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NDC | HCPCS | HCPCS Description | NDC Label | Route of Administration |
|---|---|---|---|---|
67457-0567-00 | J3475 | INJECTION, MAGNESIUM SULFATE, PER 500 MG | MAGNESIUM SULFATE-DEXTROSE (24X100ML;USP,LATEX-FREE) 5%-1 GM/100 ML | IV |
67457-0582-10 | J1652 | INJECTION, FONDAPARINUX SODIUM, 0.5 MG | FONDAPARINUX SODIUM (PREFILLED,PF) 2.5 MG/0.5 ML | SC |
67457-0583-04 | J1652 | INJECTION, FONDAPARINUX SODIUM, 0.5 MG | FONDAPARINUX SODIUM (PFS,PF) 5 MG/0.4 ML | SC |
67457-0584-06 | J1652 | INJECTION, FONDAPARINUX SODIUM, 0.5 MG | FONDAPARINUX SODIUM (PREFILLED,PF) 7.5 MG/0.6 ML | SC |
67457-0585-08 | J1652 | INJECTION, FONDAPARINUX SODIUM, 0.5 MG | FONDAPARINUX SODIUM (PREFILLED,PF) 10 MG/0.8 ML | SC |
67457-0592-10 | J1652 | INJECTION, FONDAPARINUX SODIUM, 0.5 MG | ARIXTRA (SRN, PREFL,27GX1/2",PF) 2.5 MG/0.5 ML | SC |
67457-0593-04 | J1652 | INJECTION, FONDAPARINUX SODIUM, 0.5 MG | ARIXTRA (27GX1/2",PF) 5 MG/0.4 ML | SC |
63323-0314-61 | J3370 | INJECTION, VANCOMYCIN HCL, 500 MG | VANCOMYCIN HCL (BULK PACKAGE,PF) 10 GM | IV |
63323-0314-68 | J3370 | INJECTION, VANCOMYCIN HCL, 500 MG | VANCOMYCIN HCL (PHARMACY BULK PACKAGE) 10 GM | IV |
63323-0317-01 | J1626 | INJECTION, GRANISETRON HYDROCHLORIDE, 100 MCG | GRANISETRON HYDROCHLORIDE (10X1ML,S.D.V,PF) 0.1 MG/ML | IV |
63323-0318-01 | J1626 | INJECTION, GRANISETRON HYDROCHLORIDE, 100 MCG | GRANISETRON HYDROCHLORIDE (1X1ML,SDV,PF) 1 MG/ML | IV |
63323-0319-04 | J1626 | INJECTION, GRANISETRON HYDROCHLORIDE, 100 MCG | GRANISETRON HYDROCHLORIDE (1X4ML,MDV) 1 MG/ML | IV |
HCPCS Code | Description | Billing Unit | SA Type |
|---|---|---|---|
A4623 | Tracheostomy Inner Cannula Replacement | Each | N |
A4624 | Tracheal suction catheter, any type other than closed system, each | Each | N |
A4625 | Tracheostomy care kit for new tracheostomy | Each | N |
A4626 | Tracheostomy cleaning brush, each | Each | N |
A4627 | Spacer, bag or reservoir, with or without mask, for use with metered dose inhaler | Each | N |
A4628 | Oropharyngeal suction catheter, | Each | N |
A4629 | Tracheostomy care kit for established tracheostomy | Each | N |
A7000 | Canister, disposable, used with suction pump | Each | N |
A7001 | Canister, non-disposable, used with suction pump, each | Each | N |
A7002 | Tubing, used with suction pump, each | 10 Ft. | N |
A7003 | Administration set, with small volume nonfiltered pneumatic nebulizer, disposable | Each | N |
A7004 | Small volume nonfiltered pneumatic nebulizer, disposable | Each | N |
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