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NDC | HCPCS | HCPCS Description | NDC Label | Route of Administration |
|---|---|---|---|---|
72572-0021-10 | J0295 | INJECTION, AMPICILLIN SODIUM/SULBACTAM SODIUM, PER 1.5 GM | AMPICILLIN-SULBACTAM (PF,LATEX-FREE) 1 GM-0.5 GM | IJ |
72572-0022-10 | J0295 | INJECTION, AMPICILLIN SODIUM/SULBACTAM SODIUM, PER 1.5 GM | AMPICILLIN-SULBACTAM (PF,LATEX-FREE) 2 GM-1 GM | IJ |
72572-0025-10 | J3490 | UNCLASSIFIED DRUGS | BACITRACIN (LATEX-FREE,LYOPHILIZED) 50000 U | IM |
72572-0035-10 | J0583 | INJECTION, BIVALIRUDIN, 1 MG | BIVALIRUDIN (SINGLE-USE VIAL) 250 MG | IV |
72572-0040-10 | J3490 | UNCLASSIFIED DRUGS | BUMETANIDE (SDV,LATEX-FREE) 0.25 MG/1 ML | IJ |
72572-0041-10 | J3490 | UNCLASSIFIED DRUGS | BUMETANIDE (SDV,LATEX-FREE) 0.25 MG/1 ML | IJ |
72572-0050-01 | J0131 | INJECTION, ACETAMINOPHEN, NOT OTHERWISE SPECIFIED,10 MG | ACETAMINOPHEN (1X100ML,SDV) 10 MG/1 ML | IV |
72572-0050-10 | J0131 | INJECTION, ACETAMINOPHEN, NOT OTHERWISE SPECIFIED,10 MG | ACETAMINOPHEN (10X100ML,SDV) 10 MG/1 ML | IV |
72572-0056-01 | J0690 | INJECTION, CEFAZOLIN SODIUM, 500 MG | CEFAZOLIN (PHARMACY BULK PACKAGE) 10 GM | IV |
72572-0056-10 | J0690 | INJECTION, CEFAZOLIN SODIUM, 500 MG | CEFAZOLIN (PHARMACY BULK PACKAGE) 10 GM | IV |
72572-0061-25 | J0696 | INJECTION, CEFTRIAXONE SODIUM, PER 250 MG | CEFTRIAXONE (USP) 1 GM | IJ |
72572-0062-25 | J0696 | INJECTION, CEFTRIAXONE SODIUM, PER 250 MG | CEFTRIAXONE (USP) 2 GM | IJ |
HCPCS Code | Description | Billing Unit | SA Type |
|---|---|---|---|
E2331 RR | Power Wheelchair Accessory, Attendant Control, Proportional, Including All Related Electronics And Fixed Mounting Hardware | Day | Y |
E2351 | Power Wheelchair Accessory, Electronic Interface To Operate Speech Generating Device Using Power Wheelchair Control Interface | Each | Y |
E2351 RR | Power Wheelchair Accessory, Electronic Interface To Operate Speech Generating Device Using Power Wheelchair Control Interface | Day | Y |
E2351 U1 | Power Wheelchair Accessory, Electronic Interface To Operate Speech Generating Device Using Power Wheelchair Control Interface (For use only with Group 3 and above) | Each | Y |
E2373 | Power Wheelchair Accessory, Hand Or Chin Control Interface, compact remote joysitck, proportional, including fixed mounting hardware | Each | Y |
E2373 RR | Power Wheelchair Accessory, Hand Or Chin Control Interface, Mini-Proportional, Compact, Or Short Throw Remote Joystick Or Touchpad, Proportional, Including All Related Electronics And Fixed Mounting Hardware | Day | Y |
E2374 | Power Wheelchair Accessory, Hand Or Chin Control Interface, Standard Remote Joystick (Not Including Controller), Proportional, Including All Related Electronics And Fixed Mounting Hardware, Replacement Only | Each | Y |
E2375 | Power Wheelchair Accessory, Non-Expandable Controller, Including All Related Electronics And Mounting Hardware, Replacement Only | Each | Y |
E2375 U1 | Power Wheelchair Accessory, Non-Expandable Controller, Including All Related Electronics And Mounting Hardware, Replacement Only (For use only with Group 3 and above) | Each | Y |
E2376 | Power Wheelchair Accessory, Expandable Controller, Including All Related Electronics And Mounting Hardware, Replacement Only | Each | Y |
E2376 U1 | Power Wheelchair Accessory, Expandable Controller, Including All Related Electronics And Mounting Hardware, Replacement Only | Each | Y |
E2377 | Power Wheelchair Accessory, Expandable Controller, Including All Related Electronics And Mounting Hardware, Upgrade Provided At Initial Issue | Each | Y |
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