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NDC | HCPCS | HCPCS Description | NDC Label | Route of Administration |
|---|---|---|---|---|
63323-0626-55 | J7799 | NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME | SODIUM CHLORIDE (FREEFLEX BAG,LATEX-FREE) 0.45% | IV |
63323-0637-10 | J9017 | INJECTION, ARSENIC TRIOXIDE, 1 MG | ARSENIC TRIOXIDE (10X10 SDV,PF,LATEX-FREE) 1 MG/1 ML | IV |
63323-0642-20 | J3475 | INJECTION, MAGNESIUM SULFATE, PER 500 MG | MAGNESIUM SULFATE (S.D.V.,PF) 500 MG/1 ML | IJ |
63323-0642-50 | J3475 | INJECTION, MAGNESIUM SULFATE, PER 500 MG | MAGNESIUM SULFATE (S.D.V.,PF) 500 MG/1 ML | IJ |
63323-0651-02 | J0153 | INJECTION, ADENOSINE, 1 MG (NOT TO BE USED TO REPORT ANY ADENOSINE PHOSPHATE COMPOUNDS) | ADENOSINE (PF) 3 MG/ML | IV |
63323-0651-04 | J0153 | INJECTION, ADENOSINE, 1 MG (NOT TO BE USED TO REPORT ANY ADENOSINE PHOSPHATE COMPOUNDS) | ADENOSINE (PF) 3 MG/ML | IV |
63323-0651-20 | J0153 | INJECTION, ADENOSINE, 1 MG (NOT TO BE USED TO REPORT ANY ADENOSINE PHOSPHATE COMPOUNDS) | ADENOSINE (SDV,PF,LATEX-FREE) 3 MG/1 ML | IV |
63323-0651-30 | J0153 | INJECTION, ADENOSINE, 1 MG (NOT TO BE USED TO REPORT ANY ADENOSINE PHOSPHATE COMPOUNDS) | ADENOSINE (SDV,PF,LATEX-FREE) 3 MG/1 ML | IV |
63323-0651-89 | J0153 | INJECTION, ADENOSINE, 1 MG (NOT TO BE USED TO REPORT ANY ADENOSINE PHOSPHATE COMPOUNDS) | SIMPLIST ADENOSINE (PF,LATEX-FREE) 3 MG/1 ML | IV |
63323-0651-90 | J0153 | INJECTION, ADENOSINE, 1 MG (NOT TO BE USED TO REPORT ANY ADENOSINE PHOSPHATE COMPOUNDS) | SIMPLIST ADENOSINE (PF,LATEX-FREE) 3 MG/1 ML | IV |
63323-0652-10 | J1805 | INJECTION, ESMOLOL HYDROCHLORIDE, 10 MG | ESMOLOL HCL (25X10ML,PF) 10 MG/1 ML | IV |
63323-0655-99 | J1650 | INJECTION, ENOXAPARIN SODIUM, 10 MG | ENOXAPARIN SODIUM (PURPLE LABEL,PF) 120 MG/0.8 ML | IJ |
HCPCS Code | Description | Billing Unit | SA Type |
|---|---|---|---|
E0618 RR | Apnea Monitor without recording feature, rental | Day | N |
E0619 | Apnea Monitor with recording feature | Each | Y |
E0619 RR | Apnea Monitor w/recording feature; rental | Day | N |
S8189 | 2-Channel Pneumogram/Download With Interpretation. | Each | Y |
S8189 | 2-Channel Pneumogram/Download Without Interpretation | Each | Y |
S8189 | Multi-Channel Sleep Study Or Polysomnagram With Or Without Interpretation. | Channel/Signal | Y |
S8189 | Rib Belt | Each | Y |
S8189 | Service Maintenance Agreement For Patient Owned Apnea Monitor. | Each | Y |
S8189 | Servicing, Shipping And Handling For Apnea Monitors. | Each | Y |
A4481 | Tacheostoma filter, any type, any size, each | Each | N |
A4483 | Moisture exchanger, disposable, for use with invasive mechanical ventilation | Each | N |
A4604 | Tubing with integrated heating element for use with positive airway pressure device | Each | Y |
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