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NDC | HCPCS | HCPCS Description | NDC Label | Route of Administration |
|---|---|---|---|---|
71288-0407-03 | J7643 | GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM | GLYCOPYRROLATE (SDV, USP,LATEX-FREE) 0.2 MG/1 ML | IJ |
71288-0407-03 | J7643 | GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM | GLYCOPYRROLATE (SDV, USP,LATEX-FREE) 0.2 MG/1 ML | IJ |
71288-0407-04 | J7643 | GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM | GLYCOPYRROLATE (SDV,LATEX-FREE) 0.2 MG/1 ML | IJ |
71288-0407-04 | J7643 | GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM | GLYCOPYRROLATE (SDV,LATEX-FREE) 0.2 MG/1 ML | IJ |
71288-0408-06 | J7643 | GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM | GLYCOPYRROLATE (MDV, USP,LATEX-FREE) 0.2 MG/1 ML | IJ |
71288-0408-06 | J7643 | GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM | GLYCOPYRROLATE (MDV, USP,LATEX-FREE) 0.2 MG/1 ML | IJ |
71288-0408-21 | J7643 | GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM | GLYCOPYRROLATE (MDV, UPS,LATEX-FREE) 0.2 MG/1 ML | IJ |
71288-0408-21 | J7643 | GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM | GLYCOPYRROLATE (MDV, UPS,LATEX-FREE) 0.2 MG/1 ML | IJ |
71288-0410-81 | J1650 | INJECTION, ENOXAPARIN SODIUM, 10 MG | ENOXAPARIN SODIUM (LIGHT BLUE;10X0.3ML,PF) 30 MG/0.3 ML | SC |
71288-0410-83 | J1650 | INJECTION, ENOXAPARIN SODIUM, 10 MG | ENOXAPARIN SODIUM (YELLOW;10X0.3ML,PF) 40 MG/0.4 ML | SC |
71288-0410-85 | J1650 | INJECTION, ENOXAPARIN SODIUM, 10 MG | ENOXAPARIN SODIUM (ORANGE;10X0.3ML,PF) 60 MG/0.6 ML | SC |
71288-0410-87 | J1650 | INJECTION, ENOXAPARIN SODIUM, 10 MG | ENOXAPARIN SODIUM (BROWN;10X0.8ML,PF) 80 MG/0.8 ML | SC |
HCPCS Code | Description | Billing Unit | SA Type |
|---|---|---|---|
K0823 | Power Wheelchair, Group 2 Standard, Captains Chair, Patient Weight Capacity Up To And Including 300 Pounds | Each | Y |
K0823 RR | Power Wheelchair, Group 2 Standard, Captains Chair, Patient Weight Capacity Up To And Including 300 Pounds | Day | Y |
K0824 | Power Wheelchair, Group 2 Heavy Duty, Sling/Solid Seat/Back, Patient Weight Capacity 301 To 450 Pounds | Each | Y |
K0824 RR | Power Wheelchair, Group 2 Heavy Duty, Sling/Solid Seat/Back, Patient Weight Capacity 301 To 450 Pounds | Day | Y |
E1171 RR | Amputee Wheelchair, Fixed Full Length Arms, Without Foot Rests Or Leg Rests | Day | N |
E1172 | Amputee Wheelchair, Detachable Arms (Desk Or Full Length), W/O Foot Or Leg Rests | Each | N |
E1172 RR | Amputee Wheelchair, Detachable Arms (Desk Or Full Length), W/O Foot Or Leg Rests | Day | N |
E1180 | Amputee Wheelchair, Detachable Arms (Desk Or Full Length), Swing Away Det. Foot Rests | Each | N |
E1180 RR | Amputee Wheelchair, Detachable Arms (Desk Or Full Length), Swing Away Detachable Foot Rests | Day | N |
E1190 | Amputee Wheelchair, Detachable Arms (Desk Or Full Length) Swing Away, Detachable, Elevating Leg Rests | Each | N |
E1190 RR | Amputee Wheelchair, Detachable Arms (Desk Or Full Length), Swing Away, Detachable, Elevating Leg Rests | Day | N |
E1200 | Amputee Wheelchair, Fixed Full Length Arms, Swing Away, Detachable Foot Rests | Each | N |
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