauze, 3" 1/pk, 12 pk/bx, 8 bx/cs A6446

704 Sterile, Conforming Gauze, 4" 1/pk, 12 pk/bx, 8 bx/cs A6446

706 Sterile, Conforming Gauze, 6" 1/pk, 6 pk/bx, 8 bx/cs A6447

8513 Sterile, Basic Conforming Stretch Gauze 2" 1/pk, 12 pk/bx, 8 bx/cs A6445

8514 Sterile, Basic Conforming Stretch Gauze 3" 1/pk, 12 pk/bx, 8 bx/cs A6446

8515 Sterile, Basic Conforming Stretch Gauze 4" 1/pk, 12 pk/bx, 8 bx/cs A6446

8516 Sterile, Basic Conforming Stretch Gauze 6" 1/pk, 6 pk/bx, 8 bx/cs A6447

601 Non-Sterile, Conforming Gauze, 2" x 4.1yds 12 rl/bg, 8 bg/cs A6442

602 Non-Sterile, Conforming Gauze, 2" x 4.1yds 12 rl/bg, 8 bg/cs A6442

603 Non-Sterile, Conforming Gauze, 3" x 4.1yds 12 rl/bg, 8 bg/cs A6442

(5)

604 Non-Sterile, Conforming Gauze, 4" x 4.1yds 12 rl/bg, 8 bg/cs A6443

606 Non-Sterile, Conforming Gauze, 6" x 4.1yds 6 rl/bg, 8 bg/cs A6444

8517 Non-Sterile, Basic Conforming Stretch Gauze 2" 12 pk/bx, 8 bx/cs A6442

8518 Non-Sterile, Basic Conforming Stretch Gauze 3" 12 pk/bx, 8 bx/cs A6443

8519 Non-Sterile, Basic Conforming Stretch Gauze 4" 12 pk/bx, 8 bx/cs A6443

8520 Non-Sterile, Basic Conforming Stretch Gauze 6" 6 pk/bx, 8 bx/cs A6444

603PB Non-Sterile, Clean, Conforming Gauze, 3" 500/cs A6442

602PB Non-Sterile, Clean, Conforming Gauze, 2" 500/cs A6442

602PB-96 Non-Sterile, Clean, Conforming Gauze, 2" 12 rl/bg, 8 bg/cs A6442

603PB-96 Non-Sterile, Clean, Conforming Gauze, 3" 12 rl/bg, 8 bg/cs A6442

604PB Non-Sterile, Clean, Conforming Gauze, 4" 500/cs A6443

604PB-96 Non-Sterile, Clean, Conforming Gauze, 4" 12 rl/bg, 8 bg/cs A6443

502 Elastic Bandage, 2" 10 rl/bx, 5 bx/cs A6448

503 Elastic Bandage, 3" 10 rl/bx, 5 bx/cs A6448

504 Elastic Bandage, 4" 10 rl/bx, 5 bx/cs A6449

506 Elastic Bandage, 6" 10 rl/bx, 5 bx/cs A6450

502LF Elastic Bandage, Latex Free, 2" 10 rl/bx, 5 bx/cs A6448

503LF Elastic Bandage, Latex Free, 3" 10 rl/bx, 5 bx/cs A6449

503LF-B Elastic Bandage, Latex Free, 3" 500/cs A6449

504LF Elastic Bandage, Latex Free, 4" 10 rl/bx, 5 bx/cs A6449

506LF Elastic Bandage, Latex Free, 6" 10 rl/bx, 5 bx/cs A6450

512LF Premium Self Closure Elastic Bandage, Latex Free, 2" 10 rl/bx, 5 bx/cs A6448

513LF Premium Self Closure Elastic Bandage, Latex Free, 3" 10 rl/bx, 5 bx/cs A6449

514LF Premium Self Closure Elastic Bandage, Latex Free, 4" 10 rl/bx, 5 bx/cs A6449

516LF Premium Self Closure Elastic Bandage, Latex Free, 6" 10 rl/bx, 5 bx/cs A6450

8015AS Non-Sterile, Cohesive, Assorted, 1" 30 rl/cs A6453

8015DB Non-Sterile, Cohesive, Dark Blue, 1" 30 rl/cs A6453

8015T Non-Sterile, Cohesive, Tan, 1" 30 rl/cs A6453

8015W Non-Sterile, Cohesive, White, 1" 30 rl/cs A6453

8025AS Non-Sterile, Cohesive, Assorted, 2" 36 rl/cs A6453

8025DB Non-Sterile, Cohesive, Dark Blue, 2" 36 rl/cs A6453

8025T Non-Sterile, Cohesive, Tan, 2" 36 rl/cs A6453

8035AS Non-Sterile, Cohesive, Assorted, 3" 24 rl/cs A6453

8035DB Non-Sterile, Cohesive, Dark Blue, 3" 24 rl/cs A6453

8035T Non-Sterile, Cohesive, Tan, 3" 24 rl/cs A6453

8045AS Non-Sterile, Cohesive, Assorted, 4" 18 rl/cs A6454

8045T Non-Sterile, Cohesive, Tan, 4" 18 rl/cs A6454

8155AS Non-Sterile, Cohesive, Assorted, 1.5" 48 rl/cs A6453

8155DB Non-Sterile, Cohesive, Dark Blue, 1.5" 48 rl/cs A6453

8155R Non-Sterile, Cohesive, Red, 1.5" 48 rl/cs A6453

8155T Non-Sterile, Cohesive, Tan, 1.5" 48 rl/cs A6453

8155W Non-Sterile, Cohesive, White, 1.5" 48 rl/cs A6453

8016TLF Cohesive Bandage, Tan, 1" x 5yds, Latex-Free 30 rl/cs A6453

8016ASLF Cohesive Bandage, Assorted, 1", Latex-Free 30 rl/cs A6453

8156TLF Cohesive Bandage, Tan, 1.5", Latex-Free 48 rl/cs A6453

8156ASLF Cohesive Bandage, Assorted, 1.5", Latex-Free 48 rl/cs A6453

8026TLF Cohesive Bandage, Tan, 2", Latex-Free 36 rl/cs A6453

(6)

8026ASLF Cohesive Bandage, Assorted, 2", Latex-Free 36 rl/cs A6453

8036TLF Cohesive Bandage, Tan, 3", Latex-Free 24 rl/cs A6453

8036ASLF Cohesive Bandage, Assorted, 3", Latex-Free 24 rl/cs A6453

8046TLF Cohesive Bandage, Tan, 4", Latex-Free 18 rl/cs A6454

8046ASLF Cohesive Bandage, Assorted, 4", Latex-Free 18 rl/cs A6454

402 Non-Sterile, Rolled Gauze, 2", 2-ply 12 rl/bg, 8 bg/cs A6442

403 Non-Sterile, Rolled Gauze, 3", 2-ply 12 rl/bg, 8 bg/cs A6442

404 Non-Sterile, Rolled Gauze, 4", 2-ply 12 rl/bg, 8 bg/cs A6443

406 Non-Sterile, Rolled Gauze, 6", 2-ply 6 rl/bg, 8 bg/cs A6444

452 Sterile, Rolled Gauze, 2", 2-ply 1/pch, 12/bx, 8 bx/cs A6445

453 Sterile, Rolled Gauze, 3", 2-ply 1/pch, 12/bx, 8 bx/cs A6445

454 Sterile, Rolled Gauze, 4", 2-ply 1/pch, 12/bx, 8 bx/cs A6446

456 Sterile, Rolled Gauze, 6", 2-ply 1/pch, 6/bx, 8 bx/cs A6447

7602 Flexible Fabric Bandage, Knuckle 100/bx, 24 bx/cs A6413

7605 Flexible Fabric Bandage Strips, 3/4" x 3" 100/bx, 24 bx/cs A6413

7609 Flexible Fabric Adhesive Strips, 1" x 3" 100/bx, 24 bx/cs A6413

7613 Flexible Fabric Adhesive Strips, X-Large 100/bx, 24 bx/cs A6413

7618 Flexible Fabric Adhesive Strips, Fingertips 100/bx, 24 bx/cs A6413

7604 Sheer Adhesive Strips, 3/4" x 3" 100/bx, 24 bx/cs A6413

7608 Sheer Adhesive Strips, 1" x 3" 100/bx, 24 bx/cs A6413

7612 Sheer Adhesive Strips, X-Large 100/bx, 24 bx/cs A6413

7615 Sheer Spot Adhesive Strips, 7/8" Round 100/bx, 24 bx/cs A6413

7600 Butterfly Wound Closure Strips, Medium 100/bx, 24 bx/cs A4450

7611 Plastic Adhesive Strips, X-Large 100/bx, 24 bx/cs A6413

7614 Plastic Spot Bandage Strips, 7/8" Round 100/bx, 24 bx/cs A6413

7616 Sterile, Plastic Adhesive Strips, 3/4" x 3" 100/bx, 24 bx/cs A6413

7617 Sterile, Plastic Adhesive Strips, 1" x 3" 100/bx, 24 bx/cs A6413

Cotton and Wood Products 30112 Cotton Stockinette, 2" x 25yds 6 rl/cs A6457

30113 Cotton Stockinette, 3" x 25yds 6 rl/cs A6457

30114 Cotton Stockinette, 4" x 25yds 6 rl/cs A6457

30116 Cotton Stockinette, 6" x 25yds 6 rl/cs A6457

30122 Cotton Undercast Padding, regular finish, 2" x 4 yds 24 rl/bg, 3 bg/cs A9270

30123 Cotton Undercast Padding, regular finish, 3" x 4 yds 12 rl/bg, 6 bg/cs A9270

30124 Cotton Undercast Padding, regular finish, 4" x 4 yds 12 rl/bg, 6 bg/cs A9270

30126 Cotton Undercast Padding, regular finish, 6" x 4 yds 6 rl/bg, 6 bg/cs A9270

Personal Protection 1530 Procedure Mask w/Ear Loop, Blue 50/bx, 6 bx/cs A4928

1531 Procedure Mask w/Ear Loop, Yellow 50/bx, 6 bx/cs A4928

1540 Surgical Mask w/Tie, Blue 50/bx, 6 bx/cs A4928

1541 Surgical Mask w/Ear Loop, Blue 50/bx, 6 bx/cs A4928

1542 Surgical Mask w/Ear Loop, Yellow 50/bx, 6 bx/cs A4928

1550 Anti-Fog Procedure Mask w/Tie, Blue 50/bx, 6 bx/cs A4928

1560 Surgical Mask w/Fluid Shield, w/Ear Loop, Blue 25/bx, 8 bx/cs A4928

1570 Folded, White N95 20/bx, 20 bx/cs A4928

1571 Cone, White N95 20/bx, 20 bx/cs A4928

1572 Cone, One-Way Valve, White 5/bx, 20 bx/cs A4928

Tapes C110 Cloth Tape, 1" x 10yds 12 rl/bx, 12 bx/cs A4450

C15 Cloth Tape Roll, 1" x 1.5yd, NS paper core 100 rl/bx, 5 bx/cs A4450

(7)

C210 Cloth Tape, 2" x 10yds 6 rl/bx, 12 bx/cs A4450

C310 Cloth Tape, 3" x 10yds 4 rl/bx, 12 bx/cs A4450

C50 Cloth Tape, 1/2" x 10yds 24 rl/bx, 12 bx/cs A4450

T110 Transparent Tape, 1" x 10yds 12 rl/bx, 12 bx/cs A4450

T15 Transparent Tape Roll, 1" x 1.5yd, NS paper core 100 rl/bx, 5 bx/cs A4450

T210 Transparent Tape, 2" x 10yds 6 rl/bx, 12 bx/cs A4450

T310 Transparent Tape, 3" x 10yds 4 rl/bx, 12 bx/cs A4450

T50 Transparent Tape, 1/2" x 10yds 24 rl/bx, 12 bx/cs A4450

P110 Paper Tape, 1" x 10yds 12 rl/bx, 12 bx/cs A4450

P15 Paper Tape Roll, 1" x 1.5yd, NS paper core 100 rl/bx, 5 bx/cs A4450

P210 Paper Tape, 2" x 10yds 6 rl/bx, 12 bx/cs A4450

P310 Paper Tape, 3" x 10yds 4 rl/bx, 12 bx/cs A4450

P50 Paper Tape, 1/2" x 10yds 24 rl/bx, 12 bx/cs A4450

AT2316 Waterproof Tape, 1/2" x 5yds 24 rl/bx, 18 bx/cs A4452

AT2323 Waterproof Tape, 1/2" x 2.5yds 36 rl/bx, 16 bx/cs A4452

8220 Retention Tape, 2" x 11yds, pre-cut 1 rl/bx, 10 bx/cs A4450

8221 Retention Tape, 4" x 11yds, pre-cut 1 rl/bx, 6 bx/cs A4450

8222 Retention Tape, 6" x 11yds, pre-cut 1 rl/bx, 4 bx/cs A4450

Hygiene Items 11724 Fluff Underpad, 17" x 24" 100/bg, 3 bg/cs A4554

12424 Fluff Underpad, 23" x 24" 50/bg, 4 bg/cs A4554

12436 Fluff Underpad, 23" x 36" 50/bg, 3 bg/cs A4554

81724 Basic Care Underpad 17"x24", tissue fill only 100/bg, 3 bg/cs A4554

852 Alcohol Prep Pad, Med, NS, 2ply 200/bx, 20bx/cs A4245

852-1000 Alcohol Prep Pad, Med, NS, 2ply, Bulk 1000/bx, 4bx/cs A4245

853 Alcohol Prep Pad Med, ST, 2ply 200/bx, 20bx/cs A4245

861 Alcohol Prep Pad, Large, ST, 2ply 100/bx, 10bx/cs A4245

Kits 15200 Tracheostomy Care Kit 20 tr/cs A4629

Lap Sponges KP-7012 Non-Sterile, Lap Sp, Prewash, X-Ray, No Wrap 12"x12" 5/bdl, 280 bdl/cs A6218

KP-7018 Non-Sterile, Lap Sp, Prewash, X-Ray, No Wrap 18"x18" 5/bdl, 160 bdl/cs A6218

Misc Patient Care 877 Sterile Jelly Lubricating Foil Pack, 3gm 144pk/bx, 12 bx/cs A4332

878 Sterile Jelly Lubricating Foil Pack, 5gm 150pk/bx, 10bx/cs A4332

879 Sterile Jelly Lubricating Tube w/ flip top, 2 oz 12tbs/bx, 6 bx/cs A4402

880 Sterile Jelly Lubricating Tube w/ flip top, 4 oz 12tbs/bx, 6 bx/cs A4402

881 Sterile Jelly Lubricating Tube w/ flip top, 1 oz 12tbs/bx, 6 bx/cs A4402

HCPCS codes provided by DUKAL Corporation are intended as a guideline only. Final coding decisions should be made by the health care provider based on the requirements of local, state, and federal laws and regulations. DUKAL Corporation does not guarantee coverage or reimbursement of any products.

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