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NDC | HCPCS | HCPCS Description | NDC Label | Route of Administration |
|---|---|---|---|---|
67457-0374-99 | J1644 | INJECTION, HEPARIN SODIUM, PER 1000 UNITS | HEPARIN SODIUM (MDV,25X1ML) 5000 U/1 ML | IJ |
67457-0379-25 | J2501 | INJECTION, PARICALCITOL, 1 MCG | PARICALCITOL 0.002 MG/1 ML | IV |
70594-0068-02 | J3030 | INJECTION, SUMATRIPTAN SUCCINATE, 6 MG (CODE MAY BE USED FOR MEDICARE WHEN DRUG ADMINISTERED UNDER THE DIRECT SUPERVISION OF A PHYSICIAN, NOT FOR USE WHEN DRUG IS SELF ADMINISTERED) | SUMATRIPTAN (PF) 6 MG/0.5 ML | SC |
70594-0069-02 | J2710 | INJECTION, NEOSTIGMINE METHYLSULFATE, UP TO 0.5 MG | NEOSTIGMINE METHYLSULFATE 0.5 MG/1 ML | IJ |
70594-0072-02 | J2710 | INJECTION, NEOSTIGMINE METHYLSULFATE, UP TO 0.5 MG | NEOSTIGMINE METHYLSULFATE 1 MG/1 ML | IJ |
70594-0075-02 | J2185 | INJECTION, MEROPENEM, 100 MG | MEROPENEM (SDV;USP,PF,LATEX-FREE) 500 MG | IV |
70594-0076-02 | J2185 | INJECTION, MEROPENEM, 100 MG | MEROPENEM (SDV;USP,PF,LATEX-FREE) 1 GM | IV |
70594-0078-02 | J2543 | INJECTION, PIPERACILLIN SODIUM/TAZOBACTAM SODIUM, 1 GRAM/0.125 GRAMS (1.125 GRAMS) | PIPERACILLIN AND TAZOBACTAM (SDV;USP,PF,LATEX-FREE) 2 GM-0.25 GM | IV |
70594-0079-02 | J2543 | INJECTION, PIPERACILLIN SODIUM/TAZOBACTAM SODIUM, 1 GRAM/0.125 GRAMS (1.125 GRAMS) | PIPERACILLIN AND TAZOBACTAM (SDV;USP,PF,LATEX-FREE) 3 GM-0.375 GM | IV |
70594-0080-02 | J2543 | INJECTION, PIPERACILLIN SODIUM/TAZOBACTAM SODIUM, 1 GRAM/0.125 GRAMS (1.125 GRAMS) | PIPERACILLIN AND TAZOBACTAM (SDV;USP,PF,LATEX-FREE) 4 GM-0.5 GM | IV |
70594-0081-02 | J0295 | INJECTION, AMPICILLIN SODIUM/SULBACTAM SODIUM, PER 1.5 GM | AMPICILLIN AND SULBACTAM 1 GM-0.5 GM | IJ |
70594-0082-02 | J0295 | INJECTION, AMPICILLIN SODIUM/SULBACTAM SODIUM, PER 1.5 GM | AMPICILLIN AND SULBACTAM 2 GM-1 GM | IJ |
HCPCS Code | Description | Billing Unit | SA Type |
|---|---|---|---|
L1499 | Spinal orthosis, not otherwise specified (Providers need to determine if an alternative HCPCS code better describes the service being reported or that is not already included in the main code. This code should only be used if a more specific code is unavailable) | Each | Y |
L1600 | Hip orthosis, abduction control of hip joints, flexible, frejka type with cover, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an inidividual with expertise | Each | Y |
L1610 | Hip orthosis, abduction control of hip joints, flexible, (frejka cover only), prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise | Each | |
L1620 | Hip orthosis, abduction control of hip joints, flexible, (pavlik harness), prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise | Each | Y |
L1630 | HO, abduction control of hip joints, semi-flexible (Von Rosen type), custom fabricated | Each | Y |
L1640 | HO, abduction control of hip joints, static, pelvic band or spreader bar, thigh cuffs, custom fabricated | Each | Y |
L1650 | HO, abduction control of hips joints, static, adjustable (Ilfed type), prefabricated, includes fitting and adjustment | Each | Y |
L1652 | Hip orthosis, bilateral thigh cuffs with adjustable abductor spreader bar, adult size, prefabricated, includes fitting and adjustment, any type | Each | Y |
L1660 | HO, abduction control of hip joints, static, plastic, prefabricated, includes fitting and adjustment | Each | Y |
L1680 | HO, abduction control of hip joints, dynamic, pelvic control, adjustable hip motion control, thigh cuffs (Rancho hip action type), custom fabricated | Each | Y |
L1685 | HO, abduction control of hip joint, postoperative hip abduction type, custom fabricated | Each | Y |
L1686 | HO, abduction control of hip joint, postoperative hip abduction type, prefabricated, includes fitting and adjustments | Each | Y |
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