top of page
NDC | HCPCS | HCPCS Description | NDC Label | Route of Administration |
|---|---|---|---|---|
71288-0410-89 | J1650 | INJECTION, ENOXAPARIN SODIUM, 10 MG | ENOXAPARIN SODIUM (GRAY;10X1ML,PF) 100 MG/1 ML | SC |
71288-0411-81 | J1650 | INJECTION, ENOXAPARIN SODIUM, 10 MG | ENOXAPARIN SODIUM (PURPLE;10X0.8ML,PF) 120 MG/0.8 ML | SC |
71288-0411-83 | J1650 | INJECTION, ENOXAPARIN SODIUM, 10 MG | ENOXAPARIN SODIUM (NAVY BLUE;10X1ML,PF) 150 MG/1 ML | SC |
71288-0414-03 | 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 |
71288-0414-03 | 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 |
71288-0414-04 | J7643 | GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM | GLYCOPYRROLATE (SDV,LATEX-FREE) 0.2 MG/1 ML | IJ |
71288-0414-04 | J7643 | GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM | GLYCOPYRROLATE (SDV,LATEX-FREE) 0.2 MG/1 ML | IJ |
71288-0414-92 | J7643 | GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM | HEALTHTRUST GLYCOPYRROLATE (SDV,LATEX-FREE) 0.2 MG/1 ML | IJ |
71288-0414-92 | J7643 | GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM | HEALTHTRUST GLYCOPYRROLATE (SDV,LATEX-FREE) 0.2 MG/1 ML | IJ |
71288-0414-94 | J7643 | GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM | HEALTHTRUST GLYCOPYRROLATE (SDV,LATEX-FREE) 0.2 MG/1 ML | IJ |
71288-0414-94 | J7643 | GLYCOPYRROLATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER MILLIGRAM | HEALTHTRUST GLYCOPYRROLATE (SDV,LATEX-FREE) 0.2 MG/1 ML | IJ |
71288-0415-06 | 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 |
HCPCS Code | Description | Billing Unit | SA Type |
|---|---|---|---|
E1200 RR | Amputee Wheelchair, Fixed Full Length Arms, Swing Away Detachable Foot Rests | Day | N |
E1231 | Wheelchair, Pediatric Size, Tilt-In-Space, Rigid, Adjustable, With Seating System | Each | Y |
E1231 RR | Wheelchair, Pediatric Size, Tilt-In-Space, Rigid, Adjustable, With Seating System | Day | Y |
E1232 | Wheelchair, Pediatric Size, Tilt-In-Space, Folding, Adjustable, With Seating System | Each | Y |
E1232 RR | Wheelchair, Pediatric Size, Tilt-In-Space, Folding, Adjustable, With Seating System | Day | Y |
E1233 | Wheelchair, Pediatric Size, Tilt-In-Space, Rigid, Adjustable, Without Seating System | Each | Y |
E1233 RR | Wheelchair, Pediatric Size, Tilt-In-Space, Rigid, Adjustable, Without Seating System | Day | Y |
E1234 | Wheelchair, Pediatric Size, Tilt-In-Space, Folding, Adjustable, Without Seating System | Each | Y |
E1234 RR | Wheelchair, Pediatric Size, Tilt-In-Space, Folding, Adjustable, Without Seating System | Day | Y |
E1235 | Wheelchair, Pediatric Size, Rigid, Adjustable, With Seating System | Each | Y |
E1235 RR | Wheelchair, Pediatric Size, Rigid, Adjustable, With Seating System | Day | Y |
E1236 | Wheelchair, Pediatric Size, Folding, Adjustable, With Seating System | Each | Y |
bottom of page