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NDC	HCPCS	HCPCS Description	NDC Label	Route of Administration
70121-1573-01	J1030	INJECTION, METHYLPREDNISOLONE ACETATE, 40 MG	METHYLPREDNISOLONE ACETATE (USP;SDV) 40 MG/1 ML	IJ
70121-1573-05	J1030	INJECTION, METHYLPREDNISOLONE ACETATE, 40 MG	METHYLPREDNISOLONE ACETATE (USP;SDV) 40 MG/1 ML	IJ
70121-1574-01	J1040	INJECTION, METHYLPREDNISOLONE ACETATE, 80 MG	METHYLPREDNISOLONE ACETATE (SDV;USP) 80 MG/1 ML	IJ
70121-1574-05	J1040	INJECTION, METHYLPREDNISOLONE ACETATE, 80 MG	METHYLPREDNISOLONE ACETATE (SDV;USP) 80 MG/1 ML	IJ
70121-1577-05	J2370	INJECTION, PHENYLEPHRINE HCL, UP TO 1 ML	PHENYLEPHRINE HCL (LATEX-FREE) 10 MG/1 ML	IV
70121-1577-05	J2371	INJECTION, PHENYLEPHRINE HYDROCHLORIDE, 20 MICROGRAMS	PHENYLEPHRINE HCL (LATEX-FREE) 10 MG/1 ML	IV
70121-1578-07	J2370	INJECTION, PHENYLEPHRINE HCL, UP TO 1 ML	PHENYLEPHRINE HCL (LATEX-FREE) 10 MG/1 ML	IV
70121-1578-07	J2371	INJECTION, PHENYLEPHRINE HYDROCHLORIDE, 20 MICROGRAMS	PHENYLEPHRINE HCL (LATEX-FREE) 10 MG/1 ML	IV
70121-1579-01	J2370	INJECTION, PHENYLEPHRINE HCL, UP TO 1 ML	PHENYLEPHRINE HCL (LATEX-FREE) 10 MG/1 ML	IV
70121-1579-01	J2371	INJECTION, PHENYLEPHRINE HYDROCHLORIDE, 20 MICROGRAMS	PHENYLEPHRINE HCL (LATEX-FREE) 10 MG/1 ML	IV
70121-1580-05	J0780	INJECTION, PROCHLORPERAZINE, UP TO 10 MG	PROCHLORPERAZINE EDISYLATE (MDV,LATEX-FREE) 5 MG/1 ML	IJ
70121-1580-07	J0780	INJECTION, PROCHLORPERAZINE, UP TO 10 MG	PROCHLORPERAZINE EDISYLATE (MDV,LATEX-FREE) 5 MG/1 ML	IJ

HCPCS Code	Description	Billing Unit	SA Type
K0073 RR	Caster Pin Lock,Each	Day	N
K0077	Front Caster Assembly, Complete, With Solid Tire, Replacement only, Each	Each	N
E0961	Manual Wheelchair Accessory, Wheel Lock Brake Extension (Handle), Each	Each	N
E0961 RR	Manual Wheelchair Accessory, Wheel Lock Brake Extension (Handle), Each	Day	N
E2206	Manual Wheelchair Accessory, Wheel Lock Assembly, Complete, Replacement only, Each	Each	N
E1015	Shock Absorber For Manual Wheelchair, Each	Each	N
E1015 RR	Shock Absorber For Manual Wheelchair, Each	Day	N
E1016	Shock Absorber For Power Wheelchair, Each	Each	N
E1016 RR	Shock Absorber For Power Wheelchair, Each	Day	N
E1016 U1	Shock Absorber For Power Wheelchair, Each (For use only with Group 3 and above)	Each	Y
E1017	Heavy Duty Shock Absorber For Heavy Duty Or Extra Heavy Duty Manual Wheelchair, Each	Each	Y
E1017 RR	Heavy Duty Shock Absorber For Heavy Duty Or Extra Heavy Duty Manual Wheelchair, Each	Day	Y