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NDC | HCPCS | HCPCS Description | NDC Label | Route of Administration |
|---|---|---|---|---|
70860-0120-20 | J2543 | INJECTION, PIPERACILLIN SODIUM/TAZOBACTAM SODIUM, 1 GRAM/0.125 GRAMS (1.125 GRAMS) | PIPERACILLIN AND TAZOBACTAM (10X2.25GM,PF,LATEX-FREE) 2 GM-0.25 GM | IV |
70860-0121-30 | J2543 | INJECTION, PIPERACILLIN SODIUM/TAZOBACTAM SODIUM, 1 GRAM/0.125 GRAMS (1.125 GRAMS) | PIPERACILLIN AND TAZOBACTAM (10X3.375GM,PF) 3 GM-0.375 GM | IV |
70860-0122-50 | J2543 | INJECTION, PIPERACILLIN SODIUM/TAZOBACTAM SODIUM, 1 GRAM/0.125 GRAMS (1.125 GRAMS) | PIPERACILLIN AND TAZOBACTAM (10X4.5GM,PF,LATEX-FREE) 4 GM-0.5 GM | IV |
70860-0123-99 | J2543 | INJECTION, PIPERACILLIN SODIUM/TAZOBACTAM SODIUM, 1 GRAM/0.125 GRAMS (1.125 GRAMS) | PIPERACILLIN AND TAZOBACTAM (PHARMACY BULK PACKAGE) 36 GM-4.5 GM | IV |
70860-0125-66 | J0456 | INJECTION, AZITHROMYCIN, 500 MG | AZITHROMYCIN NOVAPLUS (PF,LATEX-FREE) 500 MG | IV |
70860-0200-05 | J9267 | INJECTION, PACLITAXEL, 1 MG | PACLITAXEL (MDV,PF,LATEX-FREE) 6 MG/1 ML | IV |
70860-0200-17 | J9267 | INJECTION, PACLITAXEL, 1 MG | PACLITAXEL (MDV,PF,LATEX-FREE) 6 MG/1 ML | IV |
70860-0200-50 | J9267 | INJECTION, PACLITAXEL, 1 MG | PACLITAXEL (MDV,PF,LATEX-FREE) 6 MG/1 ML | IV |
70860-0201-10 | J9263 | INJECTION, OXALIPLATIN, 0.5 MG | OXALIPLATIN (MDV,PF,LATEX-FREE) 5 MG/1 ML | IV |
70860-0201-20 | J9263 | INJECTION, OXALIPLATIN, 0.5 MG | OXALIPLATIN (MDV,PF,LATEX-FREE) 5 MG/1 ML | IV |
70860-0205-50 | J9201 | INJECTION, GEMCITABINE HYDROCHLORIDE, 200 MG | GEMCITABINE (SDV, USP,PF,LATEX-FREE) 1 GM | IV |
70860-0206-50 | J9060 | INJECTION, CISPLATIN, POWDER OR SOLUTION, 10 MG | CISPLATIN (PF,LATEX-FREE) 1 MG/1 ML | IV |
HCPCS Code | Description | Billing Unit | SA Type |
|---|---|---|---|
E0950 U1 | Wheelchair Accessory, Tray, Each (This code is for use with Group 3 and above) | Each | Y |
E1029 | Wheelchair Accessory, Ventilator Tray, Fixed | Each | Y |
E1029 RR | Wheelchair Accessory, Ventilator Tray, Fixed | Day | Y |
E1030 | Wheelchair Accessory, Ventilator Tray, Gimbaled | Each | Y |
E1030 RR | Wheelchair Accessory, Ventilator Tray, Gimbaled | Day | Y |
E2300 | Power Wheelchair Accessory, Power Seat Elevation System, any type | Each | Y |
E2300 RR | Power Wheelchair Accessory, Power Seat Elevation System | Day | Y |
E2301 | Power Wheelchair Accessory, Power Standing System, any type | Each | Y |
E2613 | Positioning Wheelchair Back Cushion, Posterior, Width Less Than 22 Inches, Any Height, Including Any Type Mounting Hardware | Each | Y |
E2613 U1 | Positioning Wheelchair Back Cushion, Posterior, Width Less Than 22 Inches, Any Height, Including Any Type Mounting Hardware (For use only with Group 3 and above) | Each | Y |
E2614 | Positioning Wheelchair Back Cushion, Posterior, Width 22 Inches Or Greater, Any Height, Including Any Type Mounting Hardware | Each | Y |
E2614 U1 | Positioning Wheelchair Back Cushion, Posterior, Width 22 Inches Or Greater, Any Height, Including Any Type Mounting Hardware (For use only with Group 3 and above) | Each | Y |
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