Mar-OJ-200612:45pm
803-935-0181
From-SADMERC
T-722
P,002/003
F-894
,. . .'."...
MEDICARE
C:~1-
Part A Intermediary
Part B Carrier
DME Regional Carrier
October 26, 2005
Ken Chua, President
DYNACOR
Medline Indusm.es.Inc.
One Medline Place
M1J1ldelein.
JL 60060-4486
Re:
Red Rubber Latex Urethral Catheters, Robinson Style (Models DYND13508, DYND13510,
DYND13512)DYND13514, DYND13515, DYND13516, DYND13518, DYND13520,
DYND13522)
Red Rubber Latex Urethral Catheters, Coude-Tip (Models DYND13614, DYND13616)
RedPoly-Cath Latex Free Urethral Catheters (Model DYND13714)
Pediatric Clear Vinyl Intennittent Self Catheters (DYND10711,'DYNDI0712, DYNDI0713,
DYNDI0714
Female Clear Vinyl Intermittent Self Catheters (Models DYNDI0701, DYNDI0702, DYNDI0703,
DYNDI0704)
Male/Universal Clear Vinyl Intennittent Self Catheters (Models DYNDI0721, DYNDI0722)
DYND10700, DYNDI0723, DYNDI0724
Dear Mr. Chua:
This letter is in response to your recent inquiIy for coding verification of the above listed product(s)
rnanufacmredby your company.The Statistical Analysis Durable Medical Equipment Regional Carrier
(SADMERC)has reviewed the documentation and infonnation submitted for HCPCS Coding. The
SADMERC conducts reviews of products to determine the COlTectHCPCS code(s) ofD:MEPOS product(s)
for Medicare billing.
It is our detennination that the Meclicare HCPCS code(s) to bill the four Durable Medica] Equipment
Regional Carriers (D1YffiRCs)is/are:
A4351 Intennittent urinary catheters; straight tip, with or without coating (Teflon silicone, silicone
elastomer, or-hydrophilic, etc.) each, for the Red Rubber Latex Catheters, Robinson Style (Models
DYND13508, DYND13510, DYND13512, DYND13514, DYND13515, DYND13516, DYND13518,
DYND13520, DYND13522), Red Poly- Cath Latex Free Urethral Catheters (lYfodelDYND13714), Pediatric
Clear Vinyl Intermittent Self Catheters (DYNDI0711, DYNDI0712, DYNDI0713, DYNDI0714),
Female Clear Vinyl Intermittent Self Catheters (Models DYNDI0701, DYND10702, DYNDI0703,
DYNDI0704).MaIelUniversal Clear Vinyl Intermittent Self Catheters (Models DYNDI0721, DYNDI0722,
DYNDI0700. DYNDI0723, DYNDI0724).
Palmetto GBA
.
Stal!sticalAn~.ry$i$CumbIeMedicalEquipment Regional CarTier
Post Office Box 100143.
C:olumbla. South Carolina
29202-31~
A CMS Contracted Intermediary and Ca"Jer
Received Time Mar. 1. 12:24PM
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