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HCPCS Procedure & Supply Codes 
  
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Medical And Surgical Supplies 
          
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Miscellaneous Medical and Surgical Supplies 
          
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Electrical and/or Stimulator Supplies 
          
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| A4290 |     | Sacral nerve stimulation test lead, each | 
| A4438 |     | Adhesive clip applied to the skin to secure external electrical nerve stimulator... | 
| A4540 |     | Distal transcutaneous electrical nerve stimulator, stimulates peripheral nerves ... | 
| A4542 |     | Supplies and accessories for external upper limb tremor stimulator of the periph... | 
| A4543 |     | Supplies for transcutaneous electrical nerve stimulator, for nerves in the auric... | 
| A4544 |     | Electrode for external lower extremity nerve stimulator for restless legs syndrome | 
| A4545 |     | Supplies and accessories for external tibial nerve stimulator (e.g., socks, gel ... | 
| A4555 |     | Electrode/transducer for use with electrical stimulation device used for cancer ... | 
| A4556 |     | Electrodes, (e.g., apnea monitor), per pair | 
| A4557 |     | Lead wires, (e.g., apnea monitor), per pair | 
| A4558 |     | Conductive gel or paste, for use with electrical device (e.g., tens, nmes), per oz | 
| A4560 |     | Neuromuscular electrical stimulator (nmes), disposable, replacement only | 
| A4593 | ‑ | A4594   |   | Neuromodulation stimulator system | 
| A4595 |     | Electrical stimulator supplies, 2 lead, per month, (e.g., tens, nmes) | 
| A4596 |     | Cranial electrotherapy stimulation (ces) system supplies and accessories, per month | 
       
          
          
          
      
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