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NDC	HCPCS	HCPCS Description	NDC Label	Route of Administration
69374-0968-25	J7050	INFUSION, NORMAL SALINE SOLUTION , 250 CC	SODIUM CHLORIDE (PF) 0.9%	IV
69374-0987-50	J2795	INJECTION, ROPIVACAINE HYDROCHLORIDE, 1 MG	ROPIVACAINE HCL (USP,PF) 1 GM/500 ML	IJ
69448-0001-05	J9280	INJECTION, MITOMYCIN, 5 MG	MUTAMYCIN 5 MG	IV
69448-0002-11	J9280	INJECTION, MITOMYCIN, 5 MG	MUTAMYCIN 20 MG	IV
69448-0003-38	J9280	INJECTION, MITOMYCIN, 5 MG	MUTAMYCIN 40 MG	IV
69448-0005-12	J9045	INJECTION, CARBOPLATIN, 50 MG	PARAPLATIN (PF) 10 MG/1 ML	IV
69448-0005-31	J9045	INJECTION, CARBOPLATIN, 50 MG	PARAPLATIN (PF) 10 MG/1 ML	IV
69448-0005-33	J9045	INJECTION, CARBOPLATIN, 50 MG	PARAPLATIN (PF) 10 MG/1 ML	IV
69448-0005-34	J9045	INJECTION, CARBOPLATIN, 50 MG	PARAPLATIN (PF) 10 MG/1 ML	IV
69448-0005-38	J9045	INJECTION, CARBOPLATIN, 50 MG	PARAPLATIN (PF) 10 MG/1 ML	IV
69452-0153-20	J7507	TACROLIMUS, IMMEDIATE RELEASE, ORAL, 1 MG	TACROLIMUS (HARD GELATIN) 0.5 MG	PO
69452-0154-20	J7507	TACROLIMUS, IMMEDIATE RELEASE, ORAL, 1 MG	TACROLIMUS (HARD GELATIN) 1 MG	PO

HCPCS Code	Description	Billing Unit	SA Type
A4456	Adhesive remover, wipes, any type, each	Each	N
A4458	Enema bag w/tubing, reusable	Each	N
A4459	Manual pump-operated enema system, includes ballon, catheter and all accessories, resuable any type	Each	Y
A4561	Pessary; rubber, any type	Each	N
A4562	Pessary, non rubber, any type	Each	N
A4565	Sling-Any Type	Each	N
A4566	Shoulder sling or vest design, abduction restrainer, with or without swathe control, prefabricated, includes fitting and adjustment.	Each	Y
A4467	Belt, strap, sleeve, garment, or covering any type	Each	Y
A4600	Sleeve for intermittent limb compression device, replacement only, each	Each	Y
A4601	Lithuim ion battery for non-prosthetic use, replacement	Each	Y
A4602	Replacement battery for external infusion pump owned by patient, lithium,1.5 volt, each	Each	Y
A4611	Battery, heavy duty; replacement for patient-owner ventilator	Each	N