top of page

NDC | HCPCS | HCPCS Description | NDC Label | Route of Administration |
|---|---|---|---|---|
66105-0832-01 | J8999 | PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS | NOLVADEX 10 MG | PO |
66105-0832-03 | J8999 | PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS | NOLVADEX 10 MG | PO |
66105-0832-06 | J8999 | PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS | NOLVADEX 10 MG | PO |
66105-0832-09 | J8999 | PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS | NOLVADEX 10 MG | PO |
66105-0832-10 | J8999 | PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS | NOLVADEX 10 MG | PO |
66215-0401-01 | J1325 | INJECTION, EPOPROSTENOL, 0.5 MG | EPOPROSTENOL (SINGLE DOSE,LYOPHILIZED) 1.5 MG | IV |
64679-0739-02 | J0282 | INJECTION, AMIODARONE HYDROCHLORIDE, 30 MG | AMIODARONE HCL 50 MG/1 ML | IV |
64679-0739-04 | J0282 | INJECTION, AMIODARONE HYDROCHLORIDE, 30 MG | AMIODARONE HCL 50 MG/1 ML | IV |
64679-0760-01 | J2550 | INJECTION, PROMETHAZINE HCL, UP TO 50 MG | PROMETHAZINE HCL 25 MG/1 ML | IJ |
64679-0760-02 | J2550 | INJECTION, PROMETHAZINE HCL, UP TO 50 MG | PROMETHAZINE HCL 25 MG/1 ML | IJ |
64679-0760-03 | J2550 | INJECTION, PROMETHAZINE HCL, UP TO 50 MG | PROMETHAZINE HCL 25 MG/1 ML | IJ |
64679-0760-04 | J2550 | INJECTION, PROMETHAZINE HCL, UP TO 50 MG | PROMETHAZINE HCL 25 MG/1 ML | IJ |
HCPCS Code | Description | Billing Unit | SA Type |
|---|---|---|---|
E0466 | Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) | Each | Y |
E0466 RR | Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) | Day | Y |
E0467 | Home Ventilator, multi-function respiratory device, also performs any or all of the additional functions of oxygen concentration, drug nebulization, aspiration, and cough stimulation, includes all accessories, components and supplies for all functions | Each | Y |
E0467 RR | Home Ventilator, multi-function respiratory device, also performs any or all of the additional functions of oxygen concentration, drug nebulization, aspiration, and cough stimulation, includes all accessories, components and supplies for all functions | Day | Y |
E0455 | Oxygen Tent, Excluding Croup Or Pediatric Tents | Each | N |
E0457 | Chest shell (cuirass) | Each | Y |
E0457 RR | Chest shell (cuirass) | Day | Y |
E0460 | Negative pressure ventilator, portable or stationary | Each | Y |
E0460 RR | Negative pressure ventilator, portable or stationary | Day | N |
E0461 RR | Volume ventilator, stationary or portable, with backup rate feature, used with non-invasive interface | Each | Y |
E0470 | Respiratory Assist Device, bi-level pressure capability, w/out backup rate feature, used w/noninvasive interface e.g. nasal or facial mask. | Each | Y |
E0470 RR | Respiratory Assist Device, bi-level pressure capability, w/out backup rate feature, used w/noninvasive interface e.g. nasal or facial mask. | Day | Y |
bottom of page
