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NDC	HCPCS	HCPCS Description	NDC Label	Route of Administration
71288-0303-02	J3420	INJECTION, VITAMIN B-12 CYANOCOBALAMIN, UP TO 1000 MCG	CYANOCOBALAMIN (LATEX-FREE) 1000 MCG/1 ML	IJ
71288-0400-03	J1644	INJECTION, HEPARIN SODIUM, PER 1000 UNITS	HEPARIN SODIUM (MDV,25X2ML,PF) 1000 U/1 ML	IJ
71288-0401-02	J1644	INJECTION, HEPARIN SODIUM, PER 1000 UNITS	HEPARIN SODIUM (MDV,LATEX-FREE) 20000 U/1 ML	IJ
71288-0402-02	J1644	INJECTION, HEPARIN SODIUM, PER 1000 UNITS	HEPARIN SODIUM (SDV,LATEX-FREE) 1000 U/1 ML	IJ
71288-0402-11	J1644	INJECTION, HEPARIN SODIUM, PER 1000 UNITS	HEPARIN SODIUM (LATEX-FREE) 1000 U/1 ML	IJ
70860-0208-25	J9000	INJECTION, DOXORUBICIN HYDROCHLORIDE, 10 MG	DOXORUBICIN HCL (USP,SDV,PF,LATEX-FREE) 2 MG/1 ML	IV
70860-0208-51	J9000	INJECTION, DOXORUBICIN HYDROCHLORIDE, 10 MG	DOXORUBICIN HCL (USP,SDV,PF,LATEX-FREE) 2 MG/1 ML	IV
76420-0018-10	J3490	UNCLASSIFIED DRUGS	BUPIVACAINE HCL (PF,LATEX-FREE) 0.25%	IJ
76420-0080-05	J2001	INJECTION, LIDOCAINE HCL FOR INTRAVENOUS INFUSION, 10 MG	LIDOCAINE HCL (PF,LATEX-FREE) 1%	IJ
76420-0081-01	J1040	INJECTION, METHYLPREDNISOLONE ACETATE, 80 MG	DEPO-MEDROL 80 MG/1 ML	IJ
76420-0082-10	A4216	STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML	WATER FOR INJECTION (PF,LATEX-FREE)	IV
76420-0083-10	A4216	STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML	SODIUM CHLORIDE (PF) 0.9%	IJ

HCPCS Code	Description	Billing Unit	SA Type
E1050 RR	Fully-Reclining Wheelchair, Fixed Full Length Arms, Swing Away, Detachable, Elevating Leg Rests	Day	N
E1060	Fully-Reclining Wheelchair, Detachable Arms, Desk Or Full Length, Swing Away, Detachable, Elevating Leg Rests	Each	N
E1060 RR	Fully Reclining Wheelchair, Detachable Arms, Desk Or Full Length, Swing Away, Detachable, Elevating Leg Rests	Day	N
E1070	Fully Reclining Wheelchair, Detachable Arms, Desk Or Full Length, Swing Away, Detachable Footrests	Each	N
E1070 RR	Fully Reclining Wheelchair, Detachable Arms, Desk Or Full Length, Swing Away, Detachable Footrests	Day	N
E1100	Semi-Reclining Wheelchair, Fixed Full Length Arms, Swing Away Detachable Elevating Leg Rests	Each	Y
E1100 RR	Semi-Reclining Wheelchair, Fixed Full Length Arms, Swing Away Detachable Elevating Leg Rests	Day	N
E1161	Manual Adult Size Wheelchair, Includes Tilt In Space	Each	Y
E1161 RR	Manual Adult Size Wheelchair, Includes Tilt In Space	Day	N
E1083	Hemi Wheelchair, Fixed Full Length Arms, Swing Away Detachable Elevating Leg Rests	Each	N
E1028	Wheelchair Accessory, Manual Swingaway, Retractable Or Removable Mounting Hardware For Joystick, Other Control Interface Or Positioning Accessory	Each	Y
E1028 RR	Wheelchair Accessory, Manual Swingaway, Retractable Or Removable Mounting Hardware For Joystick, Other Control Interface Or Positioning Accessory	Day	Y