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NDC | HCPCS | HCPCS Description | NDC Label | Route of Administration |
|---|---|---|---|---|
76075-0101-01 | J9047 | INJECTION, CARFILZOMIB, 1 MG | KYPROLIS 60 MG | IV |
76075-0102-01 | J9047 | INJECTION, CARFILZOMIB, 1 MG | KYPROLIS (LYOPHILIZED) 30 MG | IV |
76075-0103-01 | J9047 | INJECTION, CARFILZOMIB, 1 MG | KYPROLIS (LYOPHILIZED) 10 MG | IV |
76125-0900-50 | J1561 | INJECTION, IMMUNE GLOBULIN, (GAMUNEX/GAMUNEX-C/GAMMAKED), NON-LYOPHILIZED (E.G. LIQUID), 500 MG | GAMMAKED (1X50ML, SINGLE-USE) 10% | IJ |
76204-0002-24 | J7614 | LEVALBUTEROL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, 0.5 MG | LEVALBUTEROL HYDROCHLORIDE, 0.63 MG/3ML,(24X3ML, PF) | IH |
76204-0002-24 | J7614 | LEVALBUTEROL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, 0.5 MG | LEVALBUTEROL HYDROCHLORIDE, 0.63 MG/3ML,(24X3ML, PF) | IH |
76204-0003-24 | J7614 | LEVALBUTEROL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, 0.5 MG | LEVALBUTEROL HYDROCHLORIDE, 1.25 MG/3ML,(24X3ML, PF) | IH |
76204-0003-24 | J7614 | LEVALBUTEROL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, 0.5 MG | LEVALBUTEROL HYDROCHLORIDE, 1.25 MG/3ML,(24X3ML, PF) | IH |
76204-0010-01 | J7613 | ALBUTEROL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, 1 MG | ALBUTEROL SULFATE (30X3ML,PF) 0.63 MG/3 ML | IH |
76204-0010-01 | J7613 | ALBUTEROL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, 1 MG | ALBUTEROL SULFATE (30X3ML,PF) 0.63 MG/3 ML | IH |
81952-0112-09 | J1644 | INJECTION, HEPARIN SODIUM, PER 1000 UNITS | HEPARIN SODIUM (MDV,25X10ML,LATEX-FREE) 1000 U/1 ML | IJ |
81952-0112-10 | J1644 | INJECTION, HEPARIN SODIUM, PER 1000 UNITS | HEPARIN SODIUM (MDV,LATEX-FREE) 1000 U/1 ML | IJ |
HCPCS Code | Description | Billing Unit | SA Type |
|---|---|---|---|
E1092 RR | Wide Heavy Duty Wheelchair, Detachable Arms, Desk Or Full Length, Swing Away, Detachable, Elevating Leg Rest | Day | N |
E1093 | Wide Heavy Duty Wheelchair, Detachable Arms, Desk Or Full Length Arms, Swing Away Detachable Foot Rests | Each | N |
E1093 RR | Wide Heavy Duty Wheelchair, Detachable Arms, Desk Or Full Length Arms, Swing Away, Detachable Foot Rests | Day | N |
E1195 | Heavy Duty Wheelchair, Fixed Full Length Arms, Swing Away Detachable, Elevating Leg Rests | Each | N |
E1195 RR | Heavy Duty Wheelchair, Fixed Full Length Arms, Swing Away, Detachable, Elevating Leg Rests | Day | N |
E1280 | Heavy Duty Wheelchair, Detachable Arms, Desk Or Full Length, Elevating Legrests | Each | N |
E1280 RR | Heavy Duty Wheelchair, Detachable Arms, Desk Or Full Length, Elevating Legrests | Day | N |
E1285 | Heavy Duty Wheelchair, Fixed Full Length Arms, Swing Away, Detachable Foot Rests, | Each | N |
E1285 RR | Heavy Duty Wheelchair, Fixed Full Length Arms, Swing Away, Detachable Foot Rests | Day | N |
E1290 | Heavy Duty Wheelchair, Detachable Arms, Desk Or Full Length, Swing Away, Detachable Foot Rests | Each | N |
E1290 RR | Heavy Duty Wheelchair, Detachable Arms, Desk Or Full Length, Swing Away, Detachable Foot Rests | Day | N |
E1295 | Heavy Duty Wheelchair, Fixed Full-Length Arms, Elevating Leg Rests | Each | N |
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