top of page

NDC | HCPCS | HCPCS Description | NDC Label | Route of Administration |
|---|---|---|---|---|
64679-0961-01 | Q0144 | AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM | AZITHROMYCIN (FILM-COATED) 250 MG | PO |
64679-0961-02 | Q0144 | AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM | AZITHROMYCIN (FILM-COATED) 250 MG | PO |
64679-0961-04 | Q0144 | AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM | AZITHROMYCIN (FILM-COATED) 250 MG | PO |
64679-0961-05 | Q0144 | AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM | AZITHROMYCIN (3X6,FILM-COATED) 250 MG | PO |
64679-0961-08 | Q0144 | AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM | AZITHROMYCIN (FILM-COATED) 250 MG | PO |
64679-0961-09 | Q0144 | AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM | AZITHROMYCIN (FILM-COATED) 250 MG | PO |
64679-0962-01 | Q0144 | AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM | AZITHROMYCIN (FILM COATED) 600 MG | PO |
64679-0962-03 | Q0144 | AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM | AZITHROMYCIN (FILM COATED) 600 MG | PO |
64679-0964-01 | Q0144 | AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM | AZITHROMYCIN (FILM COATED) 500 MG | PO |
64679-0964-02 | Q0144 | AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM | AZITHROMYCIN (FILM COATED) 500 MG | PO |
64679-0964-05 | Q0144 | AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM | AZITHROMYCIN (3X3,FILM COATED) 500 MG | PO |
64679-0964-08 | Q0144 | AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM | AZITHROMYCIN (FILM COATED) 500 MG | PO |
HCPCS Code | Description | Billing Unit | SA Type |
|---|---|---|---|
A6233 | Gauze, impregnated, hydrogel, for direct wound contact, pad size more than 48 sq. in., each dressing | Each | N |
A6234 | Hydrocolloid dressing, wound cover, pad size 16 sq. in. or less without adhesive border, each dressing. | Each | N |
A6235 | Hydrocolloid 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 |
A6236 | Hydrocolloid dressing, wound cover, pad size more than 48 sq. in., without adhesive border, each dressing | Each | N |
A6237 | Hydrocolloid dressing, wound cover, pad size 16 sq. in., or less, with any size adhesive border, each dressing | Each | N |
A6238 | Hydrocolloid dressing, wound cover, pad size more than 16 sq. in., but less than or equal to 48 sq. in., with any size adhesive border, each dressing | Each | N |
A6239 | Hydrocolloid, dressing, wound cover, pad size more than 48 sq. in., with any size adhesive border, each dressing | Each | Y |
A6240 | Hydrocolloid dressing, wound filler, paste, per fluid ounce | Ounce | N |
E0585 RR | Nebulizer w/compressor and heater; rental | Day | N |
E0600 | Respiratory suction pump, home model, portable or stationary, electric | Each | N |
E0600 RR | Respiratory suction pump, home model, portable or stationary, electric | Day | N |
E0601 | Continuous Positive Airway Pressure (CPAP) Device | Each | Y |
bottom of page
