top of page

NDC | HCPCS | HCPCS Description | NDC Label | Route of Administration |
|---|---|---|---|---|
70594-0047-01 | J3372 | INJECTION, VANCOMYCIN HCL (XELLIA) NOT THERAPEUTICALLY EQUIVALENT TO J3370, 500 MG | VANCOMYCIN HCL (PHARMACY BULK PKG,PF) 5 GM | IV |
70594-0048-01 | J3370 | INJECTION, VANCOMYCIN HCL, 500 MG | VANCOMYCIN HCL (PHARMACY BULK PACKAGE) 10 GM | IV |
70594-0048-01 | J3372 | INJECTION, VANCOMYCIN HCL (XELLIA) NOT THERAPEUTICALLY EQUIVALENT TO J3370, 500 MG | VANCOMYCIN HCL (PHARMACY BULK PACKAGE) 10 GM | IV |
70594-0053-01 | J0878 | INJECTION, DAPTOMYCIN, 1 MG | DAPTOMYCIN (PF,LYOPHILIZED) 350 MG | IV |
70594-0056-03 | J3370 | INJECTION, VANCOMYCIN HCL, 500 MG | VANCOMYCIN HCL (FLEXIBLE BAG) 750 MG/150 ML | IV |
70594-0056-03 | J3372 | INJECTION, VANCOMYCIN HCL (XELLIA) NOT THERAPEUTICALLY EQUIVALENT TO J3370, 500 MG | VANCOMYCIN HCL (FLEXIBLE BAG) 750 MG/150 ML | IV |
70594-0057-02 | J3370 | INJECTION, VANCOMYCIN HCL, 500 MG | VANCOMYCIN HCL (FLEXIBLE BAG) 1.25 GM/250 ML | IV |
70594-0057-02 | J3372 | INJECTION, VANCOMYCIN HCL (XELLIA) NOT THERAPEUTICALLY EQUIVALENT TO J3370, 500 MG | VANCOMYCIN HCL (FLEXIBLE BAG) 1.25 GM/250 ML | IV |
70594-0058-02 | J3370 | INJECTION, VANCOMYCIN HCL, 500 MG | VANCOMYCIN HCL (FLEXIBLE BAG) 1.75 GM/350 ML | IV |
70594-0058-02 | J3372 | INJECTION, VANCOMYCIN HCL (XELLIA) NOT THERAPEUTICALLY EQUIVALENT TO J3370, 500 MG | VANCOMYCIN HCL (FLEXIBLE BAG) 1.75 GM/350 ML | IV |
70594-0063-02 | J2370 | INJECTION, PHENYLEPHRINE HCL, UP TO 1 ML | PHENYLEPHRINE HCL (USP,LATEX-FREE) 10 MG/1 ML | IV |
70594-0063-02 | J2371 | INJECTION, PHENYLEPHRINE HYDROCHLORIDE, 20 MICROGRAMS | PHENYLEPHRINE HCL (USP,LATEX-FREE) 10 MG/1 ML | IV |
HCPCS Code | Description | Billing Unit | SA Type |
|---|---|---|---|
A4613 RR | Battery, charger; replacement for patient-owner ventilator | Day | N |
A4638 | Replacement battery, for patient�owned ear pulse generator, each | Each | Y |
A4660 | Sphygmomanometer/Bp Apparatus W/Cuff And Stethoscope | Each | N |
A4670 | Automatic Blood Pressure Monitor | Each | N |
A4927 | Gloves, Non-Sterile, Sm., Med., Lrg. | Per Box of 100 | N |
A4930 | Gloves, Sterile, Sm., Med., Lrg. | Per Pair | N |
A9901 | DME Delivery, set up, and/or dispensing service component of another HCPCS code | Each | Y |
E0160 | Sitz bath or equipment, portable, used with or without commode | Each | N |
E0160 RR | Sitz bath or equipment, portable, used with or without commode | Day | N |
E0161 | Sitz type bath or equipment, portable, used with or without commode, with faucet attachment's) | Each | N |
E0161 RR | Sitz type bath or equipment, portable, used with or without commode, with faucet attachment's | Day | N |
E0162 | Sitz bath chair | Each | N |
bottom of page
