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Since these pages were converted from PDF, some of the content may appear garbled. To the best of our knowledge, the information contained herein is accurate. However, neither Binson's, or any of its subsidiaries assumes any liability whatsoever for the accuracy or completeness of the information contained herein. This manufacturer information is for educational purposes only.
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Page 1
85
Hollister Incorpora ted
Urologicals/
Continence Care
Hollister Incorpora ted
84
OWC_spot186-rev v4.0 FINAL 3/29/05 6:51 AM Page 84
Page 2
Hollister Incorpora ted
Medicare Utilization
86
87
Hollister Incorpora ted
T
able of Contents
-
Urologicals/Continence Care
Medicare’s Usual Maximum Quantity for
Urological Supplies
The quantity of urological supplies needed by a patient is determined
by many factors. There will be variation according to individual
need and their needs may vary over time. The table below lists the
maximum number of items / units of service that are usually medically
necessary. The actual quantity needed for a particular patient may be
more or less than the amount listed. The medical necessity for use of
a greater quantity of supplies than the amounts listed must be clearly
documented in the patient's medical record.
Code
Description
No./Day
A4328
Female external urinary collection device,
1
pouch, each
Code
Description
No./Month
A4349
Male external catheter, with or without adhesive,
35
disposable, each
A4357
Bedside drainage bag, day or night, with or without
2
anti-reflux device, with or without tube, each
A4358
Urinary drainage bag, leg or abdomen, vinyl,
2
with or without tube, with straps, each
A5131
Appliance cleaner, incontinence and ostomy
1
appliances, per 16 oz
Table of Contents - Urologicals/Continence Care
Medicare Utilization Chart...............................................................87
Urinary Incontinence ...................................................pages 88-91
Intermittent Catheters
Hollister Intermittent Catheter...............................................88
Advance Plus Intermittent Catheter.......................................88
Advance Plus Intermittent Catheter Kit..................................89
Advance Hydro Soft Hydrophilic Catheter ..............................89
Male External Catheters
InView Male External Catheter..............................................90
Extended Wear Male External Catheter .................................90
Extended Wear Male External Catheter with Removable Tip .....91
Extended Wear Male External Catheter Starter Kits................91
Everyday Male External Catheter...........................................91
Collection Systems......................................................pages 92-95
Urinary Collection Systems
Retracted Penis Pouches......................................................92
Bedside Drainage Collection System with Anti-Reflux Valve........92
Latex-Free Urinary Leg Bags................................................92
Latex-Free Urinary Leg Bag Kits and Systems.......................93
Latex-Free Vented Urinary Leg Bag Kits and Systems............93
Latex-Free Leg Bag Accessories...........................................94
Urinary Leg Bag Kits and Systems........................................94
Leg Bag Accessories............................................................94
Female Urinary Pouch..........................................................95
Fecal Collection Devices
Fecal Collectors...................................................................95
Urologicals/Continence Care Accessories ..............................96-97
Odor Eliminators ......................................................................96
Cleaner/Decrystallizer...............................................................96
Skin Care and Skin Protectants...........................................96-97
Skin Cleanser ..........................................................................97
Educational Resources............................................................98-99
Support and Professional Groups.........................................98-99
Stock Number Index ...................................................................100
OWC_spot186-rev v4.0 FINAL 3/29/05 6:51 AM Page 86
Page 3
89
Hollister Incorpora ted
Intermittent Ca
theters
Advance Plus Intermittent Catheter Kit
960xx/961xx/971xx
Box of 100
Latex-Free
Patented Gel Reservoir
Unique Protective Tip
1500 mL Collection Bag
Kit contains gloves, waterproof underpad,
drape, and BZK Swab Sticks
HCPCS: A4353
Stock No
Description
96064
Straight, 06Fr, 16 in. (40cm)
96084
Straight, 08Fr, 16 in. (40cm)
96104
Straight, 10Fr, 16 in. (40cm)
96124
Straight, 12Fr, 16 in. (40cm)
96144
Straight, 14Fr, 16 in. (40cm)
96164
Straight, 16Fr, 16 in. (40cm)
96184
Straight, 18Fr, 16 in. (40cm)
97124
Coudé, 12Fr, 16 in. (40cm)
97144
Coudé, 14Fr, 16 in. (40cm)
97164
Coudé, 16Fr, 16 in. (40cm)
Advance Hydro Soft Hydrophilic Catheter
801xx
Box of 30
Latex-Free
Slippery Hydrophilic Coating
Silicone Construction is Soft and Flexible
Optimal Blend of Firmness and Softness
Comfort-Sized Drainage Eyes
Secure Grip Section
HCPCS: A4351
Stock No
Description
80103
Straight, 10Fr, 6 in. (15cm)
80123
Straight, 12Fr, 6 in. (15cm)
80143
Straight, 14Fr, 6 in. (15cm)
80163
Straight, 16Fr, 6 in. (15cm)
80085
Straight, 08Fr, 10 in. (25cm)
80105
Straight, 10Fr, 10 in. (25cm)
80108
Straight, 10Fr, 16 in. (40cm)
80128
Straight, 12Fr, 16 in. (40cm)
80148
Straight, 14Fr, 16 in. (40cm)
80168
Straight, 16Fr, 16 in. (40cm)
80188
Straight, 18Fr, 16 in. (40cm)
Hollister Incorpora ted
Hollister Intermittent Catheter
900xx/901xx
Box of 30
Latex-Free
Ready-to-Use
Ultra-Smooth Eyelets
HCPCS: A4351
Stock No
Description
90062
Straight, 06Fr, 8 in. (20cm)
90082
Straight, 08Fr, 8 in. (20cm)
90102
Straight, 10Fr, 8 in. (20cm)
90104
Straight, 10Fr, 16 in. (40cm)
90122
Straight, 12Fr, 8 in. (20cm)
90124
Straight, 12Fr, 16 in. (40cm)
90142
Straight, 14Fr, 8 in. (20cm)
90144
Straight, 14Fr, 16 in. (40cm)
90164
Straight, 16Fr, 16 in. (40cm)
90184
Straight, 18Fr, 16 in. (40cm)
Advance Plus Intermittent Catheter
940xx/941xx/951xx
Box of 100
Combines the latest advancements in intermittent
catheter comfort, convenience, protection and design.
Latex-Free
Patented Gel Reservoir
Unique Protective Tip
1500 mL Collection Bag
Ultra-Smooth Eyelets
HCPCS: No Code
Stock No
Description
94064
Straight, 06Fr, 16 in. (40cm)
94084
Straight, 08Fr, 16 in. (40cm)
94104
Straight, 10Fr, 16 in. (40cm)
94124
Straight, 12Fr, 16 in. (40cm)
94144
Straight, 14Fr, 16 in. (40cm)
94164
Straight, 16Fr, 16 in. (40cm)
94184
Straight, 18Fr, 16 in. (40cm)
95124
Coudé, 12Fr, 16 in. (40cm)
95144
Coudé, 14Fr, 16 in. (40cm)
95164
Coudé, 16Fr, 16 in. (40cm)
Intermittent Catheters
88
Hollister manufacturer's label code: 08380
OWC_spot186-rev v4.0 FINAL 3/29/05 6:51 AM Page 88
Page 4
91
Hollister Incorpora ted
Extended Wear Male External Catheter
with Removable Tip
989x
Box of 12
Self-Adhesive, Latex
Patented Inner Flap
Removable Tip
HCPCS: A4326
Stock No
Description
9897
Medium - 1-1/8" (29mm)
9898
Large - 1-1/2" (36mm)
Extended Wear Male External Catheter
Starter Kits
981x
Box of 1 Kit
Contains:
(12) Latex Catheters – small, medium or large
(1) Urinary Leg Bag – medium (19 oz./540mL) with
sterile fluid pathway – for small or medium
catheters...or... large Urinary Leg Bag (32 oz./900mL)
with sterile fluid pathway – for large catheters
(1) Extension tubing with connector
(1) Pair fabric leg bag straps – small (15"/38cm)
HCPCS: A4349, A4358
Stock No
Description
9816
Pediatric/Geriatric/Small - 1" (25mm)
9817
Medium - 1-1/8" (29mm)
9818
Large - 1-1/2" (36mm)
Everyday Male External Catheter
960x
Box of 12
962x
Box of 100
Self-Adhesive, Latex
Easy Applicator Collar
HCPCS: A4349
Stock No
Stock No
(Box of 12) (Box of 100)
Description
9606
9626
Pediatric/Geriatric/Small - 1" (25mm)
9607
9627
Medium - 1-1/8" (29mm)
9609
9629
Intermediate - 1-1/4" (32mm)
9608
9628
Large - 1-1/2" (36mm)
Male External Ca
theters
Hollister Incorpora ted
InView Male External Catheter
974xx/975xx/976xx
Box of 30
977xx/978xx/979xx
Box of 100
Latex-Free
Self-adhesive
Three styles to choose from:
Special - shorter catheter length
Standard - right amount of adhesive for every day wear
Extra - 70% more adhesive than Standard for
added security
Perfect for patients with latex sensitivity
HCPCS: A4349
Stock No
Stock No
(Box of 30)
(Box of 100)
Description
Size
97425
97725
Special
Small (25mm)
97429
97729
Special
Medium (29mm)
97432
97732
Special
Intermediate (32mm)
97436
97736
Special
Large (36mm)
97441
97741
Special
Extra Large (41mm)
97525
97825
Standard
Small (25mm)
97529
97829
Standard
Medium (29mm)
97532
97832
Standard
Intermediate (32mm)
97536
97836
Standard
Large (36mm)
97541
97841
Standard
Extra Large (41mm)
97625
97925
Extra
Small (25mm)
97629
97929
Extra
Medium (29mm)
97632
97932
Extra
Intermediate (32mm)
97636
97936
Extra
Large (36mm)
97641
97941
Extra
Extra Large (41mm)
Extended Wear Male External Catheter
980x
Box of 12
982x
Box of 100
Self-Adhesive, Latex
Patented Inner Flap
Easy Applicator Collar
HCPCS: A4349
Stock No
Stock No
(Box of 12)
(Box of 100)
Description
9806
9826
Pediatric/Geriatric/Small - 1" (25mm)
9807
9827
Medium - 1-1/8" (29mm)
9809
9829
Intermediate - 1-1/4" (32mm)
9808
9828
Large - 1-1/2" (36mm)
Male External Catheters
90
Hollister manufacturer's label code: 08380
OWC_spot186-rev v4.0 FINAL 3/29/05 6:51 AM Page 90
Page 5
93
Hollister Incorpora ted
Latex-Free Urinary Leg Bag Kits and Systems
9348/9349
Box of 12
Urinary Leg Bag Combination Pack with
latex-free tubing and latex-free straps contains:
(1) Urinary Leg Bag – medium or large
(1) Latex-Free extension tubing (18"/45cm) with connector
(1) Pair fabric leg bag straps – medium (23"/58cm)
HCPCS: A4358
Stock No
Description
9348
Medium - 19 oz. (540mL)
9349
Large - 32 oz. (900mL)
9354/9355
Box of 12
Latex-Free Bag and Strap System contains:
(1) Urinary Leg Bag – medium or large
(1) Pair fabric leg bag straps – medium (23"/58cm)
HCPCS: A4358
Stock No
Description
9354
Medium - 19 oz. (540mL)
9355
Large - 32 oz. (900mL)
9356/9357
Box of 12
Latex-Free Bag and Tubing System contains:
(1) Urinary Leg Bag – medium or large
(1) Latex-Free extension tubing (18"/45cm)
with connector
HCPCS: A4358
Stock No
Description
9356
Medium - 19 oz. (540mL)
9357
Large - 32 oz. (900mL)
Latex-Free Vented Urinary Leg Bag Kits
9645/9655
Box of 10
Vented Urinary Leg Bag Combination Pack contains:
(1) Vented Urinary Leg Bag with sterile fluid pathway –
medium or large
(1) Latex-Free, kink-resistant extension tubing with
vacuum relief valve
(1) Pair fabric leg bag straps – medium (23"/58cm)
HCPCS: A4358
Stock No
Description
9645
Medium - 19 oz. (540mL)
9655
Large - 32 oz. (900mL)
Latex-Free Vented Urinary Leg Bag Systems
9845/9855
Box of 10
Vented Urinary Leg Bag System contains:
(1) Vented Urinary Leg Bag with sterile fluid pathway –
medium or large
(1) Latex-Free, kink-resistant extension tubing with
vacuum relief valve
HCPCS: A4358
Stock No
Description
9845
Medium - 19 oz. (540mL)
9855
Large - 32 oz. (900mL)
Urinar
y Collection Systems
Hollister Incorpora ted
Retracted Penis Pouch
External Collection Device
9873
Box of 10
Cut-to-Fit, Flextend Skin Barrier
Thinner and More Flexible
No Additional Tape Needed
Odor-Barrier Film
Convenience Drain
HCPCS: A4335
Stock No
Description
9873
Retracted Penis Pouch
9811
Box of 10
Cut-to-Fit, SoftFlex Skin Barrier
Odor-Barrier Film
Convenience Drain
Tape Strips and Skin Gel Wipe Included
HCPCS: A4335
Stock No
Description
9811
Retracted Penis Pouch
Bedside Drainage Collection System
with Anti-Reflux Valve
9839
Box of 20
Latex-Free
70 oz./2000mL Capacity
Anti-Reflux Valve
Sample Port
Sterile Fluid Pathway
HCPCS: A4357
Stock No
Description
9839
70 oz. (2000mL)
Latex-Free Urinary Leg Bags
9814/9805
Box of 10
HCPCS: No Code
Stock No
Description
9814
Medium - 19 oz. (540mL)
9805
Large - 32 oz. (900mL)
Urinary Collection Systems
92
Hollister manufacturer's label code: 08380
Hollister Leg Bags Offer Many Benefits:
Soft, vinyl material is comfortable
Pleats provide a discreet profile
Wide, woven fabric straps are comfortable and stay in place
Easy to operate drain valve requires minimal dexterity
Protected buttons on the bags significantly decrease the risk of pressure points
Anti-reflux valve prevents urine back flow in the tubing
OWC_spot186-rev v4.0 FINAL 3/29/05 6:51 AM Page 92
Page 6
95
Hollister Incorpora ted
Female Urinary Pouch
9840
Box of 10
Cut-to-Fit, SoftFlex Skin Barrier
Odor-Barrier Film
Convenience Drain
Alternative to indwelling catheter for bedbound females
HCPCS: A4328
Stock No
Description
9840
Female Urinary Pouch
Fecal Collectors
9880
Box of 10
Cut-to-Fit Flextend Tapered Barrier
Odor Resistant, Clear Pouch Film
Convenience Drain
HCPCS: A4330
Stock No
Description
Pouch Length
9880
Large
12" (30cm)
9823
Box of 10
Cut-to-Fit Flextend Tapered Barrier
Odor Resistant, Clear Pouch Film
Convenience Drain
HCPCS: A4330
Stock No
Description
Pouch Length
9823
Medium
10" (25cm)
9822/9821
Box of 10
Cut-to-Fit SoftFlex Skin Barrier
Odor-Barrier Pouch Film
Thermometer Port
Convenience Drain
HCPCS: A4330
Stock No
Description
Pouch Length
9822
Medium
10" (25cm)
9821
Large
12" (30cm)
Urinar
y and F
ecal Collection Systems
Hollister Incorpora ted
Latex-Free Leg Bag Accessories
9342/9343/9344
10 pair
Pair of fabric leg bag straps
HCPCS: A5114
Stock No
Description
9342
Small - 15" (38cm)
9343
Medium - 23" (58cm)
9344
Large - 30" (76cm)
9345/9346
Box of 10
Latex-free, kink-resistant extension tubing
with connector.
HCPCS: A4331
Stock No
Description
9345
Non-sterile
9346
Sterile
Urinary Leg Bag Kits and Systems
9824/9825
Box of 12
Urinary Leg Bag Combination Pack contains:
(1) Urinary Leg Bag – medium or large
(1) Latex extension tubing (18"/45cm) with connector
(1) Pair fabric leg bag straps – medium (23"/58cm)
HCPCS: A4358
Stock No
Description
9824
Medium - 19 oz. (540mL)
9825
Large - 32 oz. (900mL)
9834/9835
Single unit
Urinary Leg Bag 4 Pack contains:
(4) Urinary Leg Bags – medium or large
(1) Latex extension tubing (18"/45cm) with connector
(1) Pair fabric leg bag straps – medium (23"/58cm)
HCPCS: A4358
Stock No
Description
9834
Medium - 19 oz. (540mL)
9835
Large - 32 oz. (900mL)
Leg Bag Accessories
9803/9813
Box of 10
Latex extension tubing with connector
HCPCS: A4331
Stock No
Description
9803
Non-sterile
9813
Sterile
Urinary and Fecal Collection Systems
94
Hollister manufacturer's label code: 08380
Risks Associated with Rectal Tubes:
Potential damage to sphincter
Potential perforation or necrosis
Contraindicated for patients with bleeding disorders or rectal pathology
Only indicated for short-term use
May leak causing skin irritation, odor, increased caregiver time
For Your Information
Fecal collectors should be initiated at the first evidence of diarrhea and
fecal incontinence—before the perianal skin is damaged.
Fecal collectors provide benefits for patients who are immobile, receiving
antibiotics, receiving tube feedings, have Clostridium difficile, or are
experiencing G.I. bleeding.
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Page 7
97
Hollister Incorpora ted
Restore DimethiCreme Skin Protectant
9979
Box of 12
Breathable dimethicone barrier
Light lavender scent
HCPCS: No Code
Stock No
Description
9979
4 oz. (115mL) tube
Hollister Moisture Barrier Skin Ointment
7230
Box of 12
Petrolatum-based and should not be used
under adhesives
HCPCS: A6250
Stock No
Description
7230
2.5 oz. (71g) tube
Skin Cleanser
7210
Box of 12
Skin Cleanser
Gentle Foaming Action
Rinse when finished
HCPCS: No Code
Stock No
Description
7210
8 oz. (240ml) pump spray
Accessories
Hollister Incorpora ted
Accessories
96
Hollister manufacturer's label code: 08380
m9 Odor Eliminator Spray
773x
m9 Odor Eliminator Spray
Scented or unscented
Eliminates unwanted odors
Pump spray
HCPCS: No Code
Stock No (unscented)
Description
Quantity
7732
2 oz. (60mL) pump spray
Box of 12
7733
8 oz. (240mL) pump spray
Box of 6
Stock No (scented)
Description
Quantity
7734
2 oz. (60mL) pump spray
Box of 12
7735
8 oz. (240mL) pump spray
Box of 6
m9 Cleaner/Decrystallizer
7736
Box of 12
m9 Cleaner/Decrystallizer
Cleans urinary drainage systems
pH balanced and non-acidic
Free wash bottle included
HCPCS: A5131
Stock No
Description
7736
16 oz. (480mL) bottle
Restore Cleanser and Moisturizer
997x
Box of 12
No-rinse
3-in-1 product (cleans, moisturizes and protects)
Breathable dimethicone barrier
HCPCS: No Code
Stock No
Description
9977
8 oz. (240mL) spray bottle
9978
12 oz. (340mL) spray bottle
OWC_spot186-rev v4.0 FINAL 3/29/05 6:51 AM Page 96
Page 8
99
Hollister Incorpora ted
Professional Organizations (continued)
Agency for Healthcare Research and Quality (AHRQ)
formerly the (AHCPR) Agency for Health Care and Research
www.ahcpr.gov
1-301-427-1364
American Physical Therapy Association (APTA)
www.apta.org
1-703-684-2782
American Society of Colon and Rectal Surgeons (ASCRS)
www.fascrs.org
1-847-290-9184
American Urological Association (AUA)
www.auanet.org
1-410-727-1100
American Urogynecologic Society (AUGS)
www.augs.org
1-202-367-1167
Society of Urological Nurses and Associates (SUNA)
www.suna.org
1-856-256-2335
Wound, Ostomy and Continence Nurses Society (WOCN)
www.wocn.org
1-888-224-WOCN
Association of Rehabilitation Nurses (ARN)
www.rehabnurse.org
1-800-229-7530
Spinal Cord Injury Support Groups
Miami Project to Cure Paralysis
www.miamiproject.miami.edu
1-800-STAND-UP
Spinal Cord Injury Information Network
www.spinalcord.uab.edu
American Spinal Injury Association (ASIA)
www.asia-spinalinjury.org
1-404-355-9772
National Spinal Cord Injury Association
www.spinalcord.org
1-800-962-9629
More Educational Information is available at:
Minnie Schneider Resource Center
Hollister Incorporated
2000 Hollister Drive
Libertyville, Illinois 60048 USA
1.800.323.4060
Hollister Website
www.hollister.com
Educa
tional Resources
Hollister Incorpora ted
Sizing Guides
External Catheter Sizing Guide
Case Studies
Instruction Sheets
Literature Number
Patient Education Anatomy Guide
903789
Extended Wear Catheter
907014
Drainable Fecal Collector Protocol
906183
Advance Plus Guide for Use
906465
Videos/CDs
Literature Number
Extended Wear External Catheter
902886
Everyday External Catheter
902887
Leg Bag System
903273
Drainable Fecal Collector: SoftFlex
903275
Drainable Fecal Collector: Flextend
904500
Advance Plus Patient Education CD
906574
Hollister Drainable Fecal Collector with
Tapered Skin Barrier (VHS)
907221
Hollister Drainable Fecal Collector with
Tapered Skin Barrier (DVD)
907222
Customer Support Groups
National Association for Continence (NAFC)
www.nafc.org
1-800-BLADDER
National Rehabilitation Information Center
www.naric.com
1-800-346-2742
Prostate Cancer Resource Network (PCRN)
www.pcrn.org
1-800-915-1001
The Simon Foundation for Continence
www.simonfoundation.org
1-800-23-SIMON
Us Too! International, Inc.
www.ustoo.org
1-800-80-US-TOO
Well Spouse Foundation
www.wellspouse.org
1-800-838-0879
Professional Organizations
American College of Obstetricians and Gynecologists (ACOG)
www.acog.org
1-202-638-5577
Educational Resources
98
OWC_spot186-rev v4.0 FINAL 3/29/05 6:51 AM Page 98
Page 9
101
Hollister Incorpora ted
Wound Care
Hollister Incorpora ted
Index
100
Stock No
Page
7210 . . . . . . . . . .97
7230 . . . . . . . . . .97
7736 . . . . . . . . . .96
773x . . . . . . . . . .96
801xx . . . . . . . . . .89
900xx . . . . . . . . . .88
901xx . . . . . . . . . .88
9342 . . . . . . . . . .94
9343 . . . . . . . . . .94
9344 . . . . . . . . . .94
9345 . . . . . . . . . .94
9346 . . . . . . . . . .94
9348 . . . . . . . . . .93
9349 . . . . . . . . . .93
9354 . . . . . . . . . .93
9355 . . . . . . . . . .93
9356 . . . . . . . . . .93
9357 . . . . . . . . . .93
940xx . . . . . . . . . .88
941xx . . . . . . . . . .88
951xx . . . . . . . . . .88
960x . . . . . . . . . .91
960xx . . . . . . . . . .89
961xx . . . . . . . . . .89
962x . . . . . . . . . .91
9645 . . . . . . . . . .93
9655 . . . . . . . . . .93
971xx . . . . . . . . . .89
974xx . . . . . . . . . .90
975xx . . . . . . . . . .90
976xx . . . . . . . . . .90
977xx . . . . . . . . . .90
978xx . . . . . . . . . .90
979xx . . . . . . . . . .90
9803 . . . . . . . . . .94
9805 . . . . . . . . . .92
980x . . . . . . . . . .90
9811 . . . . . . . . . .92
9813 . . . . . . . . . .94
9814 . . . . . . . . . .92
981x . . . . . . . . . .91
Stock No
Page
982x . . . . . . . . . .90
9821 . . . . . . . . . .95
9822 . . . . . . . . . .95
9823 . . . . . . . . . .95
9824 . . . . . . . . . .94
9825 . . . . . . . . . .94
9834 . . . . . . . . . .94
9835 . . . . . . . . . .94
9839 . . . . . . . . . .92
9840 . . . . . . . . . .95
9845 . . . . . . . . . .93
9855 . . . . . . . . . .93
9873 . . . . . . . . . .92
9880 . . . . . . . . . .95
989x . . . . . . . . . .91
997x . . . . . . . . . .96
9979 . . . . . . . . . .97
OWC_spot186-rev v4.0 FINAL 3/29/05 6:51 AM Page 100
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