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NDC
HCPCS
HCPCS Description
NDC Label
Route of Administration
63323-0707-20
J0290
INJECTION, AMPICILLIN SODIUM, 500 MG
AMPICILLIN SODIUM 250 MG
IJ
63323-0708-00
J0290
INJECTION, AMPICILLIN SODIUM, 500 MG
AMPICILLIN SODIUM 500 MG
IJ
63323-0713-13
J2020
INJECTION, LINEZOLID, 200MG
LINEZOLID (LATEX-FREE) 2 MG/1 ML
IV
63323-0721-10
J9044
INJECTION, BORTEZOMIB, NOT OTHERWISE SPECIFIED, 0.1 MG
BORTEZOMIB, (SDV,LATEX-FREE) 3.5 MG
IV
63323-0721-10
J9048
INJECTION, BORTEZOMIB (FRESENIUS KABI), NOT THERAPEUTICALLY EQUIVALENT TO J9041, 0.1 MG
BORTEZOMIB, (SDV,LATEX-FREE) 3.5 MG
IV
63323-0728-10
J2248
INJECTION, MICAFUNGIN SODIUM, 1 MG
MICAFUNGIN SODIUM (LYOPHILIZED) 50 MG
IV
63323-0729-10
J2248
INJECTION, MICAFUNGIN SODIUM, 1 MG
MICAFUNGIN SODIUM (LYOPHILIZED) 100 MG
IV
63323-0729-12
J2248
INJECTION, MICAFUNGIN SODIUM, 1 MG
PREMIERPRO RX MICAFUNGIN (SDV,PF,LATEX-FREE) 100 MG
IV
63323-0733-10
J9209
INJECTION, MESNA, 200 MG
MESNA (M.D.V.) 100 MG/ML
IV
63323-0733-11
J9209
INJECTION, MESNA, 200 MG
MESNA (M.D.V.) 100 MG/ML
IV
63323-0734-10
J2430
INJECTION, PAMIDRONATE DISODIUM, PER 30 MG
PAMIDRONATE DISODIUM (S.D.V.) 3 MG/ML
IV
63323-0735-10
J2430
INJECTION, PAMIDRONATE DISODIUM, PER 30 MG
PAMIDRONATE DISODIUM (S.D.V.) 9 MG/ML
IV
HCPCS Code
Description
Billing Unit
SA Type
E0561
Humidifier, non-heated, used with positive airway pressure device
Each
N
E0561 RR
Humidifier, non-heated, used with positive airway pressure device
Day
N
E0562
Humidifier, heated, used with positive airway pressure device
Each
N
E0562 RR
Humidifier, heated, used with positive airway pressure device
Day
N
E0565
Compressor, air power source for equipment which is not self contained or cylinder driven
Each
Y
E0565 RR
Compressor, air power source for equipment which is not self contained or cylinder driven
Day
Y
E0570
Nebulizer, with compressor
Each
N
E0570 RR
Nebulizer, with compressor
Day
N
E0575
Nebulizer, Ultra-Sonic large volume
Each
Y
E0575 RR
Nebulizer, Ultra-Sonic large volume
Day
Y
E0580
Nebulizer, w/compressor, durable, glass or autoclavable plastic, bottle type, for us w/regulator or flowmeter
Each
N
E0580 RR
Nebulizer, w/compressor, durable, glass or autoclavable plastic, bottle type, for us w/regulator or flowmeter; rental
Day
N
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