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Applied Medical Technology, Inc.

www.AppliedMedical.net
Phone: 800 869 7382
Fax: 440 717 4200
CS@AppliedMedical.net

AMT Balloon G-Tube


Product Sizes and HCPC Codes
AMT Balloon G-Tube Size Chart
Catalog Number Description Quantity/Box
7-1210 12F Balloon Gastrostomy Tube 2 F = Tube Diameter
7-1410 14F Balloon Gastrostomy Tube 2 (F) French Size
7-1610 16F Balloon Gastrostomy Tube 2
F
7-1810 18F Balloon Gastrostomy Tube 2
7-2010 20F Balloon Gastrostomy Tube 2
7-2410 24F Balloon Gastrostomy Tube 2
Adjustable External Bolster
Patient Beneits
Flexible silicone material is gentle, provides increased comfort, and minimizes skin irritation.
Distal catheter tip protrusion is eliminated by balloon design, reducing occurrences of gastric ulcerations.
Round external bolster designed with feet, minimizes surface contact with skin, allowing tissue to breathe.

Caregiver Beneits
Separate medication and feed ports.
Clear silicone material allows for visualization of shaft contents.
Easy-to-read reference markings on shaft for placement veriication.

Caregiver/ Patient Ordering Information


HCPC Codes for Enteral Feeding Diagram
AMT takes orders directly but does not process medical billing paperwork. Prepaid /credit card orders are accepted with a prescription.
French Size Description HCPC Codes Description
M1-X-XXXX MiniONE Button Low Proile Feeding Device Family B4088 Low Proile G-Tube
GJ-XXXX-XX G-JET Button Low Proile Gastric-Jejunal Enteral Tube B4088 Low Proile GJ-Tube
8-XXXX MiniONE Button Feed Set Extensions B9998 Generic Acessory Feed Set
5-XXXX MINI Button Low Proile Balloon Feeding Device B4088 Low-Proile G-Tube
6-XXXX MINI Button Feed Set Extensions B9998 Generic Acessory Feed Set
7-XXXX AMT Balloon Replacement Gastrostomy Tube B4087 Standard G-Tube

AMT has provided the information above as a guide only and makes no guarantee as to the accuracy and
reliability of the information: it is not a comprehensive resource. We strongly suggest contacting your local
Medicaid or Medicare oice to determine correct billing procedures, reimbursement fees, and policies. AMT
assumes no responsibility for errors, omissions, or changes in reimbursement policies.

Applied Medical Technology, Inc.


8006 Katherine Boulevard
Brecksville, Oh 44141 USA
Phone: 800 869 7382
Fax: 440 717 4200
Email: CS@AppliedMedical.net
Please Call or Email Customer Service at: www.AppliedMedical.net
Phone- (800 869 7382) Email- CS@AppliedMedical.net ISO 13485 Registered Company
2016 Applied Medical Technolgoy, Inc.
Manufactured by: Applied Medical Technology, Inc. Made in USA Rev 5 - 06/16

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