The following approved medical supplies manufacturer billing codes are to be used on the Pharmacy
Claim Form (30-1) and on the CMS-1500 claim to bill medical supplies. The listed codes represent
manufacturers recognized as principal labelers of their products.
Principal LabelerThe principal labeler is the specific supplier of a product under whose brand, trademark, trade name, or other trade symbol, a medical supply is placed in its final, commercially available package. A final, commercially available package is the originally processed and labeled package that requires no further processing or labeling to be lawfully sold to a provider of service. The principal labeler of a product does not include any person who affixes supplemental labeling to an existing final, commercially available package of a medical supply.
CodeManufacturerCodeManufacturer
ABAbbott Lab.
MEAbbott Laboratories-Medisense
Products (formerly known as Medisense, Inc.)
9924G +
9924P +
9924U +
9924V +
9924X +
9926J +
9926N +
9926T +
9999A +
AWAcco (The Absorbent Cotton Co.)
CWAcme-United
ADAdria
9AAimsco Delta Hi-Tech, Inc.
QKAkorn, Inc.
3JAllegiance #
AEAllergan, Inc.
HGAllman Products
KDAllstate Medical Products, Inc.
1EAmerican Healthcare Products
Incorporated
9911A +
9911B +
3KAltex Products, Inc.
AMAmerican Hosp. Supply Corp.
QMAmerican Sun Mark Co.
AFAmerican White Cross Lab.
1BAmericare
AJAnpak Drug Co.
#Effective November 1, 2008
***Effective December 1, 2008
Apogee Medical, Inc. (now
owned by Hollister Inc. Use
code HS to bill for all
Apogee-branded products) ***
4AApothecus Pharmaceutical
Corporation
AHArbrook, Inc.
2EArgentum Medical, LLC
JGAssociated Hygienic Products
ATAstra Tech
AIAtlantic Surgical Co., Inc.
BABard, C.R.
EKBard-Parker
NABarre-National Inc.
ASBayer Corporation, Diagnostics Division (formerly Ames Company, and Miles, Diagnostic Division)
9924A +
9924D +
9924E +
9924F +
9924G +
9924H +
9924J +
9924K +
9924N +
9924P +
9924R +
9924S +
9924T +
9924U +
9924V +
9924W +
9999A
CodeManufacturerCodeManufacturer
TRBaxter Healthcare Corporation
BDBecton, Dickinson, and Co.
HCBertek Pharmaceuticals, Inc.
(formerly Dow B. Hickam, Inc.)
9986C + **
9999A +
B2Bevan Medical, Inc.
DLBiersdorf, Inc. – Duke
Laboratories
ODBioCore Medical Technologies, Inc.
FWBio-Dynamics
BXBioline Labs, Inc.
3HBioDerm, Inc.
9912S + ***
9992H + ***
9999C + ***
BRBird Corporation
3FBivona #
BCBlanchard Ostomy Products
AKBocan Drug Company
4BBoston Medical Products #
B3Bower Companies
BTBreath Easy (See Pascal Corp.)
CXBrite Life Laboratories
OIBritish American Medical, Inc.
(See Chronimed, Inc.)
BWBurroughs-Wellcome & Co.
VTCalgon Vestal Laboratories
EBCal-Med Disposables, Inc.
CNCan-Am Care Corp.
2NCardinal
**Effective October 1, 2008
#Effective November 1, 2008
***Effective December 1, 2008
XCCare-Tech Laboratories
C2Carrington Laboratories, Inc.
C6Carter-Wallace, Inc.
CQCascade Medical, Inc.
JLCatalina Biomedical Corporation
CECenci, H.R. Laboratories, Inc.
CJCenter Laboratories
OIChronimed, Inc.
(formerly known as Supreme Medical and/or British American
Medical, Inc.)
CFC.M.C. – Consolidated Midland
Corp.
CVCoast Clinical Co.
CGColgate-Palmolive Co.
NRColoplast Corporation
(formerly Mentor)
9943N + ***
JNColoplast Inc.
CAConcord Labs
7AConMed Corporation
LTControl Products
SQConvatec
(formerly Squibb, E.R.
and Sons, Inc.)
4CCovidien **
3CCure Medical, LLC
CUCutter Biological Miles Inc.,
Pharm Div.
CDCymed, Inc.
CodeManufacturerCodeManufacturer
2YDale Medical Products #
ZFDansac Ostomy Products
DADavol, Inc.
DEDean Rubber Mfg. Co.
DDDennison Manufacturing Co.
DPDepree Company
DHDepuy
5SDerma Sciences **
YJDeRoyal Industries, Inc.
DGDeseret Medical Co., Inc.
DSDe Vilbiss Company
EQDMI (Duro-Med Industries, Inc.)
DXDow Corning
ZYEagle Health Care
2AEastman Medical Products, Inc.
FOE. Fougera & Co., Div. of
Altana Inc.
LYEli Lilly and Company
EIEisele & Co., Inc.
ESElkins-Sinn, Inc.
EMEmko
EHExcel International, Inc.
1CExu-Dry Wound Care
Products, Inc.
FDFerndale Laboratories, Inc.
FHFerris Mfg. Corp.
FSFisons Corporation
GQGainor Medical
**Effective October 1, 2008
#Effective November 1, 2008
GNGeneral Bandages, Inc.
GTGentec Hospital Supply
GFGerber Family Health Care
FBGeri-Care Products
TIG. Hirsch and Company, Inc.
GOGiovano Inc.
GLGlenwood Laboratories
1DGlenwood LLC
2GGlobal Protection Corporation
9914A +
2DGo Medical (USA) Inc.
JBGood Neighbor Pharmacy, Co.
W8Goodway USA
GHGraham-Field Surgical Co., Inc.
HLHalsey Drug Co., Inc. – Blue Cross
HNHankscraft Company
HKHardwood Products Co. (Puritan)
2QHartmann-Conco, Inc.
SRHealthCall Corporation
XZHealthpoint Medical
HVHealth Tec., Inc.
HDHedeco
HRHolland-Rantos Company
HSHollister, Inc.
HOHollister-Stier Miles Inc.,
Pharm. Div.
CodeManufacturerCodeManufacturer
FXHome Diagnostics, Inc.
HUHudson Pharmaceutical Corp.
VSHumanicare International, Inc.
VUHygeia Products, Inc.
HJHY-Tape Surgical Corp.
I2ICD Industries, Inc.
IAImed
4DIndependence Medical #
3EIn-Health Technologies #
ITIntermed Associates, Inc.
IDInterstate Drug Exchange, The
INInvenex Pharmaceutical
JJJohnson & Johnson
JOJones-Zylon, Inc.
JPJung Products
PBKabi Pharmacia
KAKay’s Ostomy Center
KZKaz Incorporation
KEKendall Company, The
KGKendall-Futuro Company, The
MGKendall-McGaw Inc.
KWKenwood Laboratories, Inc.
KIKimberly-Clark Corporation
**Effective October 1, 2008
#Effective November 1, 2008
****Effective February 1, 2009
1MKimberly-Clark Corporation (formerly Ballard Medical Products Corp.)
9930A +
9930E +
9981E +
9981F +
9981H + ****
9981J +
9981K +
9999A +
KJKleinert’s
ZMKloz-Ez
LALadco Laboratories, Inc.
3LLauder Enterprises #
4LLeading Edge Innovations, Inc. **
LMLemmon Pharmacal Co.
LJLic Hygiene
LVLifescan, Inc.
1LLine One Laboratories
2ULohmann & Rauscher
LGLongs Drug Store
LLLyne Laboratories
ZXMPM Medical, Inc.
KBMajor Pharmaceutical Corp.
MAMallinckrodt Laboratories
5AMallinckrodt Medical, Inc.
CodeManufacturerCodeManufacturer
MRMarion Laboratories
LCMarion Merrell Dow, Inc.
NEMark-Clark Products
MLMarlen Mfg. & Development Co.
MFMarsan Mfg. & Co.
NHMarshall Pharmacal Corp.
M2Mason Distributors, Inc.
MXMason Laboratories, Inc.
MKMcKesson
MJMead Johnson Laboratories
MOMedi, Inc.
KXMedical Disposable Company, Inc.
NCMedical Disposables Co.
LHMedical Marketing Group
4MMediCath LLC
XQMedicore
ZHMedline Industries, Inc.
GKMedlon, Inc.
YHMenlo Care, Inc.
MWMilex Products
MM3M Minnesota Mining & Mfg. Co.
MZMoore, H.L., Drug Exchange
ZXMPM Medical
NGMurray Salk, Inc.
NVNational Vitamin Co.
NXNeotech Product, Inc.
NINilodor
NONorthern Electric
EANorwich-Eaton Pharmaceuticals
NKNovo Nordish Pharmaceutical Inc.
NUNu-Hope Laboratories
N6Nutraloric
EROTC Professional Appliances
OTOrtho Pharmaceutical Corp.
OLOstolite, Inc.
O8Owen Mumford
PZPaddock
P2Palco Laboratories
X3Palex Medical, Inc.
PQPaper-Pak Prod.
PKParmed, Pharmaceuticals Inc.
QNParthenon Co.
BTPascal Corporation
TFPayless Drug Stores, N.W.
PHPenta Products, Inc.
PCPerma-Type Co., Inc.
QFPerry Products
POPettibone Laboratories, Inc.
WSPharmaceutical Basics, Inc.
QDPharmaderm, Div. of Altana, Inc.
IZPolymar Technology International
CodeManufacturerCodeManufacturer
QYPosey, J.T.
VHPremium Plastics, Inc.
TJPrinciple Business Enterprises, Inc.
PWProctor & Gamble
8AProCyte Corporation
JDProfessional Convalescent Products
GZProfessional Medical Products
QAProfex Professional Specialties Co.
PUPurdue Frederick Company
PYPurepac Pharm. Co., Div.
QUQualitest Products, Inc.
RJRalco Mfg. Co.
4RReach Global Industries, Inc. **
JERepublic Drug Company
RXRexall Drug Company
RNRichards Pharmaceutical Co.
RORobins, A.H. Company, Inc.
OVRoche Diagnostics Corp. (formerly
known as Boehringer Mannheim Diagnostics)
9924F +
9924G +
9924K +
9924N +
9924P +
9924R +
9924S +
9924U +
9924V +
9924W +
9924X +
9999A +
**Effective October 1, 2008
#Effective November 1, 2008
***Effective December 1, 2008
QORochester Medical Corp.
9912R + ***
9914J + ***
9914K + ***
9914L + ***
9914M + ***
9959N + ***
9992H + ***
9993N + ***
9999A ***
RFRondex Laboratories
RSRoss Laboratories
RURugby Laboratories
RYRusch
DYSandoz Consumer Corporation
SXSav-On Drugs, Inc.
S7SCA Mölnlycke (formerly known
as Scott Paper Company
and/or Scott Health Care)
SCSchering Corporation
SJSchmid Laboratories, Inc.
SOScholl, Inc.
SGSearle, G.D. & Co
4PSecure Personal Care Products, LLC **
1SShamrock Marketing Company, Inc.
9911A +
9911B +
SFSheraton Laboratories, Inc.
SWSherwood Medical Industries, Inc.
OSShields Ostomy
3TShiley #
2XSims Portex #
CodeManufacturerCodeManufacturer
UTSmith and Nephew, Inc.
9912B +
9912C +
9912E + ***
9912F + ***
9912R + ***
9912S + ***
9913J +
9913P +
9913R +
9913S +
9913T +
9913W +
9915L +
9915Y +
9919J +
9919P +
9919R +
9919S +
9919T +
9919W +
9919Y +
9943F +
9943H +
9948L + **
9950E + **
9950J + **
9950K + **
9950M + **
9950N + **
9950R + **
9950S + **
9950T + **
9950W + **
9950Y + **
9956A +
9959M +
UTSmith and Nephew, Inc.
9959N +
9979B +
9979C +
9979D +
9979E +
9979F +
9979H +
9979J +
9979K +
9979L +
9979M +
9979N +
9979P +
9979R +
9979S +
9979T +
9979W +
9979Y +
9980A +
9980B +
9980C +
9980D +
9980E +
9980F +
9980H +
9980J +
9980K +
9980L +
9980M +
9980N +
9980P +
mc sup man cd
1
**Effective October 1, 2008
***Effective December 1, 2008
2 – Medical Supplies: Manufacturer Billing Codes
June 2001
mc sup man cd
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CodeManufacturerCodeManufacturer
2 – Medical Supplies: Manufacturer Billing Codes
June 2001
mc sup man cd
1
UTSmith and Nephew, Inc. (continued)
9980R +
9980U +
9980W +
9980Y +
9981A +
9981B +
9981C +
9981D +
9981E +
9981F +
9981H + ****
9981J +
9981K + ****
9981M +
9981N +
9981T +
9985P + **
9985R + **
9985S + **
9985T + **
9985W + **
9985Y + **
9986A + **
9986C + **
9987B + **
9992E + ***
9992F + ***
9992G + ***
9992H + ***
9992J + ***
9992K + ***
9999A + ***
YNSolo Pak Laboratories
2VSouthwest Technologies, Inc.
3SSpectrum Medical #
TBStandard Process Labs
SNStanlabs, Inc.
3ASunbeam/Hankscraft
JFSunmark Home Health Care Co.
SLSween Corp.
W5Swiss-American Products, Inc
TSTelesis Research Group
TLTerumo Medical Corporation
TEThames Pharmacal
2TTheraSense, Inc.
9924G +
9924N +
9924U +
TYThrifty Drug Stores Co.
TMT.M.T.R. Corp.
TTTorbot Company
UFU.C.S.F.
HCUDL Laboratories/Mylan/Bertek
1HUG Healthcare (USA) Inc.
9911B +
ULUlmer Pharmacal Co.
UGUlster Scientific, Inc.
3UUltiMed, Inc
9926A +
9926H +
9926J +
9926K +
9926M +
9926N +
9926P +
9926T +
UNUnited Pharmaceuticals, Inc.
2 – Medical Supplies: Manufacturer Billing Codes
June 2001
mc sup man cd
1
**Effective October 1, 2008
#Effective November 1, 2008
***Effective December 1, 2008
****Effective February 1, 2009
2 – Medical Supplies: Manufacturer Billing Codes
June 2001
mc sup man cd
1
CodeManufacturerCodeManufacturer
2 – Medical Supplies: Manufacturer Billing Codes
June 2001
mc sup man cd
1
UDUniversal
UCUrocare Products, Inc.
4UUroConcepts **
XUUrosurge Medical Supplies, Inc.
VAValu-Rite
VNVangard Laboratory
VEVeratex
VRVPI Ostomy
WGWalgreen Co.
WJWe Care Corporation
3WWelcon Medical #
WDWest Coast Labs, Inc.
WPWeyerhauser Company
WFWhitehall Labs
WHWhitestone Products Corp.
WIWhiteworth, Inc.
WNWinthrop Pharmaceuticals
X6Wisconsin Pharmacal Company
WOWolins Pharmacal Corp.
2JWound Care Concepts, Inc. dba
Gentell
2WWound Care Innovations, LLC
FCWyant Health Care
(formerly known as
Hosposable Products, Inc.)
AYWyeth-Ayerst
WYWyeth Laboratories
YOYoungs Drug Products Corp.
ZPZellerbach Paper Co.
2ZZevex Incorporated
9930A +
9999A +
ZZUnlisted Manufacturer – Attach to claim form a photocopy of page from manufacturer’s catalog or standard reference source showing the wholesale price of the medical supply furnished
2 – Medical Supplies: Manufacturer Billing Codes
June 2001
mc sup man cd
1
**Effective October 1, 2008
#Effective November 1, 2008
2 – Medical Supplies: Manufacturer Billing Codes
June 2001