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NDC | HCPCS | HCPCS Description | NDC Label | Route of Administration |
|---|---|---|---|---|
68982-0810-03 | J1551 | INJECTION, IMMUNE GLOBULIN (CUTAQUIG), 100 MG | CUTAQUIG (PF,LATEX-FREE) 165 MG/1 ML | SC |
68982-0810-04 | J1551 | INJECTION, IMMUNE GLOBULIN (CUTAQUIG), 100 MG | CUTAQUIG (PF,LATEX-FREE) 165 MG/1 ML | SC |
68982-0810-05 | J1551 | INJECTION, IMMUNE GLOBULIN (CUTAQUIG), 100 MG | CUTAQUIG (PF,LATEX-FREE) 165 MG/1 ML | SC |
68982-0810-06 | J1551 | INJECTION, IMMUNE GLOBULIN (CUTAQUIG), 100 MG | CUTAQUIG (PF,LATEX-FREE) 165 MG/1 ML | SC |
68982-0820-01 | J1599 | INJECTION, IMMUNE GLOBULIN, INTRAVENOUS, NON-LYOPHILIZED (E.G., LIQUID), NOT OTHERWISE SPECIFIED, 500 MG | PANZYGA (PF,LATEX-FREE) 100 MG/1 ML | IV |
68982-0820-02 | J1599 | INJECTION, IMMUNE GLOBULIN, INTRAVENOUS, NON-LYOPHILIZED (E.G., LIQUID), NOT OTHERWISE SPECIFIED, 500 MG | PANZYGA (PF,LATEX-FREE) 100 MG/1 ML | IV |
68982-0820-03 | J1599 | INJECTION, IMMUNE GLOBULIN, INTRAVENOUS, NON-LYOPHILIZED (E.G., LIQUID), NOT OTHERWISE SPECIFIED, 500 MG | PANZYGA (PF,LATEX-FREE) 100 MG/1 ML | IV |
68982-0820-04 | J1599 | INJECTION, IMMUNE GLOBULIN, INTRAVENOUS, NON-LYOPHILIZED (E.G., LIQUID), NOT OTHERWISE SPECIFIED, 500 MG | PANZYGA (PF,LATEX-FREE) 100 MG/1 ML | IV |
68982-0820-05 | J1599 | INJECTION, IMMUNE GLOBULIN, INTRAVENOUS, NON-LYOPHILIZED (E.G., LIQUID), NOT OTHERWISE SPECIFIED, 500 MG | PANZYGA (PF,LATEX-FREE) 100 MG/1 ML | IV |
68982-0820-06 | J1599 | INJECTION, IMMUNE GLOBULIN, INTRAVENOUS, NON-LYOPHILIZED (E.G., LIQUID), NOT OTHERWISE SPECIFIED, 500 MG | PANZYGA (PF,LATEX-FREE) 100 MG/1 ML | IV |
68982-0820-84 | J1599 | INJECTION, IMMUNE GLOBULIN, INTRAVENOUS, NON-LYOPHILIZED (E.G., LIQUID), NOT OTHERWISE SPECIFIED, 500 MG | PANZYGA (INNER PACK,PF) 100 MG/1 ML | IV |
68982-0822-01 | J1599 | INJECTION, IMMUNE GLOBULIN, INTRAVENOUS, NON-LYOPHILIZED (E.G. LIQUID), NOT OTHERWISE SPECIFIED, 500 MG | PANZYGA (CARTON,PF,LATEX-FREE) 100 MG/1 ML | IV |
HCPCS Code | Description | Billing Unit | SA Type |
|---|---|---|---|
L0637 | Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panels, posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panels, produces intracavitary pressure to reduce load on intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise | Each | Y |
L0638 | LSO, sagittal-coronal control, with rigid anterior and posterior frame/panels, posterior extends from sacrococcygeal junction to T-9 vertebra, lateral strength provided by rigid lateral frame/panels, produces intracavitary pressure to reduce load on intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, custom fabricated | Each | Y |
L0639 | Lumbar-sacral orthosis, sagittal-coronal control, rigid shell(s)/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, anterior extends from symphysis pubis to xyphoid, produces intracavitary pressure to reduce load on the intervertebral discs, overall strength is provided by overlapping rigid material and stabilizing closures, includes straps, closures, may include soft interface, pendulous abdomen design, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise | Each | Y |
L0640 | LSO, safittal-coronal control, rigid shell(s)/panel(s), posterior extends from sacrococcygeal junction to T-9 vertebra, anterior extends from symphysis pubis to xyphoid, produces intracavitary pressure to reduce load on the intervertebral discs, overall strength is provided by overlapping rigid material and stabilizing closures, includes straps, closures, may include soft interface, pendulous abdomen design, prefabricated, includes fitting and adjustment | Each | Y |
E1801 RR | Static progressive stretch elbow device, extension and or flexion, with or without range of motion adjustment, includes all components and accessories | Day | Y |
E1802 RR | Dynamic adjustable forearm pronation/supination device, includes soft interface | Day | Y |
E1805 RR | Dynamic adjustable wrist extension/flexion device, includes soft interface material | Day | Y |
E1806 RR | Static progressive stretch wrist device, flexion and or extension, with or without range of motion adjustment, includes all components and accessories | Day | Y |
E1810 RR | Dynamic adjustable knee extension/flaxion device, includes soft interface material | Day | Y |
E1811RR | Static progressive stretch knee device, etension and or flexion, with or without range of motion ajustment, includes all components and accessories | Day | Y |
E 1812 RR | Dynamic knee, extension/flexion device with active resistance control | Day | Y |
E1815 RR | Dynamic adjustable ankle extension/flaxion device, includes soft interface material | Day | Y |
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