Memorial Hospital of Laramie County

"""""""IODOFORM PACKING STRIP 1/2"""""""" X 5 YD CURAD"""""""

"""""""POUCH OSTOMY 12"""""""" DRAINABLE 18006"""""""

"""""""POUCH OSTOMY 12"""""""" DRAINABLE 18193"""""""

"""""""UNNA BOOT W/CALAZIME 4"""""""" X 10 Y"""""""

*DO NOT USE013020

1 EM core session

1 pc ost pou w built-in conv

1 pc ost pouch w filter

1/MLT NJXS SCLRSG SLNS SPIDER VEINS LIMB/TRNK

100 insulin syringes

12-24hr sealed lead acid

1ST PLMT DRUG ELUT OC INS

1pc ost pch drain hgh output

2 CC sterile syringe&needle

2 EM core MS mo 10-12 WL

2 EM core MS mo 10-12 no WL

2 EM core MS mo 7-9 WL

2 EM core MS mo 7-9 no WL

2 EM ongoing MS mo 13-15 WL

2 EM ongoing MS mo 16-18 WL

2 EM ongoing MS mo 19-21 WL

2 EM ongoing MS mo 22-24 WL

2 pc drainable ost pouch

2-D cephalometric radiographic image – image capture only

2-D oral/facial photographic image obtained intra-orally or extra-orally – image capture only

2019-NCOV CORONAVIRUS, SARS-COV-2/2019-NCOV (COVID-19), ANY TECHNIQUE, MULTIPLE TYPES OR SUBTYPES (INCLUDES ALL TARGETS), NON-CDC

22nf nonsealed leadacid

22nf sealed leadacid battery

29125 APPLICATION OF SHORT ARM SPLINT (FOREARM TO HAND); STA

29130 ed proc application of finger splint static

29131 ed proc application finger splint dynamic

2D cephalometric radiographic image – acquisition, measurement and analysis

2D oral/facial photographic image obtained intra-orally or extra-orally

3 CC sterile syringe&needle

3-DIMENSIONAL RADIOTHERAPY PLAN, INCLUDING DOSE-VOLUME HISTOGRAMS

36000 ed proc introduction of needle or intracathe

37799 ed proc vascular surgery unlisted proc

3D RENDERING WITH INTERPRETATION AND REPORTING OF COMPUTED TOMOGRAPHY, MAGNETIC RESONANCE IMAGING, ULTRASOUND, OR OTHER TOMOGRAPHIC MODALITY WITH IMAGE POSTPROCESSING UNDER CONCURRENT SUPERVISION; NOT REQUIRING IMAGE POSTPROCESSING ON AN INDEPENDENT WORKSTATION

3D RENDERING WITH INTERPRETATION AND REPORTING OF COMPUTED TOMOGRAPHY, MAGNETIC RESONANCE IMAGING, ULTRASOUND, OR OTHER TOMOGRAPHIC MODALITY WITH IMAGE POSTPROCESSING UNDER CONCURRENT SUPERVISION; REQUIRING IMAGE POSTPROCESSING ON AN INDEPENDENT WORKSTATION

3D VOL IMG&RCNSTJ BRST/AX

3D anat seg imaging preop

3d cntr simula trgt lvr les

4 EM core sessions

4-bar link above knee w/swng

5% DEXTROSE IN LACTATED RINGERS INFUSION, UP TO 1000 CC

5% dextrose with potassium

58160-0890-52 - influenza virus vaccine, inactivated preservative-free quadrivalent Sus [MEMO]

67938 ed proc remove fb eyelid- hospital

9 EM core sessions

A/D tx program, per hour