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NDC | HCPCS | HCPCS Description | NDC Label | Route of Administration |
|---|---|---|---|---|
66267-0081-15 | Q0163 | DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN | DIPHENHYDRAMINE HCL 50 MG | PO |
66267-0081-20 | Q0163 | DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN | DIPHENHYDRAMINE HCL 50 MG | PO |
66267-0081-30 | Q0163 | DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN | DIPHENHYDRAMINE HCL 50 MG | PO |
66267-0081-60 | Q0163 | DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN | DIPHENHYDRAMINE HCL 50 MG | PO |
68180-0633-10 | J0696 | INJECTION, CEFTRIAXONE SODIUM, PER 250 MG | CEFTRIAXONE 1 GM | IJ |
68180-0644-01 | J0696 | INJECTION, CEFTRIAXONE SODIUM, PER 250 MG | CEFTRIAXONE 2 GM | IJ |
68180-0644-10 | J0696 | INJECTION, CEFTRIAXONE SODIUM, PER 250 MG | CEFTRIAXONE 2 GM | IJ |
68180-0690-01 | J1453 | INJECTION, FOSAPREPITANT, 1 MG | FOSAPREPITANT DIMEGLUMINE (SDV,LYOPHILIZED) 150 MG | IV |
68180-0718-52 | J1270 | INJECTION, DOXERCALCIFEROL, 1 MCG | DOXERCALCIFEROL (MDV) 2 MCG/1 ML | IV |
68180-0861-06 | Q0144 | AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM | AZITHROMYCIN (FILM-COATED) 250 MG | PO |
68180-0861-11 | Q0144 | AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM | AZITHROMYCIN (FILM-COATED) 250 MG | PO |
68180-0862-06 | Q0144 | AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM | AZITHROMYCIN (FILM-COATED) 500 MG | PO |
HCPCS Code | Description | Billing Unit | SA Type |
|---|---|---|---|
T4541 | Incontinence product, disposable underpad, large | Each Case | N |
T4542 | Incontinence product, disposable underpad, small | Each case | N |
T4543 | Adult sized disposable incontinence product, protective brief/diaper, above extra large | Each | N |
T4544 | Adult sized disposable incontinence product, protective underwear/pull-on, above extra large | Each | N |
A4335 | Incontinence Supplies, Not Otherwise Specified | Each | N |
A4320 | Irrigation Tray With Bulb Or Piston Syringe, any purpose. | Each | N |
A4322 | Irrigation Syringe, Bulb Or Piston | Each | N |
A4640 | Replacement pad for use with medically necessary alternating pressure pad owned by patient | Each | N |
E1399 | Dry pressure pad or cushion, nonpositioning | Each | Y |
E1399 | Dry pressure pad or cushion, nonpositioning | Day | Y |
E0181 | Powered pressure reducing mattress overlay/pad, alernating , with pump, includes heavy duty | Each | N |
E0181 RR | Powered pressure reducing mattress overlay/pad, alernating , with pump, includes heavy duty | Day | N |
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