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NDC | HCPCS | HCPCS Description | NDC Label | Route of Administration |
|---|---|---|---|---|
65162-0914-46 | J7682 | TOBRAMYCIN, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, UNIT DOSE FORM, ADMINISTERED THROUGH DME, PER 300 MILLIGRAMS | TOBRAMYCIN (4 AMPULES X 14 POUCHES) 300 MG/5 ML | IH |
65219-0004-01 | J3480 | INJECTION, POTASSIUM CHLORIDE, PER 2 MEQ | POTASSIUM CHLORIDE (FREEFLEX,PF,LATEX-FREE) 10 MEQ/50 ML | IV |
63323-0867-74 | A4216 | STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML | DEXTROSE/SODIUM CHLORIDE (FREEFLEX,PF,LATEX-FREE) 5%-0.3% | IV |
63323-0867-75 | A4216 | STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML | DEXTROSE/SODIUM CHLORIDE (FREEFLEX,PF,LATEX-FREE) 5%-0.3% | IV |
63323-0869-10 | A4216 | STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML | DEXTROSE-SODIUM CHLORIDE (10X1000ML;USP,PF) 5%-0.45% | IV |
63323-0869-74 | A4216 | STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML | DEXTROSE-SODIUM CHLORIDE (20X500ML;USP,PF) 5%-0.45% | IV |
63323-0869-75 | A4216 | STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML | DEXTROSE-SODIUM CHLORIDE (30X250ML;USP,PF) 5%-0.45% | IV |
63323-0870-10 | J7042 | 5% DEXTROSE/NORMAL SALINE (500 ML = 1 UNIT) | DEXTROSE-SODIUM CHLORIDE (20X500ML;USP,PF) 5%-0.9% | IV |
63323-0870-74 | J7042 | 5% DEXTROSE/NORMAL SALINE (500 ML = 1 UNIT) | DEXTROSE-SODIUM CHLORIDE (10X1000ML;USP,PF) 5%-0.9% | IV |
63323-0871-15 | J0878 | INJECTION, DAPTOMYCIN, 1 MG | DAPTOMYCIN (PF,LYOPHILIZED) 500 MG | IV |
63323-0873-10 | A4216 | STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML | DEXTROSE-SODIUM CHLORIDE (10X1000ML;USP,PF) 5%-0.225% | IV |
63323-0873-74 | A4216 | STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML | DEXTROSE-SODIUM CHLORIDE (20X500ML;USP,PF) 5%-0.225% | IV |
HCPCS Code | Description | Billing Unit | SA Type |
|---|---|---|---|
E0273 | Bed Board | Each | N |
E0274 | Overbed Table | Each | N |
E0274 RR | Overbed Table | Day | N |
E0277 | Powered pressure-reducing air mattress | Each | Y |
E0277 RR | Powered pressure-reducing air mattress | Day | Y |
E0280 | Bed Cradle, Any Type | Each | N |
E0280 RR | Bed Cradle, Any Type | Day | N |
E0300 | Pediatric crib, hospital grade, fully enclosed, with or without top enclosure | Each | Y |
E0300 RR | Pediatric crib, hospital grade, fully enclosed, with or without top enclosure | Each | Y |
E0301 RR | HD hosp bed, 350-600lbs | Day | Y |
E0302 RR | Ex hd hosp bed > 600lbs | Day | Y |
E0303 RR | Hosp bed, hvy dty, xtra wide | Day | Y |
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