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Over-the-Counter Supply Exclusion

For dates of service 07/01/10 and after, some groups (1, 2, 4, 5, 6, 9, D, J, K, T, or Y) no longer cover the following:

Description

Hot and cold packs.

Standard batteries used to power medical or durable medical equipment.

Solutions used to clean or prepare skin or minor wounds including alcohol solution or wipes, povidone-iodine solution or wipes, hydrogen peroxide, and adhesive remover.

Standard dressing supplies and bandages used to protect minor wounds such as band aids, 4 x 4 gauze pads, tape, compression bandages, eye patches.

Elimination and incontinence supplies such as urinals, diapers, and bed pans.

Blood pressure cuffs, sphygmometers, stethoscopes, and thermometers.

Hot and cold packs, including circulating devices and pumps.

Last Updated January 2011