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NDC | HCPCS | HCPCS Description | NDC Label | Route of Administration |
|---|---|---|---|---|
66794-0202-42 | J7643 | GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM | GLYCOPYRROLATE (SDV) 0.2 MG/1 ML | IJ |
66794-0202-42 | J7643 | GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM | GLYCOPYRROLATE (SDV) 0.2 MG/1 ML | IJ |
66794-0203-42 | J7643 | GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM | GLYCOPYRROLATE (SDV) 0.2 MG/1 ML | IJ |
66794-0203-42 | J7643 | GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM | GLYCOPYRROLATE (SDV) 0.2 MG/1 ML | IJ |
66794-0204-42 | J7643 | GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM | GLYCOPYRROLATE (MDV) 0.2 MG/1 ML | IJ |
66794-0204-42 | J7643 | GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM | GLYCOPYRROLATE (MDV) 0.2 MG/1 ML | IJ |
66794-0205-41 | J7643 | GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM | GLYCOPYRROLATE (MDV) 0.2 MG/1 ML | IJ |
66794-0205-41 | J7643 | GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM | GLYCOPYRROLATE (MDV) 0.2 MG/1 ML | IJ |
66794-0206-41 | J0295 | INJECTION, AMPICILLIN SODIUM/SULBACTAM SODIUM, PER 1.5 GM | AMPICILLIN-SULBACTAM (USP, SDV,PF,LATEX-FREE) 1 GM-0.5 GM | IJ |
66794-0207-41 | J0295 | INJECTION, AMPICILLIN SODIUM/SULBACTAM SODIUM, PER 1.5 GM | AMPICILLIN-SULBACTAM (USP, SDV,PF,LATEX-FREE) 2 GM-1 GM | IJ |
66794-0208-15 | J0295 | INJECTION, AMPICILLIN SODIUM/SULBACTAM SODIUM, PER 1.5 GM | AMPICILLIN-SULBACTAM (PHARMACY BULK,USP,PF) 10 GM-5 GM | IV |
66794-0209-41 | J0692 | INJECTION, CEFEPIME HYDROCHLORIDE, 500 MG | CEFEPIME (SDV,PF,LATEX-FREE) 1 GM | IJ |
HCPCS Code | Description | Billing Unit | SA Type |
|---|---|---|---|
E0202 RR | Phototherapy (bilirubin) light with photometer | Day | N |
E0235 | Paraffin bath unit, portable | Each | N |
E0235 RR | Paraffin bath unit, portable | Day | N |
E0236 | Pump for water circulating pad | Each | Y |
E0236 RR | Pump for water circulating pad | Day | Y |
E0239 | Hydrocollator unit, portable | Each | Y |
E0239 RR | Hydrocollator unit, portable | Day | Y |
E0240 | Bath/Shower chair, with or without wheels, any size | Each | N |
E0244 | Raised Toilet Seat | Each | N |
E0245 | Tub stool or bench | Each | N |
E0246 | Transfer tub rail attachment | Each | N |
E0247 | Transfer bench for tub or toilet with or without commode opening | Each | N |
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