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  3. INTERLINK EXT. W/3 PORT MANIFOLD
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INTERLINK EXT. W/3 PORT MANIFOLD
Item Number: 2C6921
GTIN:  00085412035451
GTIN-CS:  50085412035456
INTERLINK EXT. W/3 PORT MANIFOLD
Specifications

Product Characteristics

Length 41.0 in.
Dehp Free No
Pvc Free No
Latex Free Yes
Priming Volume 1.4 + 6.1 Milliliter
Backcheck Valve No
Collar Type Retractable
Control Aflo No
Manifold 3-port
Rx Only Yes
Sterility Sterile Package
Stopcock 1
Tubing Configuration Straight
T Connector None
Type Of Injection Site Interlink

Carton

Units per Case 48.0
Carton Weight 9.9 lb.
Carton Length 24.7 in.
Carton Width 14.0 in.
Carton Height 9.6 in.
Carton Volume 3319.68 ci

Reimbursement Information

HCPCS Code HCPCS Description
A4223 Infusion supplies not used with external infusion pump, per cassette or bag (list drugs seperately)
A4222 Infusion supplies for external drug infusion pumps per cassette or bag (list drugs seperately)
Medication Delivery Reimbursement Hotline 888-338-0001

Information Source : CMS

Disclaimer:The coverage, coding, and payment information included in this guide has been compiled from various resources for informational use as a tool to assist providers with reimbursement issues. This information is current as of 3/31/2008; however this information is subject to change and should not be construed as legal advice. Providers should exercise independent clinical judgment when selecting codes and submitting claims to accurately reflect services rendered to individual patients. Baxter Healthcare Corporation does not guarantee success in obtaining insurance payments. Providers are encouraged to contact third-party payors for specific information on their coverage, coding, and payment policies.
Ordering Information
Item Number 2C6921
Sales Unit case
GTIN 00085412035451
GTIN-CS 50085412035456