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NDC | HCPCS | HCPCS Description | NDC Label | Route of Administration |
|---|---|---|---|---|
72611-0785-02 | J9330 | INJECTION, TEMSIROLIMUS, 1 MG | TEMSIROLIMUS (WITH DILUENT) 25 MG/1 ML | IV |
72611-0860-04 | J0132 | INJECTION, ACETYLCYSTEINE, 100 MG | ACETYLCYSTEINE (SDV,PF,LATEX-FREE) 200 MG/1 ML | IV |
72627-2100-01 | J1071 | INJECTION, TESTOSTERONE CYPIONATE, 1 MG | TESTOSTERONE CYPIONATE (MDV) 200 MG/1 ML | IM |
72647-0331-01 | J7509 | METHYLPREDNISOLONE ORAL, PER 4 MG | METHYLPREDNISOLONE 4 MG | PO |
72647-0331-04 | J7509 | METHYLPREDNISOLONE ORAL, PER 4 MG | METHYLPREDNISOLONE 4 MG | PO |
72694-0515-01 | J9118 | INJECTION, CALASPARGASE PEGOL-MKNL, 10 UNITS | ASPARLAS (PF) 750 U/1 ML | IV |
72694-0954-01 | J9266 | INJECTION, PEGASPARGASE, PER SINGLE DOSE VIAL | ONCASPAR (S.D.V.,PF) 750 IU/1 ML | IJ |
72819-0152-05 | J9280 | INJECTION, MITOMYCIN, 5 MG | MITOMYCIN (PF,LYOPHILIZED) 5 MG | IV |
72819-0152-95 | J9280 | INJECTION, MITOMYCIN, 5 MG | MITOMYCIN NOVAPLUS (PF,LYOPHILIZED) 5 MG | IV |
72819-0153-02 | J9280 | INJECTION, MITOMYCIN, 5 MG | MITOMYCIN (SDV,PF,LYOPHILIZED) 20 MG | IV |
72819-0154-02 | J9280 | INJECTION, MITOMYCIN, 5 MG | MITOMYCIN (SDV,PF,LYOPHILIZED) 40 MG | IV |
72819-0155-08 | J7518 | MYCOPHENOLIC ACID, ORAL, 180 MG | MYCOPHENOLIC ACID (FILM-COATED) 180 MG | PO |
HCPCS Code | Description | Billing Unit | SA Type |
|---|---|---|---|
E2313 RR | Power wheelchair accessory, harness for upgrade to expandable controller, including all fasterners, connectors and mounting hardware, each | Day | Y |
E2321 | Power Wheelchair Accessory, Hand Control Interface, Remote Joystick, Nonproportional, Including All Related Electronics, Mechanical Stop Switch, And Fixed Mounting Hardware | Each | Y |
E2321 RR | Power Wheelchair Accessory, Hand Control Interface, Remote Joystick, Nonproportional, Including All Related Electronics, Mechanical Stop Switch, And Fixed Mounting Hardware | Day | Y |
E2322 | Power Wheelchair Accessory, Hand Control Interface, Multiple Mechanical Switches, Nonproportional, Including All Related Electronics, Mechanical Stop Switch, And Fixed Mounting Hardware | Each | Y |
E2322 RR | Power Wheelchair Accessory, Hand Control Interface, Multiple Mechanical Switches, Nonproportional, Including All Related Electronics, Mechanical Stop Switch, And Fixed Mounting Hardware | Day | Y |
E2323 | Power Wheelchair Accessory, Specialty Joystick Handle For Hand Control Interface, Prefabricated | Each | Y |
E2323 RR | Power Wheelchair Accessory, Specialty Joystick Handle For Hand Control Interface, Prefabricated | Day | Y |
E2323 U1 | Power Wheelchair Accessory, Specialty Joystick Handle For Hand Control Interface, Prefabricated (For use only with Group 3 and above) | Each | Y |
E2324 | Power Wheelchair Accessory, Chin Cup For Chin Control Interface | Each | Y |
E2324 RR | Power Wheelchair Accessory, Chin Cup For Chin Control Interface | Day | Y |
E2324 U1 | Power Wheelchair Accessory, Chin Cup For Chin Control Interface (For use with only Group 3 and above) | Each | Y |
E2325 | Power Wheelchair Accessory, Sip And Puff Interface, Nonproportional, Including All Related Electronics, Mechanical Stop Switch, And Manual Swing Away Mounting Hardware | Each | Y |
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