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NDC | HCPCS | HCPCS Description | NDC Label | Route of Administration |
|---|---|---|---|---|
63323-0873-75 | A4216 | STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML | DEXTROSE-SODIUM CHLORIDE (30X250ML;USP,PF) 5%-0.225% | IV |
63323-0874-10 | A4216 | STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML | DEXTROSE-SODIUM CHLORIDE (FREE-FLEX,PF,LATEX-FREE) 2.5%-0.45% | IV |
63323-0877-15 | J2545 | PENTAMIDINE ISETHIONATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 300 MG | NEBUPENT (S.D.V.,PF) 300 MG | IH |
63323-0883-05 | J9000 | INJECTION, DOXORUBICIN HYDROCHLORIDE, 10 MG | DOXORUBICIN HYDROCHLORIDE (USP,STERILE,SDV,PF) 2 MG/ML | IV |
63323-0883-10 | J9000 | INJECTION, DOXORUBICIN HYDROCHLORIDE, 10 MG | DOXORUBICIN HYDROCHLORIDE (USP,STERILE,SDV,PF) 2 MG/ML | IV |
63323-0883-30 | J9000 | INJECTION, DOXORUBICIN HYDROCHLORIDE, 10 MG | DOXORUBICIN HYDROCHLORIDE (USP,STERILE,SDV,PF) 2 MG/ML | IV |
63323-0915-01 | J1644 | INJECTION, HEPARIN SODIUM, PER 1000 UNITS | HEPARIN SODIUM (M.D.V.,P.C.) 20000 U/ML | IJ |
63323-0915-13 | J1644 | INJECTION, HEPARIN SODIUM, PER 1000 UNITS | HEPARIN SODIUM (M.D.V;G.C.,LATEX-FREE) 20000 U/1 ML | IJ |
63323-0924-10 | A4216 | STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML | SODIUM CHLORIDE (M.D.V.,P.C.) 0.9% | IV |
63323-0924-30 | A4216 | STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML | SODIUM CHLORIDE (M.D.V.,P.C.) 0.9% | IV |
63323-0926-88 | J9319 | INJECTION, ROMIDEPSIN, LYOPHILIZED, 0.1 MG | ROMIDEPSIN (W/DILUENT,LATEX-FREE) 10 MG | IV |
63323-0930-01 | J2598 | INJECTION, VASOPRESSIN, 1 UNIT | VASOPRESSIN (SDV,PF,LATEX-FREE) 20 U/1 ML | IV |
HCPCS Code | Description | Billing Unit | SA Type |
|---|---|---|---|
E0304 RR | Hosp bed, xtra hvy dty, x wide | Day | Y |
E0305 | Bedside rails, half-length | Each | Y |
E0305 RR | Bedside rails, half-length | Each | Y |
E0371 RR | Nonpower mattress overlay | Day | Y |
E0372 RR | Powered air mattress overlay | Day | Y |
E0373 RR | Nonpowered pressure mattress | Day | Y |
E0310 | Bed Side Rails, Full Length | Each | Y |
E0310 RR | Bed Side Rails, Full Length | Each | Y |
A6501 | Compression burn garment, bodysuit (head to foot), custom fabricated | Each | Y |
A6502 | Compression burn garment, chin strap, custom fabricated | Each | Y |
A6503 | Compression burn garment, facial hood, custom fabricated | Each | Y |
A6504 | Compression burn garment, glove to wrist, custom fabricated | Each | Y |
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