Item Brochure

21
Index
Code HCPCS Latex Page Code HCPCS Latex Page
1-800-962-9888
Dover
Ancillary Products
Code Capacity Lid Ship Case
Measuring System
4014 26 oz 100
2400SA 700 cc 60
2500SA 800 cc 100
Specimen Containers
Code Size (Fr) Description Tube
length
Sterile Pre-
lubricated
Castile
Soap
Underpad Ship
Case
145524 24 Fr Flatus Bag 19" 50
145617
Vaginal
Irrigation
(Douche) Bag
60" 50
145540 24 Fr Enema Bag 60" 50
145541 24 Fr Enema Bag 60" 50
145546 24 Fr
Enema Bucket
1400 cc
60" 50
155730 18 Fr Rectal Tube 20" 50
155731 24 Fr Rectal Tube 20" 50
Patient Care Products (Latex Free)
145540
145546
155730
Code Capacity Sterile Ship Case
Pediatric Urine Collector
145500 100 mL 500
145501 100 mL 300
145500
1106 * No 14
1416 A4338 Yes 7
1416C A4340 Yes 8
1418C A4340 Yes 8
1419 A4338 Yes 7
1420 A4338 Yes 7
1420C A4340 Yes 8
1422 A4338 Yes 7
1422C A4340 Yes 8
1424 A4338 Yes 7
1424C A4340 Yes 8
1426 A43386 Yes 7
1427 A4338 Yes 7
1431 A4338 Yes 7
145500 A9270 No 20
145501 A9270 No 20
145514 A4458 No 18
145516 A4358 No 18
145524 A9270 No 20
145540 A4458 No 20
145541 A4358 No 20
145546 A4358 No 20
145617 A9270 Yes 20
1512C A4340 Yes 8
1514C A4340 Yes 8
1516C A4340 Yes 8
1518C A4340 Yes 8
1520C A4340 Yes 8
1522C A4340 Yes 8
1524C A4340 Yes 8
155730 A9270 No 20
155731 A9270 No 20
1600 A9270 No 14
1612 A4338 Yes 7
1612C A4340 Yes 8
1614 A4338 Yes 7
1614C A4340 Yes 8
1616 A4338 Yes 7
1616C A4340 Yes 8
1618C A4340 Yes 8
1619 A4338 Yes 7
1620C A4340 Yes 8
1621 A4338 Yes 7
1622 A4338 Yes 7
1622C A4340 Yes 8
1624 A4338 Yes 7
1624C A4340 Yes 8
1626 A4338 Yes 7
1628 A4338 Yes 7
1631 A4338 Yes 7
1814 A4338 Yes 7
1817 A4338 Yes 7
1818 A4338 Yes 7
2000 A4315 No 12
2004 * No 5
2004LL A4315 No 5
2006 A4315 No 5
2008 A4315 No 5
2014 A4314 Yes 9
2016 A4314 Yes 9
2018 A4314 Yes 9
2020 A4354 No 12
2040SA A9270 No 19
20512C A4340 No 4
20512ICC * No 1
20514C A4340 No 4
20514ICC * No 1
20516C A4340 No 4
20516ICC * No 1
20518C A4340 No 4
20518ICC * No 1
20520C A4340 No 4
20520ICC * No 1
20522C A4340 No 4
20522ICC * No 1
20524C A4340 No 4
2090SA A9270 No 19
2101 A4312 Yes 11
2110SA A9270 No 19
2116IC A4312 No 11
2118IC A4312 No 11
22000 A9270 No 19
22015 A9270 No 19
23018C A4340 No 4
23018ICC * No 1
23020C A4340 No 4
23020ICC * No 1
23022C A4340 No 4
23024C A4340 No 4
23026C A4340 No 4
24000 A9270 No 19
2400SA A9270 No 20
24015 A9270 No 19
24035 A9270 No 19
2480 A4353 No 17
25000 A9270 No 19
* HCPCS code pending verification by PDAC. Please call the Reimbursement Hot Line (800-346-7197 x6076) for update.