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| SURGERY |
| Code |
Description |
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| C11010E………………………………………………….20/cs |
Incision
& Drainage Kit |
| |
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Kit
w/woven 4” x 4” gauze (4), thumb forceps, poly lined
towel, scalpel no. 11 blade, bag w/twist tie, Kelly straight
hemostat, poly lined fenestrated towel, PVP Swabsticks (3),
packed in HIPS tray w/TyvekÒ lid, sterile. |
| |
| C11002E………………………………………………….20/cs |
ER
Laceration Tray w/Blue CSR Wrap |
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 |
Tray
w/towel (2), needle holder, scissors, medicine cups (2), tissue
forceps, woven 4” x 4” gauze (10), fenestrated drape,
mosquito forceps, needle 18G x 1 ½”, needle 25G
x 5/8” needle 27G x 1 ½”, 10 cc syringe,
woven 2” x 2” gauze, CSR wrap, packed in Tyvek/film
pouch, sterile. |
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| C11005E………………………………………………….20/cs |
Minor
Laceration Tray |
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|
 |
Tray
w/poly lined towel, poly lined fenestrated towel, absorbent
towels (2), needle holder, scissors, tissue forceps, woven 4”
x 4” gauze (5), packed in HIPS tray w/TyvekÒ lid,
sterile. |
| |
| C11008E………………………………………………….20/cs |
Wound
Closure Tray |
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 |
Tray
w/Baumgartner needle holder, mosquito forceps, sharp/blunt scissors,
Adson tissue forceps, bag w/twist tie, poly lined fenestrated
towel, woven 4” x 4” gauze (4), PVP pad, alcohol
pad, absorbent towel, poly lined towel, packed in HIPS tray
w/TyvekÒ lid, sterile. |
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| C11009E………………………………………………….20/cs |
Shave
Prep Tray |
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Tray
w/prep razor, underpad, absorbent towel, 3” cotton applicators
(2), soap sponge, packed in HIPS tray w/paper lid, non-sterile. |
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