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NDC | HCPCS | HCPCS Description | NDC Label | Route of Administration |
|---|---|---|---|---|
65219-0200-05 | J9330 | INJECTION, TEMSIROLIMUS, 1 MG | TEMSIROLIMUS (W/DILUENT;SDV) 25 MG/1 ML | IV |
65219-0218-50 | J7040 | INFUSION, NORMAL SALINE SOLUTION, STERILE (500 ML = 1 UNIT) | SODIUM CHLORIDE (FREEFLEX+,PF,LATEX-FREE) 0.9% | IV |
65219-0220-10 | J7040 | INFUSION, NORMAL SALINE SOLUTION, STERILE (500 ML = 1 UNIT) | SODIUM CHLORIDE (FREEFLEX+,PF,LATEX-FREE) 0.9% | IV |
65219-0222-25 | J7040 | INFUSION, NORMAL SALINE SOLUTION, STERILE (500 ML = 1 UNIT) | SODIUM CHLORIDE (FREEFLEX+,PF,LATEX-FREE) 0.9% | IV |
65219-0224-50 | J7040 | INFUSION, NORMAL SALINE SOLUTION, STERILE (500 ML = 1 UNIT) | SODIUM CHLORIDE (FREEFLEX+,PF,LATEX-FREE) 0.9% | IV |
65219-0226-50 | A4216 | STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML | SODIUM CHLORIDE (FREEFLEX+ BAG) 0.45% | IV |
65219-0228-10 | A4216 | STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML | SODIUM CHLORIDE (FREEFLEX+ BAG) 0.45% | IV |
65219-0230-25 | J7799 | NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME | SODIUM CHLORIDE (FREEFLEX+ BAG) 0.45% | IV |
65219-0232-50 | J7799 | NOC DRUGS, OTHER THAN INHALATION DRUGS, ADMINISTERED THROUGH DME | SODIUM CHLORIDE (FREEFLEX+ BAG) 0.45% | IV |
65219-0234-10 | J7060 | 5% DEXTROSE/WATER (500 ML = 1 UNIT) | DEXTROSE (FREEFLEX+ BAG) 5% | IV |
65219-0236-10 | J7060 | 5% DEXTROSE/WATER (500 ML = 1 UNIT) | DEXTROSE (FREEFLEX+ BAG) 5% | IV |
65219-0238-25 | J7060 | 5% DEXTROSE/WATER (500 ML = 1 UNIT) | DEXTROSE (FREEFLEX+ BAG) 5% | IV |
HCPCS Code | Description | Billing Unit | SA Type |
|---|---|---|---|
E0200 | Heat Lamp W/O Stand, Table Model includes bulb or infrared element | Each | Y |
E0205 | Heat Lamp, With Stand, (Includes Bulbs, Or Infrared Element) | Each | Y |
E0200 RR | Heat Lamp W/O Stand, Table Model Rental includes bulb or infrared element | Day | N |
E0205 RR | Heat Lamp, With Stand, (Includes Bulbs, Or Infrared Element) | Day | N |
E0210 | Electric heat pad, standard | Each | N |
E0215 | Electric heat pad, moist | Each | N |
E0210 RR | Electric heat pad, standard | Day | N |
E0215 RR | Electric heat pad, moist | Day | N |
A6505 | Compression burn garment, glove to elbow, custom fabricated | Each | Y |
A6506 | Compression burn garment, glove to axilla, custom fabricated | Each | Y |
A6507 | Compression burn garment, foot to knee length, custom fabricated | Each | Y |
A6508 | Compression burn garment, foot to thigh length, custom fabricated | Each | Y |
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