top of page
NDC | HCPCS | HCPCS Description | NDC Label | Route of Administration |
|---|---|---|---|---|
68001-0559-69 | J7509 | METHYLPREDNISOLONE ORAL, PER 4 MG | METHYLPREDNISOLONE 16 MG | PO |
68001-0560-55 | J7509 | METHYLPREDNISOLONE ORAL, PER 4 MG | METHYLPREDNISOLONE 32 MG | PO |
68001-0564-22 | J9070 | CYCLOPHOSPHAMIDE, 100 MG | CYCLOPHOSPHAMIDE (MDV,PF,LATEX-FREE) 200 MG/1 ML | IV |
68001-0565-28 | J9070 | CYCLOPHOSPHAMIDE, 100 MG | CYCLOPHOSPHAMIDE (MDV,PF,LATEX-FREE) 200 MG/1 ML | IV |
68001-0572-41 | J9036 | INJECTION, BENDAMUSTINE HYDROCHLORIDE, (BELRAPZO/BENDAMUSTINE), 1 MG | BENDAMUSTINE HYDROCHLORIDE (SDV,DAIRY-FREE,DYE-FREE) 100 MG | IV |
68001-0573-41 | J0894 | INJECTION, DECITABINE, 1 MG | DECITABINE (LYOPHILIZED) 50 MG | IV |
68001-0578-48 | J1631 | INJECTION, HALOPERIDOL DECANOATE, PER 50 MG | HALOPERIDOL DECANOATE (3X1ML AMPULE,LATEX-FREE) 50 MG/1 ML | IM |
68001-0579-48 | J1631 | INJECTION, HALOPERIDOL DECANOATE, PER 50 MG | HALOPERIDOL DECANOATE (5X1ML AMPULE,LATEX-FREE) 100 MG/1 ML | IM |
68001-0580-41 | J1631 | INJECTION, HALOPERIDOL DECANOATE, PER 50 MG | HALOPERIDOL DECANOATE (SDV,LATEX-FREE) 50 MG/1 ML | IM |
68001-0581-41 | J1631 | INJECTION, HALOPERIDOL DECANOATE, PER 50 MG | HALOPERIDOL DECANOATE (SDV,LATEX-FREE) 100 MG/1 ML | IM |
68001-0581-48 | J1631 | INJECTION, HALOPERIDOL DECANOATE, PER 50 MG | HALOPERIDOL DECANOATE (5X1ML SDV,LATEX-FREE) 100 MG/1 ML | IM |
68001-0581-82 | J1631 | INJECTION, HALOPERIDOL DECANOATE, PER 50 MG | HALOPERIDOL DECANOATE (10X1ML SDV,LATEX-FREE) 100 MG/1 ML | IM |
HCPCS Code | Description | Billing Unit | SA Type |
|---|---|---|---|
A5113 | Leg strap, latex, replacement only, per set | Per Set | N |
A5114 | Leg strap, foam or fabric, replacement only, per set | Per Set | N |
E1399 | External Catheter Starter Kit, Male/Female, Includes Catheters, Urinary Coll. Bag Pouch & Accessories (Tubing Clamps) All Sizes 7 Day Supply (Using Incontinence Supply Misc. code) | Each | Y |
E1399 | Velcro external catheter strap (Using Incontinence Supply Misc. code) | Each | Y |
A6241 | Hydrocolloid dressing, wound filler, dry form, per gram | Gram | N |
A6242 | Hydrogel dressing, wound cover, pad size 16 sq. in. or less, without adhesive border, each dressing | Each | N |
A6243 | Hydrogel dressing, wound cover, pad size more than 16 sq. in. but less than or equal to 48 sq. in. without adhesive border, each dressing | Each | N |
A6244 | Hydrogel dressing, wound cover, pad size more than 48 sq. in. without adhesive border, each dressing | Each | N |
A6245 | Hydrogel dressing, wound cover, pad size 16 sq. in. or less, with any size adhesive border, each dressing | Each | N |
A6246 | Hydrogel dressing, wound cover, pad size more than 16 sq. in. but less than 48 sq. in. with any size adhesive border, each dressing | Each | N |
A6247 | Hydrogel dressing, wound cover, pad size more than 48 sq. in. with any size adhesive border, each dressing | Each | N |
A6248 | Hydrogel dressing, wound filler, gel, per fluid ounce | Ounce | N |
bottom of page