Medical Supply Surgical Trays
Surgical trays are reimbursable when billed in conjunction with the following CPT codes:
| 19101 | 43200 | 51720 | 52301 |
 |
| 19120 | 43202 | 52000 | 52305 |
|
| 19125 | 43220 | 52005 | 52310 |
|
| 19126 | 43226 | 52007 | 52315 |
|
| 20200 | 43234 | 52010 | 53020 |
|
| 20205 | 43235 | 52204 | 54057 |
|
| 20220 | 43239 | 52214 | 54060 |
|
| 20225 | 43245 | 52224 | 54100 |
|
| 20240 | 43247 | 52234 | 54700 |
|
| 25111 | 43250 | 52235 | 55250 |
|
| 28290 | 43251 | 52240 | 57520 |
|
| 28292 | 43458 | 52250 | 58120 |
|
| 28293 | 45378 | 52260 | 62270 |
|
| 28294 | 45379 | 52270 | 85095 |
|
| 28296 | 45380 | 52275 | 85102 |
|
| 28297 | 45382 | 52276 | 96440 |
|
| 28298 | 45383 | 52277 | 96445 |
|
| 28299 | 45384 | 52281 | 96450 |
|
| 32000 | 45385 | 52283 |
|
| 37609 | 49080 | 52290 |
|
| 38500 | 49081 | 52300 |
|
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