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Setting up an account

If you are with a healthcare institution interested in purchasing AMT products for the first time, please submit the new account application via fax or email. Download the new account application by clicking on the icon above.

Choose a payment method

AMT accepts payment via NET 30 terms or prepayment/credit card.

 

To establish terms, please fill out an AMT Credit Application and submit via fax or email. Three solid references must be included. Download the new account application by clicking on the icon above.

 

All orders are accepted via fax or email.
 If paying by credit card, payment information can be directly called in.

Place your order

Regular Orders: Orders for items that are in stock will ship the next business day.

Expedited Orders:  Orders for items in stock and received before 12:00 PM EST will be shipped the same day.

All orders shipped via UPS FOB Origin. No third-party shipping.

NET 30 | PREPAID | CREDIT CARD

Credit AppOrder Form

Caregiver & Patient Orders

AMT takes orders directly but does not process medical insurance billing paperwork. Credit card orders are accepted with a prescription. Contact our friendly Customer Service team to place an order directly via phone, fax, or email.

PHONE | 800-869-7382
EMAIL | CS@appliedmedical.net
FAX | 440-717-4200

Insurance Billing & Reimbursement

AMT has provided the information below as a guide only to help you determine correct billing codes, and makes no guarantee as to the accuracy or reliability of the information. This is not a comprehensive resource. We strongly suggest contacting your insurance company or local Medicaid/Medicare office to determine correct billing procedures, reimbursement fees and policies. AMT assumes no responsibility for errors, omissions or changes in reimbursement policies.

 

AMT Item Code:
AMT Description:
HCPCS Code:
HCPCS Description:
MGJ-XXYY-ZZ
micro G-JET® Low Profile GJ-Tube
B4088
Gastrostomy/jejunostomy tube, low-profile, any material, any type, each.
GJ-XXYY-ZZ
G-JET® Low Profile GJ-Tube
B4088
Gastrostomy/jejunostomy tube, low-profile, any material, any type, each.
TGJ-XX-YY
Traditional G-JET® Standard Length GJ-Tube
B4087
Gastrostomy/jejunostomy tube, standard, any material, any type, each.
M1-X-XXYY
MiniONE® Family of Low Profile G-Tubes
B4088
Gastrostomy/jejunostomy tube, low-profile, any material, any type, each.
7-XXYY
Standard Length Balloon G-Tube
B4087
Gastrostomy/jejunostomy tube, standard, any material, any type, each.
8-XXYY*
MiniONE® Gastric Set / G-JET® Jejunal Set
B9998
Not Otherwise Classified for enteral supplies.
6-XXYY*
G-JET® Gastric Set
B9998
Not Otherwise Classified for enteral supplies.
2-XXYY
MiniACE® Irrigation Set
A4400
Ostomy irrigation set.
2-XXYY
MiniACE® Irrigation Set
A4421
Ostomy supply miscellaneous.
CINCH417M-XX*
Medium CINCH® 4F-17F
A5200
Percutaneous catheter/tube anchoring device, adhesive skin attachment.
CINCH930L-XX*
Large CINCH® 9F-30F
B4034
Percutaneous catheter/tube anchoring device, adhesive skin attachment.
*Can be included in Daily Enteral Supply Codes
B4034
Syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape.
*Can be included in Daily Enteral Supply Codes
B4035
Pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape.
*Can be included in Daily Enteral Supply Codes
B4036
Gravity fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape.

Please contact us for international inquiries, including orders, returns, and questions.

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