VOLUME 8, NUMBER 5
MEDICAID RECIPIENT IDENTIFICATION CARDS
Medicaid of Louisiana is planning to make some changes to
the appearance of the recipient Medicaid identification card that is issued by
Effective January of 1992, the TPL code descriptions will
begin appearing on the back of the identification card rather than in the upper
right hand corner on the front of the card, where they have been located in the
past. The actual TPL codes,
however, will continue to appear under the heading "TPL" on the front
of the card.
In addition, the effective month of the card, as well as
any special messages that pertain to the recipient's Medicaid coverage, will
begin appearing in the upper right hand corner of the card.
Samples of these new cards are provided in the Attachments
section of this issue of the Provider
UNISYS FIELD ANALYSTS
Provider Relations has a staff of provider analysts who are
available to help providers with billing problems and with training new staff
members. To request a visit from
one of our field analysts, providers may telephone Provider Relations at the
Baton Rouge Providers:
Providers Outside of Baton Rouge
(Louisiana Providers Only):
Telephone service is available Monday through Friday from 8:00 A.M. to
Each of the field analysts is assigned to a specific
territory. Provided below is a list
of the field analysts and their assigned territories:
Phyllis Broussard, Medicaid Field Operations Supervisor, and Debbie
Talbot, Field Analyst.
Parishes: Jefferson, Orleans,
Plaquemines, Lafourche, St. Bernard, St. Tammany, St. John the Baptist,
Terrebonne, St. James, Tangipahoa, Washington, and St. Charles.
Kim Gassie, Field Analyst, and Seneca Snell, Field Analyst
Parishes: Acadia, Allen, Beauregard,
Calcasieu, Cameron, Evangeline, Jefferson Davis, Iberia, Lafayette, St. Landry,
St. Martin, St. Mary, Vermillion, Assumption, Livingston, Ascension, East Baton
Rouge, West Baton Rouge, Pointe Coupee, West Feliciana, East Feliciana, St.
Helena, and Iberville
Gwen Davis, Analyst
Parishes: Avoyelles, Catahoula,
Concordia, LaSalle, Rapides, Lincoln, Union, West Carroll, East Carroll,
Franklin, Madison, Morehouse, Ouachita, Richland, Tensas, and Caldwell
Michelle Shaw, Analyst
Parishes: Grant, Rapides, Vernon,
Sabine, Winn, Jackson, Webster, Bienville, Bossier, DeSota, Caddo, Claiborne,
Natchitoches, and Red River
Rapides parish is assigned to both Gwen Davis and Michelle Shaw
We have received numerous claims with attached EOBs,
Explanations of Benefits, that are generated by the provider.
However, we can only accept EOBs from Medicare.
Thus, we request that providers submit EOBs from Medicare only.
RETROACTIVE SERVICES FOR ZEBLEY SSI ELIGIBLES
Due to the February 20, 1990, U.S. Supreme Court decision
in favor of class members in the Sullivan
vs. Zebley lawsuit, SSI is currently reviewing applications for children
that were rejected previously because they did not meet the criteria of
SSI reports that they have reviewed and certified some
applications that were denied between February of 1990 and February of 1991.
As soon as those certifications are matched with System Data Exchange to
let Medicaid of Louisiana know the eligibility dates these Zebley recipients
will receive their retroactive Medicaid eligibility cards.
Medicaid eligibility cards for these Zebley class members
will be no different from the Medicaid cards of any other Medicaid recipient.
However, the Medicaid eligibility dates may go back to February of 1990,
thus allowing those Zebley SSI recipients to be reimbursed the entire amount for
any covered Medicaid services provided to them back to that month should the
provider of the service agree to reimburse all of the money to the Zebley class
member and to bill Unisys.
Medicaid providers who receive requests for reimbursement
for services provided to these Zebley SSI recipients and who agree to the
reimbursement should submit their claims to Unisys for payment.
CPT-4 & ICD-9-CM CODE BOOKS
Providers who code their services from the CPT-4 code book
or the ICD-9-CM code book are advised to purchase the current edition as soon as
The current edition of the CPT-4 code book may be ordered
from the following address:
American Medical Association
P. O. 341/7
P. O. Box 10946
Chicago, IL 60610
ICD-9-CM code books are used to obtain diagnosis codes.
Volume I is a numeric listing of diagnosis codes, and Volume II is an
alphabetical listing (Volume III is a listing of ICD-9-CM procedure codes that
are used by hospitals only.). These
books may be ordered from the following address:
P. O. Box 971
Ann Arbor, MI 48106
Current prices for CPT-4 or ICD-9-CM code books may be
obtained by phoning the American Medical Association at (312) 464-5000.
In addition, providers are advised to review their
remittance advice messages on an ongoing basis. Medicaid of Louisiana is Mandated by HCFA to update the
claims processing procedure code file to agree with current CPT-4 coding.
Therefore, new procedures are reviewed and placed on the processing file
on an ongoing basis, and provider notification is sent via the Remittance Advice
Providers should remember that not all CPT-4 codes are payable by
Medicaid of Louisiana.
providers should note that the ICD-9-CM "E" and "M" services
diagnosis codes are not a part of the current diagnosis file and that they should
not be used on claims submitted to Medicaid of Louisiana.
Claims with these codes will be denied with error code 252 (Diagnosis not
on file.). Claims denied with error
code 252 may be resubmitted with the appropriate numeric or alpha/numeric codes,
i.e., codes that are not part of the "E" or "M" services.
EMC submitters should use padded envelopes when submitting
tapes/diskettes for processing. Otherwise,
their tapes/diskettes may be damaged in the mail.
Providers have been mailing/submitting claims directly to
the EMC unit rather than mailing them to the EMC Post Office Box.
Using the EMC label with the appropriate box number will decrease the
processing turnaround time.
Telecom certifications must be received within 48 hours of
transmission. Tapes/diskettes must
be submitted before the next processing period, or claims may be subjected to
CRNAs and their billing agents must remember to place the
name of the CRNA's supervising doctor in Item 19 of the HCFA 1500 claim form, or
the claim will deny with edit 400 (Referring physician required in block #19.).
This rule applies to non-anesthesiologist-directed CRNAs as well as to
PROCEDURE CODE A4555
HCFA has notified Medicaid of Louisiana procedure code
A4555 (Primary surgery dressing kit), which is billed by DME suppliers, is not
to be paid for anyone who is in a nursing facility and whose level of
care is 20, 21, 22, 25, 26, 28, and 30.
Consequently, effective immediately, claims for claim types
09 and 15 with code A4555 will be denied with a new error code and the message,
"not covered for nursing home resident."
VENTILATION EQUIPMENT AND ACCESSORIES
Effective immediately, recommended DME procedure codes for
ventilator equipment and accessories have been approved.
These codes, their descriptions, and their fees are provided in the Attachments
section of this issue of the Provider
DME & REHABILITATION PROVIDERS
It is not acceptable for the provider to type a
prescription and submit it to the physician for his signature only.
Medicaid of Louisiana must receive a prescription on a physician's pad
that is written and signed by the prescribing physician.
Any requests received without the doctor's handwritten prescription will
be returned to the provider.
DME SUPPLIERS, PHYSICIANS, AND HOSPITALS
For recipients under the age of 21, insulin, non-disposable
glass syringes, glucometers, and blood testing strips are covered by Medicaid of
Louisiana, according to established medical criteria.
However, disposable syringes, lancets, and alcohol swabs are not covered,
but this policy is currently under consideration.
Blood Glucose Monitors and Test Strips
Home blood glucose monitors and the blood glucose strips
used with such monitors are covered for eligible recipients under the age of 21,
only when the following conditions are met:
The client must be a Type I dependent insulin - diabetic (injection
There must be documentation by a physician of poor diabetic control,
i.e., poorly controlled blood sugars and frequent episodes of insulin reactions;
The client's physician states that the patient or a responsible family
member or caretaker can be trained to use the particular device in an
appropriate manner and to monitor the patient to assure that the intended effect
is achieved; and
The device is designed for home use rather than for clinical use.
NEW CODE FOR BENADRYL INJECTION
Effective with date of service September 1, 1991,
hemodialysis providers are to use HCPCS code J1200, instead of code J0490, to
bill for Benadryl injections. The
fee for code J1200 will be $3.75 per unit (1 unit = 50mg), with a maximum of 8
units allowed to be billed per day.
Code J0490 will be placed in non-pay status effective with
date of service September 1, 1991.
REACTIVATION OF CODE J0940
Injection code J3490 (Decadurabolin, 200mgs) will be placed
in non-pay status effective with date of service October 1, 1991.
Providers should bill code J0940 for Decadurabolin, 200mgs, administered
on October 1, 1991, and thereafter. The
fee for code J0940 will be $16.70.
RECOUPMENT OF VENDOR OVERPAYMENT TO NURSING HOMES
Administrative errors by nursing facility staff will
continue to be reported to the parish office via Form 148-PLI.
The nursing facility should attach, to the form, any income and/or
medical insurance premium verification information related to the report change
to allow the expedited review and signing off of the budgets in question.
OFS administrative errors and errors caused by unreported
recipient changes will be handled by overpayment summary reports to the OFS
Fraud and Recovery Section. Nursing
facilities will no longer be required to make adjustments for these over
payments via Form 148-PLI and to seen reimbursement from the nursing home
NORPLANT CONTRACEPTIVE IMPLANT KIT
Billing for the Norplant contraceptive implant kit by use
of a pharmacy revenue code is prohibited by Medicaid of Louisiana.
Thus, such billing practices should be discontinued immediately.
Additionally, all funds received by providers who have
billed for this service in this manner should be returned to the fiscal
intermediary by check as soon as possible.
Funds not returned will be recouped.
Only physicians may bill Medicaid for this service under
HCPCS code 58302.
THIRD-PARTY INSURANCE PAYMENTS
Medicaid of Louisiana has received inquiries concerning the
proper handling of claims with third-party insurance payments in relation to
cost reporting requirements. Medicaid
generally tracks Medicare cost reimbursement principles.
That is, in regard to third-party insurance payments, if the third-party
payment is greater than the Medicaid payment, the total charges are included in
the cost report, but the charges/costs and the discharge are not included
as program (Medicaid) charges/costs and discharges.
The following clarification should assist hospitals in the
correct handling of these types of claims on the cost report:
Medicaid days times the per diem should be used as the basis for
comparison to the insurance payment. For
the period of time when PAS/LOS cutbacks are applied, the billed days should be
used for the per diem amount rather than the payment reflected on the remittance
In instances where the insurance payment exceeds the amount of the
interim per diem payment, the claim is considered a "no pay" or
"zero pay" claim, and all statistical data and costs are removed from
the cost report. The days and
charges should not be reflected as covered services for Title XIX
reimbursement, nor should they be used for the purpose of determining
disproportionate share qualification. The
private insurance payment is not used to reduce the provider's Title XIX
reimbursement. Because Medicaid is
billed, the hospital may not bill the recipient for any difference in charges
and payment, or the hospital will be in violation of Medicaid regulations.
Hospitals will be audited for credit balances to determine instances when
third-party payments or billing of recipients for differences is not reported.
In instances where the insurance payment is less than the interim per
diem amount, the claim is considered "partial pay," and all
statistical data and costs are included in the cost report.
For cost reporting purposes, the days and charges are reflected as
covered services for the purpose of determining Title XIX reimbursement.
The days are recognized as Medicaid days for the purpose of determining
disproportionate share qualification. The
total amount of private insurance received by the provider is reflected in the
cost report as a recovery of cost.
Requests for re-openings for prior cost reporting periods
to incorporate adjustments related to this clarification of policy must be
submitted to Medicaid of Louisiana, Attention: Program Operations, for approval.
These requests will be subject to the three-year limitation on
re-openings. Once approved, requests for re-openings will be forwarded to
Blue Cross for appropriate action.
DISTINCT PART PSYCHIATRIC BILLING PRACTICES
Hospitals with distinct part psychiatric units should
review billing practices to ensure compliance with Medicaid policy.
Some providers are billing incorrectly for routine medical care and/or
diagnostic tests. Specifically,
these services are being billed as outpatient services under the hospital's
acute care provider number.
However, charges/costs for routine medical care, such as
treatment of minor illness, e.g., a cold or a cut, which do not require transfer
to the acute care portion of the hospital may not be billed separately.
These charges/costs should be included in the distinct part psychiatric
unit's billing for services.
Corrective action should be taken immediately if such
incorrect billings have occurred. Such
charges/costs related to the distinct part psychiatric unit which are billed
separately as outpatient services will be disallowed at audit and cost
HOSPITALS, PHARMACISTS, AND PHYSICIANS
MEDICARE PART B IMMUNOSUPPRESSANT CLAIMS
The address for submitting Medicare Part B
immunosuppressant claims is as follows:
Transamerica Occidental Insurance Company
Medicare Immuno Drug Claims
P. O. Box 50065
Upland, CA 91785-5065
HOSPITALS AND PHYSICIANS
Medicaid's adoption of Medicare's definition for outpatient
hospital services necessitates a policy clarification.
Therefore, the following guidelines regarding the definition of
outpatient services are being provided to ensure providers' compliance with
Medicaid's policy, as specified by state and federal regulations.
If a patient is admitted as an inpatient, the services provided cannot
be billed as outpatient, even if the stay is less than 24 hours.
Federal regulations are specific in regard to the definition of both
inpatient and outpatient services, and billing for a patient who is admitted as
inpatient as an outpatient constitutes fraud.
If a patient has outpatient surgery and needs to observed for several
hours after the surgery in an observation room, the services may be billed as
outpatient provided that the duration of the treatment from beginning to end is
less than 24 hours and that the patient is not admitted as inpatient.
If a patient is treated in the emergency room and requires surgery which
cannot be performed for several hours because arrangements need to be made, the
services may be billed as outpatient provided that the patient is not admitted
as inpatient and that the duration of the services from entry into the emergency
room until release is less than 24 hours.
If an outpatient's duration of service exceeds 24 hours, the services are
"deemed" inpatient, even if the patient is admitted as outpatient, and
the services are billed as inpatient services.
Claims processing changes have been completed that permit
hospitals to bill for treatment or observation room charges with revenue codes
760-769. For surgery listed as
outpatient surgery that is reimbursed on a flat-fee basis, all charges,
including treatment or observation room charges, are covered by a flat-fee
For these claims, Admission Hour and Discharge Hour (Items
16 and 20) are required on the outpatient hospital claim form.
Physicians must adhere to the above guidelines when determining and
indicating the place of service on the HCFA 1500 for any services provided to
physicians cannot bill for observation room charges; they can bill only for the
actual services provided.
Questions related to the definition of outpatient services
should be addressed to the Hospital Program Manager, Ron Jesse, at (504)
Questions related to physician services should be directed
to the Physician's Program Manager, Kandis McDaniel, at (504) 342-9490.
Effective August 1, 1991, Postlethwaite and Netterville
were contracted to perform the pharmacy audits.
DISPENSING FEE INCREASE
Effective for services beginning October 1, 1991, the
dispensing fee for prescription services has been increased to $5.00.
PHARMACISTS, DENTISTS, & PHYSICIANS
DRUG REBATE AGREEMENT
In accordance with Section 4401 of the Omnibus Budget Reconciliation Act of 1990 (OBRA 90), Medicaid of
Louisiana will reimburse only for those drug products for which the
pharmaceutical company has entered into a rebate agreement with the Department
of Health and Human Services.
Provided in the Attachments
section of this issue of the Provider
Update is an Appendix C which
identifies the pharmaceutical companies which have entered into an agreement
with the federal government. Providers
should take note of the effective date of the labeler codes and should attach Appendix
C to their provider manuals.
This listing includes additional labeler codes for manufacturers.
Medicaid of Louisiana will provide coverage for only those
drug products labeled by the pharmaceutical companies that are identified in Appendix
C for the respective effective dates. The
therapeutic categories, e.g., cough and cold preparations, anorexics, and
cosmetic drugs will remain non-payable. The
over-the-counter items which were covered previously by Medicaid will remain
reimbursable only if the manufacturer for the drug is listed in Appendix
As new pharmaceutical companies enter into rebate
agreements, labeler codes will be added, and the updated information will be
mailed to providers via remittance advices.
CODING FOR EMERGENCY ROOM SERVICES
Revenue codes 450 and 459 must be used to bill for
outpatient emergency room services, except for when the patient is admitted as
In instances where patients are admitted from the emergency
room, the emergency room charges should be billed with inpatient services and
revenue code 500.
Questions relating to this policy should be directed to the
Hospital Program Manager, Ron Jesse, at (504) 342-5774.
LAB AND X-RAY EQUIPMENT
Physicians should notify the Bureau of Health Services
Financing when they purchase or lease new lab and x-ray equipment.
Otherwise, they may not be certified to perform certain lab and x-ray
The provider must complete a BHSF Form 24 and list the new
equipment. The completed form is to
be mailed to the following address:
P. O. Box 91030
Baton Rouge, LA 70821-9030
Attention: Provider Enrollment
Providers may obtain a copy of this form by writing to the
same address or by telephoning the BHSF at (504)
PULMONARY FUNCTION TESTS
Provided below is a list of the pulmonary function test
codes that are grouped according to how they are paid by Medicaid of Louisiana:
94060 includes 94010
94060 include 94150, 94160, and 94200
The definitions for these codes are as follows:
Spirometry, including graphic record, total and timed vital capacity,
expiratory flow rate measurement(s), and/or maximal voluntary ventilation
Bronchospasm evaluation: spirometry
as in 94010, before and after brochodilator (aerosol or parenteral) or exercise
Vital capacity, total (separate procedure)
Vital capacity screening tests: total
capacity, with timed forced expiratory volume (state duration) and peak flow
Maximum breathing capacity, maximal voluntary ventilation
Billing any of these procedures with procedure code 94060
constitutes duplicate billing because 94060 includes procedure codes 94010,
94150, 94160, and 94200. In
addition, procedure code 94010 may not be billed with procedure codes 94150,
94160, or 94200 because 94010 includes these codes as well.
Any provider who continues these billing practices may have
his Medicaid payments recouped by the SURS Unit.
Effective the first week in October, reimbursement for the
procedures listed below will be made at 100% per unit when the procedures are
performed bilaterally and primarily:
CPT-4 codes 49500-49535
CPT-4 code 30903
Providers are not to modify the codes listed above with the
modifier -50 after publication of this notice.
To denote the fact that the procedure is performed bilaterally, providers
should place a 2 in the units column and should bill the procedure on one
If performed secondarily, the above codes must be billed
hard-copy with the -51 modifier attached. Payment
will be reduced according to current payment methodology.
Otherwise, the procedures may be billed electronically.
SECONDARY AND MULTIPLE SURGICAL PROCEDURES
Policy concerning billing procedures for secondary and
multiple surgical procedures has been issued on page 4-6 of the Professional
Services Provider Manual. However,
Unisys continues to receive claims for these procedures that are billed
incorrectly, and providers continue to be reimbursed incorrectly.
Consequently, we are issuing the following policy clarification for
secondary and multiple surgical procedures.
When billing for secondary or multiple surgical procedures,
providers must bill the primary surgical procedure with its usual and customary
fee and no additional modifier. However,
secondary or multiple procedures must be billed with their usual and customary
fee and and modifier. When
modifier 51 is used with the secondary or multiple surgical procedures, the
modifier will automatically cut the payment or fee for the secondary or multiple
procedures back to one half of the current fee amount.
Failure to adhere to this policy will result in erroneous
reimbursement or the denial of services.
NEED FOR PHYSICIANS' SUB-SPECIALTY
The Bureau of Health Services Financing plans to implement
a concurrent care policy for recipients under the age of 21 effective with date
of service December 1, 1991. However,
before implementation can begin some preliminary groundwork must be
Within the near future, all physicians currently enrolled
as Medicaid providers will receive a letter from Medicaid of Louisiana
requesting information about each physician's sub-specialty. Physicians should complete it and return it to the BHSF as
soon as possible. Failure to return
this letter may impact providers' reimbursement upon implementation of the
concurrent care policy.
If questions, arise providers call Kandis V. McDaniel,
Physician's Program Manager, at (504) 342-9490.
BILLING INSTRUCTIONS FOR CPT-4 CODES 77420, 77425, & 77430
To bill for weekly radiation therapy management when the
complete course of therapy consists of a number of fractions not evenly
divisible by 5, such as 3, 4, 6, 7, 8, 9, 11, 12, 13,14, 16, 17, 18, 19, 21, 22,
23, 24, etc., one should bill the appropriate level code -- either 77420, 77425,
77430 -- modified with a -52 (to denote reduced service) and place the number of
fractions for which payment is being requested in the description column.
For example, to bill for a complete course of therapy in
which three fractions were administered, one should bill 77420-52 (assuming the
simple level of treatment is given) once and should place the words "three
fractions" in the description column and "one" in the units
column. To bill for a complete
course in which 21 fractions of the intermediate level were given, one should
bill code 77425 once (place "four" in the units column) and code
77425-52 once (place "one" in the units column) and write "one
fraction" in the description column. To
bill for a complete course in which 32 complex treatments were rendered, one
should place code 77430 on the claim form once (and place "six" in the
units column) and place code 77430-52 on the claim form once (and place
"one" in the units column). In addition, one should write "two fractions" in
the description column.
Also, span dates should be used. Claim lines that include modifier -52 must be billed hardcopy
so they may be reviewed manually and priced by the Medical Review Team.
Thus, one should not bill these claim lines electronically.
To bill for a complete course of therapy in which a number
of fractions evenly divisible by five are administered, one should place code
77420, 77425, or 77430 on the claim form once and the number of weeks for which
one is billing in the units column. If
one is billing for one week consisting of five fractions, one should place
"one" in the units column. If
one is billing for two weeks of five fractions each or en fractions total, one
should place "two" in the units column. If payment is being requested for thirty fractions or six
weeks of treatment, one should bill the appropriate level code once with
"six" in the units column. The
description column should be completed in the usual manner.
Again, span dates should be used, and claim lines without
modifiers may be billed electronically.
These instructions apply to billing for straight Medicaid
The daily treatment management codes 77400, 77405, and
77410 will be placed in non-pay status effective with date of service October 1,
FUNDING OF CPT-4 CODE 77417
Procedure code 77417 (Therapeutic radiology port film(s))
has been placed in pay status effective with date of service October 1, 1991.
The full service fee is $30.00, and the professional component fee is
$12.00. The number of units
billable per day is 004.
This code replaces procedure code 77415, which was placed
in non-pay status effective with date of service October 1, 1991.
FEE INCREASE FOR CPT-4 CODE 31000
The Bureau of Health Services Financing is pleased to
announce a fee increase for CPT-4 code 31000 (Lavage by cannulation; maxillary
sinus (antrum puncture or natural ostium)) effective with date of service July
30, 1990. The new fee for code
31000 will be $120.00.
Adjustments may be submitted by providers who performed
this procedure on or after July 30, 1990.
Providers should disregard the critical care article on
page seven of the August 1991 edition of the Provider
Update. Instead of following
the billing procedures discussed in that article, providers may continue to bill
for critical care services according to the 1990 definition of code 99160 until
January 1, 1992.
PHYSICIANS AND INDEPENDENT LABS
The Federal Register,
dated March 14, 1990, contains a change in rules and regulations regarding
independent laboratories and physicians who maintain a laboratory in their
offices. The previous policy
allowed physicians not registered as an independent lab to perform a certain
number of diagnostic tests on referrals from other physicians.
Part 493, Laboratory
Requirements, on pages 9576-9578 states, in part, that an independent
laboratory performing diagnostic tests is one which is independent of both the
attending or consulting physician's office and the hospital which meets at least
the requirements specified in section 1861(e) of the Act to quality for payment
for emergency hospital services under section 1814 (d) of the Act.
In addition, it states that services furnished by out-of-hospital
laboratories under the direction of a physician, such as a pathologist, are
considered to be subject to the conditions of the facility where the physician
holds himself and the facilities of his office out to other physicians as being
available for the performance of diagnostic tests.
However, a laboratory maintained by a physician for
performing diagnostic tests for his own patients is exempt from the conditions
unless such a laboratory accepts laboratory tests on referral. Thus, if a physician accepts any diagnostic tests on
referral, his laboratory must be registered as an independent laboratory.
PHYSICIANS AND HEALTH SERVICES PROVIDERS
The word "group" was inadvertently left out of
the description of code Y2512 which became payable at $16.00 effective with date
of service May 1, 1991. The correct
description of code Y2512 is as follows: Group
speech, language, and hearing therapy -- one hour.
Effective with date of service December 1, 1991, the number
of units per line one may bill for code Y2511 (Group speech therapy --
additional 15 minutes) will be 001.
LOUISIANA MEDICAID ELIGIBILITY CARD
REBATE PARTICIPATING PHARMACEUTICAL COMPANIES
RECOMMENDED DME PROCEDURE CODES FOR
VENTILATOR EQUIPMENT AND ACCESSORIES
Ventilator & Equipment Package
cascade humidifier with mounting
bracket and extra jar
sealed marine battery with case
quick connect battery adapter
low pressure alarm
battery cable and power cord
flow meter and water trap
Stationary Suction Machine w/spare jab
Circuits (pediatric with water traps)
Spare mushroom valves
Omniflex or swivel adapters
Preset peep valves
Adjustable peep valves (over 10cm)
Ventilator air filters (5 per box)
Trach tubes (adult)
Trach tubes (pediatric)
Trach tubes (neonatal)
Trach tube holder
Wheelchair mount for ventilators
Trach care kits
Yankeur suction catheter tip (handle)
Trach gauze or sponges (50 per box)
DeLee suction catheters
Catheter tipped syringes (60cc)
Thermovents or humidivents