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NDC
HCPCS
HCPCS Description
NDC Label
Route of Administration
70594-0064-02
J2370
INJECTION, PHENYLEPHRINE HCL, UP TO 1 ML
PHENYLEPHRINE HCL (PHARMACY BULK PKG;USP) 10 MG/1 ML
IV
70594-0064-02
J2371
INJECTION, PHENYLEPHRINE HYDROCHLORIDE, 20 MICROGRAMS
PHENYLEPHRINE HCL (PHARMACY BULK PKG;USP) 10 MG/1 ML
IV
70594-0065-01
J2370
INJECTION, PHENYLEPHRINE HCL, UP TO 1 ML
PHENYLEPHRINE HCL (USP,LATEX-FREE) 10 MG/1 ML
IV
70594-0065-01
J2371
INJECTION, PHENYLEPHRINE HYDROCHLORIDE, 20 MICROGRAMS
PHENYLEPHRINE HCL (USP,LATEX-FREE) 10 MG/1 ML
IV
70594-0065-02
J2370
INJECTION, PHENYLEPHRINE HCL, UP TO 1 ML
PHENYLEPHRINE HCL (PHARMACY BULK PKG;USP) 10 MG/1 ML
IV
70594-0065-02
J2371
INJECTION, PHENYLEPHRINE HYDROCHLORIDE, 20 MICROGRAMS
PHENYLEPHRINE HCL (PHARMACY BULK PKG;USP) 10 MG/1 ML
IV
67877-0755-60
Q0167
DRONABINOL, 2.5 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN
DRONABINOL (SOFT GELATIN) 10 MG
PO
67919-0011-01
J0878
INJECTION, DAPTOMYCIN, 1 MG
CUBICIN (PF) 500 MG
IV
67919-0030-01
J0695
INJECTION, CEFTOLOZANE 50 MG AND TAZOBACTAM 25 MG
ZERBAXA (PF) 1 GM-0.5 GM
IV
67979-0001-01
J9357
INJECTION, VALRUBICIN, INTRAVESICAL, 200 MG
VALSTAR (4X5ML,PF) 40 MG/ML
IL
67979-0002-01
J9226
HISTRELIN IMPLANT (SUPPRELIN LA), 50 MG
SUPPRELIN LA 50 MG
SC
67979-0500-01
J9226
HISTRELIN IMPLANT (SUPPRELIN LA), 50 MG
VANTAS 50 MG
SC
HCPCS Code
Description
Billing Unit
SA Type
E0162 RR
Sitz bath chair
Day
N
E0163
Commode chair, mobile or stationary, with fixed arms
Each
N
E0163 RR
Commode chair, mobile or stationary, with fixed arms
Day
N
E0165
Commode chair, mobile or stationary, with detachable arms
Each
N
E0165 RR
Commode chair, mobile or stationary, with detachable arms
Day
N
E0167
Pail or pan for use with commode chair, replacement only
Each
N
E0167 RR
Pail or pan for use with commode chair, replacement only
Day
N
E0168
Commode chair, extra wide and/or heavy duty, stationary or mobile, with or without arms, any type, each
Each
N
E0168 RR
Commode chair, extra wide and/or heavy duty, stationary or mobile, with or without arms, any type, each
Day
N
E0170RR
Commode�chair, stationary with pail
Day
N
E0175
Foot rest, for use with commode chair, each
Each
N
E0175 RR
Foot rest, for use with commode chair, each
Day
N
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