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NDC	HCPCS	HCPCS Description	NDC Label	Route of Administration
68001-0285-40	J0640	INJECTION, LEUCOVORIN CALCIUM, PER 50 MG	LEUCOVORIN CALCIUM (SDV,PF,LATEX-FREE) 50 MG	IJ
68001-0286-38	J0640	INJECTION, LEUCOVORIN CALCIUM, PER 50 MG	LEUCOVORIN CALCIUM (SDV,PF,LATEX-FREE) 350 MG	IJ
68001-0313-56	J9025	INJECTION, AZACITIDINE, 1 MG	AZACITIDINE (PF,LATEX-FREE) 100 MG	IJ
68001-0323-31	J2185	INJECTION, MEROPENEM, 100 MG	MEROPENEM (SDV,USP) 500 MG	IV
68001-0324-57	J2185	INJECTION, MEROPENEM, 100 MG	MEROPENEM (SDV,USP) 1 GM	IV
68001-0338-62	J3370	INJECTION, VANCOMYCIN HCL, 500 MG	VANCOMYCIN HCL (PF,LATEX-FREE) 500 MG	IV
68001-0339-64	J3370	INJECTION, VANCOMYCIN HCL, 500 MG	VANCOMYCIN HCL (PF,LATEX-FREE) 1 GM	IV
68001-0341-36	J9263	INJECTION, OXALIPLATIN, 0.5 MG	OXALIPLATIN (PF) 5 MG/1 ML	IV
68001-0341-37	J9263	INJECTION, OXALIPLATIN, 0.5 MG	OXALIPLATIN (PF) 5 MG/1 ML	IV
68001-0342-34	J9201	INJECTION, GEMCITABINE HYDROCHLORIDE, 200 MG	GEMCITABINE 100 MG/1 ML	IV
68001-0345-26	Q2050	INJECTION, DOXORUBICIN HYDROCHLORIDE, LIPOSOMAL, NOT OTHERWISE SPECIFIED, 10 MG	DOXORUBICIN HCL LIPOSOME 2 MG/1 ML	IV
68001-0345-36	Q2050	INJECTION, DOXORUBICIN HYDROCHLORIDE, LIPOSOMAL, NOT OTHERWISE SPECIFIED, 10 MG	DOXORUBICIN HCL LIPOSOME 2 MG/1 ML	IV

HCPCS Code	Description	Billing Unit	SA Type
L0120	Cervical, flexible, non-adjustable, prefabricated, off-the-shelf (foam collar)	Each	Y
L0130	Cervical, flexible, thermoplastic collar, molded to patient	Each	Y
L0140	Cervical, semi-rigid, adjustable (plastic collar)	Each	Y
L0150	Cervical, semi-rigid, adjustable chin cup (plastic collar with mandibular/occipital piece	Each	Y
L0160	Cervical, semi-rigid, wire frame occipital/mandibular support, prefabricated, off-the-shelf		Y
L0170	Cervical, collar, molded to patient model	Each	Y
E0630	Patient lift, hydraulic or mechanical, includes any seat, sling, strap (s) or pad(s)	Each	Y
E0630 RR	Patient lift, hydraulic or mechanical, includes any seat, sling, strap (s) or pad(s)	Day	N
E0638	Standing frame /Table system, One Position (E.G. Upright, Supine or Prone Stander), any Size Including Pediatric, With or Without Wheels	Each	Y
E0638 RR	Standing frame /Table system, One Position (E.G. Upright, Supine or Prone Stander), any Size Including Pediatric, With or Without Wheels	Day	N
E0641	Standing Frame/Table System, Multi-Postion (E.G. Three-Way Stander), Any Size Including Pediatric, With or Without Wheels	Each	Y
E0641 RR	Standing Frame/Table System, Multi-Postion (E.G. Three-Way Stander), Any Size Including Pediatric, With or Without Wheels	Day	N