top of page

NDC | HCPCS | HCPCS Description | NDC Label | Route of Administration |
|---|---|---|---|---|
70594-0026-02 | J3490 | UNCLASSIFIED DRUGS | BACITRACIN (LYOPHILIZED) 50000 U | IM |
70594-0026-04 | J3490 | UNCLASSIFIED DRUGS | BACITRACIN NOVAPLUS 50000 U | IM |
70594-0034-01 | J0878 | INJECTION, DAPTOMYCIN, 1 MG | DAPTOMYCIN (SDV,PF,LYOPHILIZED) 500 MG | IV |
70594-0034-02 | J0878 | INJECTION, DAPTOMYCIN, 1 MG | PREMIERPRO RX DAPTOMYCIN (SDV,PF,LYOPHILIZED) 500 MG | IV |
70594-0035-02 | J3243 | INJECTION, TIGECYCLINE, 1 MG | TIGECYCLINE (PF,LYOPHILIZED) 50 MG | IV |
70594-0036-01 | J2248 | INJECTION, MICAFUNGIN SODIUM, 1 MG | MICAFUNGIN SODIUM (SDV,PF,LYOPHILIZED) 50 MG | IV |
70594-0037-01 | J2248 | INJECTION, MICAFUNGIN SODIUM, 1 MG | MICAFUNGIN SODIUM (SDV,PF,LYOPHILIZED) 100 MG | IV |
70594-0045-02 | J3370 | INJECTION, VANCOMYCIN HCL, 500 MG | VANCOMYCIN HCL (USP,PF,LATEX-FREE) 500 MG | IV |
70594-0045-02 | J3372 | INJECTION, VANCOMYCIN HCL (XELLIA) NOT THERAPEUTICALLY EQUIVALENT TO J3370, 500 MG | VANCOMYCIN HCL (USP,PF,LATEX-FREE) 500 MG | IV |
70594-0046-02 | J3370 | INJECTION, VANCOMYCIN HCL, 500 MG | VANCOMYCIN HCL (USP,LATEX-FREE) 1 GM | IV |
70594-0046-02 | J3372 | INJECTION, VANCOMYCIN HCL (XELLIA) NOT THERAPEUTICALLY EQUIVALENT TO J3370, 500 MG | VANCOMYCIN HCL (USP,LATEX-FREE) 1 GM | IV |
70594-0047-01 | J3370 | INJECTION, VANCOMYCIN HCL, 500 MG | VANCOMYCIN HCL (PHARMACY BULK PKG,PF) 5 GM | IV |
HCPCS Code | Description | Billing Unit | SA Type |
|---|---|---|---|
E0676 RR | Intermittent limb compression device (includes all accessories), not otherwise specified | Day | Y |
E0705 | Transfer device, any type, each | Each | Y |
E0705 RR | Transfer device | Day | N |
E0935 RR | Passive motion exercise device | Day | N |
E0936 RR | Continuous passive motion exercise device for use other than knee | Day | Y |
E0968 | Commode seat, wheelchair | Each | N |
E0968 RR | Commode seat, wheelchair | Day | N |
E1800 RR | Dynamic adjustable elbow extension/flexion device, includes soft interface | Day | Y |
A4611 RR | Battery, heavy duty; replacement for patient-owner ventilator | Day | N |
A4612 | Battery, cables; replacement for patient-owner ventilator | Each | N |
A4612 RR | Battery, cables; replacement for patient-owner ventilator | Day | N |
A4613 | Battery, charger; replacement for patient-owner ventilator | Each | N |
bottom of page
