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NDC | HCPCS | HCPCS Description | NDC Label | Route of Administration |
|---|---|---|---|---|
72485-0409-10 | J2700 | INJECTION, OXACILLIN SODIUM, UP TO 250 MG | OXACILLIN (USP,PF,LATEX-FREE) 2 GM | IJ |
72485-0417-10 | J0295 | INJECTION, AMPICILLIN SODIUM/SULBACTAM SODIUM, PER 1.5 GM | AMPICILLIN-SULBACTAM (USP, SDV,PF,LATEX-FREE) 2 GM-1 GM | IJ |
72485-0422-10 | J0290 | INJECTION, AMPICILLIN SODIUM, 500 MG | AMPICILLIN (USP,PF,GLUTEN-FREE) 2 GM | IJ |
72485-0501-10 | J2260 | INJECTION, MILRINONE LACTATE, 5 MG | MILRINONE LACTATE (10X10ML;SDV,PF) 1 MG/1 ML | IV |
72485-0502-10 | J2260 | INJECTION, MILRINONE LACTATE, 5 MG | MILRINONE LACTATE (10X20ML;SDV,PF) 1 MG/1 ML | IV |
72485-0503-01 | J2260 | INJECTION, MILRINONE LACTATE, 5 MG | MILRINONE LACTATE (1X50ML;SDV,PF) 1 MG/1 ML | IV |
72485-0504-25 | J2371 | INJECTION, PHENYLEPHRINE HYDROCHLORIDE, 20 MICROGRAMS | PHENYLEPHRINE HCL (25X1ML,PF,LATEX-FREE) 10 MG/1 ML | IV |
72485-0505-10 | J2371 | INJECTION, PHENYLEPHRINE HYDROCHLORIDE, 20 MICROGRAMS | PHENYLEPHRINE HCL (10X5ML,PHARMACYBLK,PF) 10 MG/1 ML | IV |
72485-0506-01 | J2370 | INJECTION, PHENYLEPHRINE HCL, UP TO 1 ML | PHENYLEPHRINE HCL (PHARMACY BULK,PF) 10 MG/1 ML | IV |
72485-0506-01 | J2371 | INJECTION, PHENYLEPHRINE HYDROCHLORIDE, 20 MICROGRAMS | PHENYLEPHRINE HCL (PHARMACY BULK,PF) 10 MG/1 ML | IV |
72485-0507-25 | J3411 | INJECTION, THIAMINE HCL, 100 MG | THIAMINE HCL (MDV,GLUTEN-FREE) 100 MG/1 ML | IJ |
72516-0024-10 | J2440 | INJECTION, PAPAVERINE HCL, UP TO 60 MG | PAPAVERINE HCL 30 MG/1 ML | IJ |
HCPCS Code | Description | Billing Unit | SA Type |
|---|---|---|---|
E2231 | Manual Wheelchair Accessory, Solid Seat Support base (replaces sling seat) | Each | N |
E2231 RR | Manual Wheelchair Accessory, Solid Seat Support base (replaces sling seat) | Day | N |
E2601 | General Use Wheelchair Seat Cushion, Width Less Than 22 Inches, Any Depth | Each | Y |
E2601 U1 | General Use Wheelchair Seat Cushion, Width Less Than 22 Inches, Any Depth (For use only with Group 3 and above) | Each | Y |
E2602 | General Use Wheelchair Seat Cushion, Width 22 Inches Or Greater, Any Depth | Each | Y |
E2602 U1 | General Use Wheelchair Seat Cushion, Width 22 Inches Or Greater, Any Depth (For use only with Group 3 and above) | Each | Y |
E2603 | Skin Protection Wheelchair Seat Cushion, Width Less Than 22 Inches, Any Depth | Each | Y |
E2603 U1 | Skin Protection Wheelchair Seat Cushion, Width Less Than 22 Inches, Any Depth (For use only with Group 3 and above) | Each | Y |
E2604 | Skin Protection Wheelchair Seat Cushion, Width 22 Inches Or Greater, Any Depth | Each | Y |
E2604 U1 | Skin Protection Wheelchair Seat Cushion, Width 22 Inches Or Greater, Any Depth (For use only with Group 3 and above) | Each | Y |
E2605 | Positioning Wheelchair Seat Cushion, Width Less Than 22 Inches, Any Depth | Each | Y |
E2605 U1 | Positioning Wheelchair Seat Cushion, Width Less Than 22 Inches, Any Depth (For use only with Group 3 and above) | Each | Y |
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