top of page
NDC | HCPCS | HCPCS Description | NDC Label | Route of Administration |
|---|---|---|---|---|
66794-0210-41 | J0692 | INJECTION, CEFEPIME HYDROCHLORIDE, 500 MG | CEFEPIME (SDV,PF,LATEX-FREE) 2 GM | IJ |
66794-0211-42 | J0696 | INJECTION, CEFTRIAXONE SODIUM, PER 250 MG | CEFTRIAXONE (PF,LATEX-FREE) 250 MG | IJ |
66794-0212-42 | J0696 | INJECTION, CEFTRIAXONE SODIUM, PER 250 MG | CEFTRIAXONE (PF,LATEX-FREE) 500 MG | IJ |
66794-0213-42 | J0696 | INJECTION, CEFTRIAXONE SODIUM, PER 250 MG | CEFTRIAXONE (PF,LATEX-FREE) 1 GM | IJ |
66794-0214-42 | J0696 | INJECTION, CEFTRIAXONE SODIUM, PER 250 MG | CEFTRIAXONE (PF,LATEX-FREE) 2 GM | IJ |
66794-0215-15 | J0696 | INJECTION, CEFTRIAXONE SODIUM, PER 250 MG | CEFTRIAXONE (PF,LATEX-FREE) 10 GM | IV |
66794-0216-41 | J2543 | INJECTION, PIPERACILLIN SODIUM/TAZOBACTAM SODIUM, 1 GRAM/0.125 GRAMS (1.125 GRAMS) | PIPERACILLIN AND TAZOBACTAM (SDV;USP,PF,LATEX-FREE) 2 GM-0.25 GM | IV |
66794-0217-41 | J2543 | INJECTION, PIPERACILLIN SODIUM/TAZOBACTAM SODIUM, 1 GRAM/0.125 GRAMS (1.125 GRAMS) | PIPERACILLIN AND TAZOBACTAM (SDV;USP,PF,LATEX-FREE) 3 GM-0.375 GM | IV |
66794-0218-41 | J2543 | INJECTION, PIPERACILLIN SODIUM/TAZOBACTAM SODIUM, 1 GRAM/0.125 GRAMS (1.125 GRAMS) | PIPERACILLIN AND TAZOBACTAM (SDV;USP,PF,LATEX-FREE) 4 GM-0.5 GM | IV |
66794-0219-43 | J2020 | INJECTION, LINEZOLID, 200MG | LINEZOLID (LATEX-FREE) 600 MG/300 ML | IV |
66794-0220-41 | J0290 | INJECTION, AMPICILLIN SODIUM, 500 MG | AMPICILLIN (USP,PF,LATEX-FREE) 250 MG | IJ |
66794-0221-41 | J0290 | INJECTION, AMPICILLIN SODIUM, 500 MG | AMPICILLIN (USP,PF,LATEX-FREE) 500 MG | IJ |
HCPCS Code | Description | Billing Unit | SA Type |
|---|---|---|---|
E0248 | Transfer bench, heavy duty, for tub or toilet with or without commode opening | Each | N |
E0249 | Pad for water circulating heat unit | Each | N |
E0249 RR | Pad for water circulating heat unit | Day | N |
E0602 | Breast pump , manual, any type | Each | N |
E0603 | Breast pump, electric (AC and/or DC), any type | Each | Y |
E0604 | Breast pump, hospital grade, electric (AC and/or DC), any type | Day | Y |
E0610 | Pacemaker monitor, self contained, checks battery depletion, includes audible and visible check systems | Each | Y |
E0610 RR | Pacemaker monitor, self contained, checks battery depletion, includes audible and visible check systems | Day | Y |
E0621 | Sling or seat, patient lift, canvas or nylon | Each | Y |
E0621 RR | Sling or seat, patient lift, canvas or nylon | Day | N |
E1399 | Butterfly Infusion Needle - Any Size | Each | Y |
E1399 | Cap, Luer Lock With Female Connector | Each | Y |
bottom of page