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NDC	HCPCS	HCPCS Description	NDC Label	Route of Administration
66302-0101-01	J3285	INJECTION, TREPROSTINIL, 1 MG	REMODULIN (M.D.V.) 1 MG/ML	IJ
66302-0102-01	J3285	INJECTION, TREPROSTINIL, 1 MG	REMODULIN (M.D.V.) 2.5 MG/ML	IJ
66302-0105-01	J3285	INJECTION, TREPROSTINIL, 1 MG	REMODULIN (M.D.V.) 5 MG/ML	IJ
66302-0110-01	J3285	INJECTION, TREPROSTINIL, 1 MG	REMODULIN (M.D.V.) 10 MG/ML	IJ
66302-0206-03	J7686	TREPROSTINIL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, 1.74 MG	TYVASO (4X2.9ML) 0.6 MG/1 ML	IH
66302-0206-03	J7686	TREPROSTINIL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, 1.74 MG	TYVASO (4X2.9ML) 0.6 MG/1 ML	IH
66479-0520-01	J0735	INJECTION, CLONIDINE HYDROCHLORIDE, 1 MG	DURACLON (SDV,PF) 0.1 MG/ML	EP
66479-0521-01	J0735	INJECTION, CLONIDINE HYDROCHLORIDE, 1 MG	DURACLON (SDV,PF) 0.5 MG/ML	EP
66490-0041-01	J1110	INJECTION, DIHYDROERGOTAMINE MESYLATE, PER 1 MG	D.H.E. 45 (AMP) 1 MG/ML	IJ
66621-0790-02	J0841	INJECTION, CROTALIDAE IMMUNE F(AB')2 (EQUINE), 120 MG	ANAVIP (LYOPHILIZED) (10ML VL) 24 MG/1 ML	IV
66621-0790-02	J3490	UNCLASSIFIED DRUGS	ANAVIP (LYOPHILIZED) (10ML VL) 24 MG/1 ML	IV
66658-0501-01	J9210	INJECTION, EMAPALUMAB-LZSG, 1 MG	GAMIFANT (PF) 5 MG/1 ML	IV

HCPCS Code	Description	Billing Unit	SA Type
E0197	Air Pressure Pad For Mattress, standard mattress length and width	Each	N
E0197 RR	Air Pressure Pad For Mattress, standard mattress length and width	Day	N
E0198	Water pressure pad for mattress, standard mattress length and width	Each	N
E0198 RR	Water pressure pad for mattress, standard mattress length and width	Day	N
E0199	Dry pressure pad for mattress, standard mattress length and width	Each	N
E0199 RR	Dry pressure pad for mattress, standard mattress length and width	Each	N
E0250	Hospital bed, fixed height, with any type side rails, with mattress	Each	N
E0251	Hospital bed, fixed height, with any type side rails, without mattress	Each	N
E0255	Hospital Bed, variable height, hi-lo With Mattress And any type Side Rails	Each	N
E0256	Hospital bed, variable height, hi-lo, with any type side rails, without mattress	Each	Y
E0265	Hospital bed, total electric (head, foot and height adjustments), with any type side rails, with mattress	Each	Y
E0266	Hospital bed, total electric (head, foot, and height adjustments), with any type side rails, without mattress	Each	Y