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NDC | HCPCS | HCPCS Description | NDC Label | Route of Administration |
|---|---|---|---|---|
72611-0702-01 | J0637 | INJECTION, CASPOFUNGIN ACETATE, 5 MG | CASPOFUNGIN ACETATE (SDV,PF,LATEX-FREE) 70 MG | IV |
72611-0716-01 | J1190 | INJECTION, DEXRAZOXANE HYDROCHLORIDE, PER 250 MG | DEXRAZOXANE (PF,LATEX-FREE) 500 MG | IV |
72611-0716-72 | J1190 | INJECTION, DEXRAZOXANE HYDROCHLORIDE, PER 250 MG | DEXRAZOXANE NOVAPLUS (PF,LATEX-FREE) 500 MG | IV |
72611-0719-25 | J1885 | INJECTION, KETOROLAC TROMETHAMINE, PER 15 MG | KETOROLAC TROMETHAMINE (SDV,25X1ML,PF) 15 MG/1 ML | IJ |
72611-0722-25 | J1885 | INJECTION, KETOROLAC TROMETHAMINE, PER 15 MG | KETOROLAC TROMETHAMINE (SDV,25X1ML,PF) 30 MG/1 ML | IJ |
72611-0725-25 | J1885 | INJECTION, KETOROLAC TROMETHAMINE, PER 15 MG | KETOROLAC TROMETHAMINE (SDV,25X2ML,PF) 30 MG/1 ML | IM |
72611-0734-01 | J1920 | INJECTION, LABETALOL HYDROCHLORIDE, 5 MG | LABETALOL HCL (MDV) 5 MG/1 ML | IV |
72611-0738-01 | J1920 | INJECTION, LABETALOL HYDROCHLORIDE, 5 MG | LABETALOL HCL (MDV) 5 MG/1 ML | IV |
72611-0741-25 | J2250 | INJECTION, MIDAZOLAM HYDROCHLORIDE, PER 1 MG | MIDAZOLAM HCL (25X2ML;SDV;USP) 1 MG/1 ML | IJ |
72611-0749-10 | J2250 | INJECTION, MIDAZOLAM HYDROCHLORIDE, PER 1 MG | MIDAZOLAM HCL (10X10 MDV,LATEX-FREE) 5 MG/1 ML | IJ |
72611-0761-10 | J3370 | INJECTION, VANCOMYCIN HCL, 500 MG | VANCOMYCIN HCL (USP,PF,LATEX-FREE) 500 MG | IV |
72611-0765-10 | J3370 | INJECTION, VANCOMYCIN HCL, 500 MG | VANCOMYCIN HCL (USP,PF,LATEX-FREE) 1 GM | IV |
HCPCS Code | Description | Billing Unit | SA Type |
|---|---|---|---|
E2226 | Manual Wheelchair Accessory, Caster Fork, Any Size, Replacement Only, Each | Each | N |
E2227 | Manual wheelchair accessory, gear reduction drive wheel, each | Each | Y |
E2228 | Manual wheelchair accessory, wheel braking system and lock, complete, each | Each | Y |
E2381 | Power Wheelchair Accessory, Pneumatic Drive Wheel Tire, Any Size, Replacement Only, Each | Each | N |
E2301 RR | Power Wheelchair Accessory, Power Standing System | Day | Y |
E2310 | Power Wheelchair Accessory, Electronic Connection Between Wheelchair Controller And One Power Seating System Motor, Including All Related Electronics, Indicator Feature, Mechanical Function Selection Switch, And Fixed Mounting Hardware | Each | Y |
E2310 RR | Power Wheelchair Accessory, Electronic Connection Between Wheelchair Controller And One Power Seating System Motor, Including All Related Electronics, Indicator Feature, Mechanical Function Selection Switch, And Fixed Mounting Hardware | Day | Y |
E2311 | Power Wheelchair Accessory, Electronic Connection Between Wheelchair Controller And Two Or More Power Seating System Motors, Including All Related Electronics, Indicator Feature, Mechanical Function Selection Switch, And Fixed Mounting Hardware | Each | Y |
E2311 RR | Power Wheelchair Accessory, Electronic Connection Between Wheelchair Controller And Two Or More Power Seating System Motors, Including All Related Electronics, Indicator Feature, Mechanical Function Selection Switch, And Fixed Mounting Hardware | Day | Y |
E2312 | Power wheelchair accessory, hand or chin control interface, mini-proportional remote joystick, proportional, including fixed mounting hardware | Each | Y |
E2312 RR | Power wheelchair accessory, hand or chin control interface, mini-proportional remote joystick, proportional, including fixed mounting hardware | Day | Y |
E2313 | Power wheelchair accessory, harness for upgrade to expandable controller, including all fasterners, connectors and mounting hardware, each | Each | Y |
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