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NDC | HCPCS | HCPCS Description | NDC Label | Route of Administration |
|---|---|---|---|---|
68982-0850-02 | J1568 | INJECTION, IMMUNE GLOBULIN, (OCTAGAM), INTRAVENOUS, NON-LYOPHILIZED (E.G. LIQUID), 500 MG | OCTAGAM 10% (PF,LATEX-FREE) 100 MG/ML | IV |
68982-0850-03 | J1568 | INJECTION, IMMUNE GLOBULIN, (OCTAGAM), INTRAVENOUS, NON-LYOPHILIZED (E.G. LIQUID), 500 MG | OCTAGAM 10% (PF,LATEX-FREE) 100 MG/ML | IV |
68982-0850-04 | J1568 | INJECTION, IMMUNE GLOBULIN, (OCTAGAM), INTRAVENOUS, NON-LYOPHILIZED (E.G. LIQUID), 500 MG | OCTAGAM 10% (PF,LATEX-FREE) 100 MG/ML | IV |
68982-0850-05 | J1568 | INJECTION, IMMUNE GLOBULIN, (OCTAGAM), INTRAVENOUS, NON-LYOPHILIZED (E.G. LIQUID), 500 MG | OCTAGAM 10% (PF,LATEX-FREE) 100 MG/1 ML | IV |
68992-3010-01 | J7503 | TACROLIMUS, EXTENDED RELEASE, (ENVARSUS XR), ORAL, 0.25 MG | ENVARSUS XR 1 MG | PO |
68992-3010-03 | J7503 | TACROLIMUS, EXTENDED RELEASE, (ENVARSUS XR), ORAL, 0.25 MG | ENVARSUS XR 1 MG | PO |
68992-3040-01 | J7503 | TACROLIMUS, EXTENDED RELEASE, (ENVARSUS XR), ORAL, 0.25 MG | ENVARSUS XR 4 MG | PO |
68992-3040-03 | J7503 | TACROLIMUS, EXTENDED RELEASE, (ENVARSUS XR), ORAL, 0.25 MG | ENVARSUS XR 4 MG | PO |
68001-0162-03 | Q0169 | PROMETHAZINE HYDROCHLORIDE, 12.5 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN | PROMETHAZINE HCL 25 MG | PO |
68001-0246-04 | Q0162 | ONDANSETRON 1 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN | ONDANSETRON (USP,3X10,STRAWBERRY) 4 MG | PO |
68001-0247-04 | Q0162 | ONDANSETRON 1 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN | ONDANSETRON (USP, 3X10,STRAWBERRY) 8 MG | PO |
68001-0247-16 | Q0162 | ONDANSETRON 1 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN | ONDANSETRON (STRAWBERRY) 8 MG | PO |
HCPCS Code | Description | Billing Unit | SA Type |
|---|---|---|---|
E1399 | Pediatric Toilet Training Chair With Hip Strap & Pair of Support Blocks | Each | Y |
E1399 | Positioning Device; Any Size; Any Type | Each | Y |
K0601 | Replacement battery for external infusion pump owned by patient, silver oxide, 1.5 volt, each | Each | N |
K0602 | Replacement battery for external infusion pump owned by patient, silver oxide, 3 volt, each | Each | N |
K0603 | Replacement battery for external infusion pump owned by patient, alkaline, 1.5 volt, each | Each | N |
K0604 | Replacement battery for external infusion pump owned by patient, lithium 3.6 volt, each | Each | N |
K0605 | Replacement battery for external infusion pump owned by patient, lithium 4.5 volt, each | Each | N |
K0607 | Replacement battery for automated external defibrillator, garment type only, each | Each | N |
K0607 RR | Replacement battery for automated external defibrillator, garment type only, each | Day | N |
K0739 | Repair or non routine service for durable medical equipment other than oxygen equipment requiring the skill of a technician, labor component, per 15 minutes | Per 15 mins | N |
K0740 | Repair or non routine service for oxygen equipment requiring the skill of a technician, labor component, per 15 minutes | Per 15 mins | N |
K1013 | Enema tube, any type, replacement only, each | Each | Y |
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