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  3. PEDIATRIC EXTENSION SET 38 IN.LONG W/LUER LOCKS
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PEDIATRIC EXTENSION SET 38 IN.LONG W/LUER LOCKS
Item Number: 2C5685
GTIN:  0085412003832
GTIN-CS:  50085412003837
PEDIATRIC EXTENSION SET 38 IN.LONG W/LUER LOCKS
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Specifications

Product Characteristics

Length 35.0 in.
DEHP Free Yes
PVC Free No
Latex Free No
UF Coefficient Microbore/Minivolume 
Priming Volume 0.82 Milliliter
Shelf Life from Manufacture 1800
Backcheck Valve No
Collar Type Fixed
Control-A-Flo No
Protein ML 
Total Calories None 
Tubing Configuration Straight
Tubing Size B5 Microbore/Minivolume
T-Connector None

Carton

Units per Case 48.0
Carton Weight 2.0 lb.
Carton Length 11.8 in.
Carton Width 8.7 in.
Carton Height 13.2 in.
Carton Volume 0.78 fc

Reimbursement Information

HCPCS Code HCPCS Description
A4223 "INFUSION SUPPLIES NOT USED WITH EXTERNAL INFUSION PUMP, PER CASSETTE OR BAG (LIST DRUGS SEPARATELY)"
A4222 "INFUSION SUPPLIES FOR EXTERNAL DRUG INFUSION PUMP, PER CASSETTE OR BAG (LIST DRUGS SEPARATELY)"
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 2C5685
Sales Unit case
GTIN 0085412003832
GTIN-CS 50085412003837