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NDC | HCPCS | HCPCS Description | NDC Label | Route of Administration |
|---|---|---|---|---|
71773-0050-12 | J0122 | INJECTION, ERAVACYCLINE, 1 MG | XERAVA (PF,LYOPHILIZED) 50 MG | IV |
71773-0100-12 | J0122 | INJECTION, ERAVACYCLINE, 1 MG | XERAVA (SDV,PF,LYOPHILIZED) 100 MG | IV |
71839-0104-01 | J1453 | INJECTION, FOSAPREPITANT, 1 MG | FOSAPREPITANT DIMEGLUMINE (SDV,LATEX-FREE) 150 MG | IV |
71839-0105-01 | J2710 | INJECTION, NEOSTIGMINE METHYLSULFATE, UP TO 0.5 MG | NEOSTIGMINE METHYLSULFATE (USP, MDV,LATEX-FREE) 0.5 MG/1 ML | IV |
71288-0424-96 | J1644 | INJECTION, HEPARIN SODIUM, PER 1000 UNITS | PREMIERPRO RX HEPARIN SODIUM (MDV;25X1ML,LATEX-FREE) 10000 U/1 ML | IJ |
71288-0427-11 | J0583 | INJECTION, BIVALIRUDIN, 1 MG | BIVALIRUDIN (SD,PF,LATEX-FREE) 250 MG | IV |
71288-0432-81 | J1650 | INJECTION, ENOXAPARIN SODIUM, 10 MG | ENOXAPARIN SODIUM (LIGHT BLUE;10X0.3ML,PF) 30 MG/0.3 ML | SC |
71288-0432-92 | J1650 | INJECTION, ENOXAPARIN SODIUM, 10 MG | HEALTHTRUST ENOXAPARIN SODIUM (SD,PF,LATEX-FREE) 30 MG/0.3 ML | SC |
71288-0433-83 | J1650 | INJECTION, ENOXAPARIN SODIUM, 10 MG | ENOXAPARIN SODIUM (YELLOW;10X0.4ML,PF) 40 MG/0.4 ML | SC |
71288-0433-92 | J1650 | INJECTION, ENOXAPARIN SODIUM, 10 MG | HEALTHTRUST ENOXAPARIN SODIUM (SD,PF,LATEX-FREE) 40 MG/0.4 ML | SC |
71288-0434-92 | J1650 | INJECTION, ENOXAPARIN SODIUM, 10 MG | HEALTHTRUST ENOXAPARIN SODIUM (10X0.6ML,PF,LATEX-FREE) 60 MG/0.6 ML | SC |
71288-0435-92 | J1650 | INJECTION, ENOXAPARIN SODIUM, 10 MG | HEALTHTRUST ENOXAPARIN SODIUM (SD,PF,LATEX-FREE) 80 MG/0.8 ML | SC |
HCPCS Code | Description | Billing Unit | SA Type |
|---|---|---|---|
K0840 | Power Wheelchair, Group 2 Extra Heavy Duty, Single Power Option, Sling/Solid Seat/Back, Patient Weight Capacity 601 Pounds Or More | Each | Y |
K0840 RR | Power Wheelchair, Group 2 Extra Heavy Duty, Single Power Option, Sling/Solid Seat/Back, Patient Weight Capacity 601 Pounds Or More | Day | Y |
K0841 | Power Wheelchair, Group 2 Standard, Multiple Power Option, Sling/Solid Seat/Back, Patient Weight Capacity Up To And Including 300 Pounds | Each | Y |
K0841 RR | Power Wheelchair, Group 2 Standard, Multiple Power Option, Sling/Solid Seat/Back, Patient Weight Capacity Up To And Including 300 Pounds | Day | Y |
K0842 | Power Wheelchair, Group 2 Standard, Multiple Power Option, Captains Chair, Patient Weight Capacity Up To And Including 300 Pounds | Each | Y |
K0842 RR | Power Wheelchair, Group 2 Standard, Multiple Power Option, Captains Chair, Patient Weight Capacity Up To And Including 300 Pounds | Day | Y |
K0843 | Power Wheelchair, Group 2 Heavy Duty, Multiple Power Option, Sling/Solid Seat/Back, Patient Weight Capacity 301 To 450 Pounds | Each | Y |
K0843 RR | Power Wheelchair, Group 2 Heavy Duty, Multiple Power Option, Sling/Solid Seat/Back, Patient Weight Capacity 301 To 450 Pounds | Day | Y |
K0848 | Power Wheelchair, Group 3 Standard, Sling/Solid Seat/Back, Patient Weight Capacity Up To And Including 300 Pounds | Each | Y |
K0848 RR | Power Wheelchair, Group 3 Standard, Sling/Solid Seat/Back, Patient Weight Capacity Up To And Including 300 Pounds | Day | Y |
K0849 | Power Wheelchair, Group 3 Standard, Captains Chair, Patient Weight Capacity Up To And Including 300 Pounds | Each | Y |
K0849 RR | Power Wheelchair, Group 3 Standard, Captains Chair, Patient Weight Capacity Up To And Including 300 Pounds | Day | Y |
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