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Surgical Dressing - Foam · Order types

Order types
Surgical Dressing - Foam

Surgical Dressing - Foam

· Updated Sep 1, 2026

Insurance payer

Colorado Medicaid

Service line

Positive Airway Pressure (PAP) Devices

Linked policies

Plan type

—

PBM

—

Classification

CONTINUATION, CONTINUATION_3_MONTHS

Diagnosis codes

Z99.89

States

—

Required documents

None

Criteria

None

Accessory codes

A6212

Required documents

None

Criteria

None

Accessory codes

A6212

A6212

None linked