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NDC | HCPCS | HCPCS Description | NDC Label | Route of Administration |
|---|---|---|---|---|
68982-0822-02 | J1576 | INJECTION, IMMUNE GLOBULIN (PANZYGA), INTRAVENOUS, NON-LYOPHILIZED (E.G., LIQUID), 500 MG | PANZYGA (CARTON,PF,LATEX-FREE) 100 MG/1 ML | IV |
68982-0822-02 | 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 |
68982-0822-03 | 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 |
68982-0822-04 | 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 |
68982-0822-05 | 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 |
68982-0822-06 | 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 |
68982-0840-01 | J1568 | INJECTION, IMMUNE GLOBULIN, (OCTAGAM), INTRAVENOUS, NON-LYOPHILIZED (E.G. LIQUID), 500 MG | OCTAGAM (1GM/VIAL,S/D TREATED) 50 MG/1 ML | IV |
68982-0840-02 | J1568 | INJECTION, IMMUNE GLOBULIN, (OCTAGAM), INTRAVENOUS, NON-LYOPHILIZED (E.G. LIQUID), 500 MG | OCTAGAM (2.5GM/VIAL,S/D TREATED) 50 MG/1 ML | IV |
68982-0840-03 | J1568 | INJECTION, IMMUNE GLOBULIN, (OCTAGAM), INTRAVENOUS, NON-LYOPHILIZED (E.G. LIQUID), 500 MG | OCTAGAM (5GM/VIAL,S/D TREATED) 50 MG/1 ML | IV |
68982-0840-04 | J1568 | INJECTION, IMMUNE GLOBULIN, (OCTAGAM), INTRAVENOUS, NON-LYOPHILIZED (E.G. LIQUID), 500 MG | OCTAGAM (10GM/VIAL,S/D TREATED) 50 MG/1 ML | IV |
68982-0840-05 | J1568 | INJECTION, IMMUNE GLOBULIN, (OCTAGAM), INTRAVENOUS, NON-LYOPHILIZED (E.G. LIQUID), 500 MG | OCTAGAM (LATEX-FREE) 50 MG/1 ML | IV |
68982-0850-01 | J1568 | INJECTION, IMMUNE GLOBULIN, (OCTAGAM), INTRAVENOUS, NON-LYOPHILIZED (E.G. LIQUID), 500 MG | OCTAGAM 10% (PF,LATEX-FREE) 100 MG/ML | IV |
HCPCS Code | Description | Billing Unit | SA Type |
|---|---|---|---|
E1816 RR | Static progressive stretch ankle device, flexion and or extension, with or with out range of motion adjustment, includes all components and accessories | Day | Y |
E1818 RR | Static progressive stretch forearm pronation/supination device, with or without range of motion adjustment, includes all components and accessories | Day | Y |
E 1820 | Replacement soft interface material, dynamic adjustable extension/flexion | Each | Y |
E1821 | Replacement soft interface material/cuffs for bi-directional static progressive stretch | Each | Y |
E1825 RR | Dynamic adjustable finger extension/flexion device, includes soft interface material | Day | Y |
E1830 RR | Dynamic adjustable toe extension/flexion device, includes soft interface material | Day | Y |
E1831 RR | Static progressive stretch toe device,, extension and/or flexion, with or without, range of motion adjustment, includes all components and accessories | Day | Y |
E1840 RR | Dynamic shoulder flexion/abduction/rotation device, includes soft interface material | Day | Y |
E1841 RR | Static progressive stretch shoulder device, with or without range of motion adjustment, includes all components and accessories | Day | Y |
E1399 | DME Not Otherwise Classified | Each | Y |
E1399 | Inflatable Bath With Pump | Each | Y |
E1399 | Miscellaneous Parts: Repair, Recipient Owned Equipment | Each | Y |
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