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NDC | HCPCS | HCPCS Description | NDC Label | Route of Administration |
|---|---|---|---|---|
68001-0265-25 | J9181 | INJECTION, ETOPOSIDE, 10 MG | ETOPOSIDE (USP, MDV) 20 MG/ML | IV |
68001-0265-26 | J9181 | INJECTION, ETOPOSIDE, 10 MG | ETOPOSIDE (USP, MDV) 20 MG/ML | IV |
68001-0265-27 | J9181 | INJECTION, ETOPOSIDE, 10 MG | ETOPOSIDE (USP, MDV) 20 MG/ML | IV |
68001-0282-25 | J9201 | INJECTION, GEMCITABINE HYDROCHLORIDE, 200 MG | GEMCITABINE (SINGLE-USE,USP) 200 MG | IV |
68001-0282-26 | J9201 | INJECTION, GEMCITABINE HYDROCHLORIDE, 200 MG | GEMCITABINE (SINGLE-USE,USP) 1 GM | IV |
68001-0282-27 | J9201 | INJECTION, GEMCITABINE HYDROCHLORIDE, 200 MG | GEMCITABINE (SINGLE-USE,USP) 2 GM | IV |
68001-0283-27 | J9060 | INJECTION, CISPLATIN, POWDER OR S0LUTION, 10 MG | CISPLATIN (MDV,LATEX-FREE) 1 MG/1 ML | IV |
68001-0283-32 | J9060 | INJECTION, CISPLATIN, POWDER OR S0LUTION, 10 MG | CISPLATIN (MDV,LATEX-FREE) 1 MG/1 ML | IV |
68001-0284-25 | J9206 | INJECTION, IRINOTECAN, 20 MG | IRINOTECAN HYDROCHLORIDE (1X5ML,SINGLE DOSE,PF) 20 MG/1 ML | IV |
68001-0284-34 | J9206 | INJECTION, IRINOTECAN, 20 MG | IRINOTECAN HYDROCHLORIDE (PF,LATEX-FREE) 20 MG/1 ML | IV |
68001-0285-36 | J0640 | INJECTION, LEUCOVORIN CALCIUM, PER 50 MG | LEUCOVORIN CALCIUM (PF,LATEX-FREE) 100 MG | IJ |
68001-0285-37 | J0640 | INJECTION, LEUCOVORIN CALCIUM, PER 50 MG | LEUCOVORIN CALCIUM (SDV,PF,LATEX-FREE) 200 MG | IJ |
HCPCS Code | Description | Billing Unit | SA Type |
|---|---|---|---|
K1021 | Exsufflation belt, includes all supplies and accessories | Each | Y |
T5001 | Positioning seat for persons w/ special orthopedic needs, for use in vehicles (Previously 'Customized Seating System For Use In Vehicle; Special Pediatric/Young Adult') | Each | Y |
E1399 | Positioning seat for persons with special physical or neurological needs, for use in vehicles | Each | Y |
E1399 | Portable Ramp (must be portable and removable) | Each | Y |
E1399 | Portable Threshold Ramp (must be removable and not screwed or nailed in place) | Each | Y |
L7360 | Six volt battery, each | Each | N |
L7362 | Battery charger, six volt, each | Each | N |
L7364 | Twelve volt battery, each | Each | N |
L7366 | Battery charger, twelve volt, each | Each | N |
L7367 | Lithium ion, battery replacement | Each | N |
L0112 | Cranial cervical orthosis, congential torticollis type, with or without soft interface material, adjustable range of motion joint, custom fabricated | Each | Y |
L0113 | Cranial cervical orthosis, torticollis type, with or with out joint, with or without interface material, prefabricated, includes fitting and adjustment | Each | Y |
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