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  3. Y-Type Extension Set, 2 Check Valves, Standard Bore, Retractable Collar, 6.9" (18 cm)
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Y-Type Extension Set, 2 Check Valves, Standard Bore, Retractable Collar, 6.9" (18 cm)
Item Number: 2C5647
GTIN:  0085412031569
GTIN-CS:  50085412031564
Y-Type Extension Set with 2 Check Valves and Male Luer Lock Adapter with Retractable Collar. Approximate Volume 2.0 mL. Approximate Length 6.9" (18 cm). Contains DEHP. Fluid path is sterile, Nonpyrogenic.
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Specifications

Product Characteristics

Minimum Storage Temperature 0.0 °C
Maximum Storage Temperature 0.0 °C
Length 6.9 in.
DEHP Free Yes
PVC Free Yes
Latex Free No
UF Coefficient Standard Bore 
Priming Volume 2.0 Milliliter
Shelf Life from Manufacture 0
Backcheck Valve Yes
Collar Type Retractable
Control-A-Flo No
Number Of Ysites None
Sterility Sterile Package
Tubing Configuration Y_TYPE
Tubing Size Standard Bore
T-Connector None

Carton

Units per Case 48.0
Carton Weight 2.3 lb.
Carton Length 11.6 in.
Carton Width 9.1 in.
Carton Height 12.6 in.
Carton Volume 0.77 fc

Reimbursement Information

HCPCS Code HCPCS Description
A4222 INFUSION SUPPLIES FOR EXTERNAL DRUG INFUSION PUMP, PER CASSETTE OR BAG (LIST DRUGS SEPARATELY)
A4223 INFUSION SUPPLIES NOT USED WITH EXTERNAL 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 2C5647
Sales Unit case
GTIN 0085412031569
GTIN-CS 50085412031564