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NDC | HCPCS | HCPCS Description | NDC Label | Route of Administration |
|---|---|---|---|---|
70504-3100-02 | J2792 | INJECTION, RHO D IMMUNE GLOBULIN, INTRAVENOUS, HUMAN, SOLVENT DETERGENT, 100 IU | WINRHO SDF (1X4.4ML,SDV) 5000 IU | IV |
70504-3300-02 | J2792 | INJECTION, RHO D IMMUNE GLOBULIN, INTRAVENOUS, HUMAN, SOLVENT DETERGENT, 100 IU | WINRHO SDF (1X1.3ML,SDV) 1500 IU | IV |
70504-3500-02 | J2792 | INJECTION, RHO D IMMUNE GLOBULIN, INTRAVENOUS, HUMAN, SOLVENT DETERGENT, 100 IU | WINRHO SDF (1X2.2ML,SDV) 2500 IU | IV |
70512-0860-08 | J8515 | CABERGOLINE, ORAL, 0.25 MG | CABERGOLINE 0.5 MG | PO |
70515-0260-10 | J1160 | INJECTION, DIGOXIN, UP TO 0.5 MG | LANOXIN 0.25 MG/1 ML | IJ |
70515-0261-10 | J1160 | INJECTION, DIGOXIN, UP TO 0.5 MG | LANOXIN 0.25 MG/1 ML | IJ |
70515-0262-10 | J1160 | INJECTION, DIGOXIN, UP TO 0.5 MG | LANOXIN PEDIATRIC 0.1 MG/1 ML | IJ |
70515-0263-10 | J1160 | INJECTION, DIGOXIN, UP TO 0.5 MG | LANOXIN PEDIATRIC 0.1 MG/1 ML | IJ |
70569-0151-11 | J8540 | DEXAMETHASONE, ORAL, 0.25 MG | DXEVO (11-DAY DOSE PACK) 1.5 MG | PO |
70594-0023-01 | J0770 | INJECTION, COLISTIMETHATE SODIUM, UP TO 150 MG | COLISTIMETHATE 150 MG | IJ |
70594-0023-04 | J0770 | INJECTION, COLISTIMETHATE SODIUM, UP TO 150 MG | COLISTIMETHATE 150 MG | IJ |
70594-0023-09 | J0770 | INJECTION, COLISTIMETHATE SODIUM, UP TO 150 MG | COLISTIMETHATE NOVAPLUS (PF,LYOPHILIZED) 150 MG | IJ |
HCPCS Code | Description | Billing Unit | SA Type |
|---|---|---|---|
E0669 | Segmental pneumatic appliance, half leg | Each | Y |
E0669 RR | Segmental pneumatic appliance, half leg | Day | N |
E0670 | Segmental pneumatic appliance for use with pneumatic compressor, integrated, 2 full legs and trunk | Each | Y |
E0670 RR | Segmental pneumatic appliance for use with pneumatic compressor, integrated, 2 full legs and trunk | Day | Y |
E0671 | Segmental gradient pressure pneumatic appliance, full leg | Each | Y |
E0671 RR | Segmental gradient pressure pneumatic appliance, full leg | Day | N |
E0672 | Segmental gradient pressure pneumatic appliance, full arm | Each | Y |
E0672 RR | Segmental gradient pressure pneumatic appliance, full arm | Day | N |
E0673 | Segmental gradient pressure pneumatic appliance, half leg | Each | Y |
E0673 RR | Segmental gradient pressure pneumatic appliance, half leg | Day | N |
E0675RR | Pneumatic compression device, high pressure, rapid inflation/deflation cycle | Day | Y |
E0676 | Intermittent limb compression device (includes all accessories), not otherwise specified | Each | Y |
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