top of page
NDC | HCPCS | HCPCS Description | NDC Label | Route of Administration |
|---|---|---|---|---|
71266-1041-02 | J1100 | INJECTION, DEXAMETHASONE SODIUM PHOSPHATE, 1 MG | DEXAMETHASONE SODIUM PHOSPHATE (PF) 10 MG/1 ML | IJ |
71274-0350-02 | J0596 | INJECTION, C1 ESTERASE INHIBITOR (RECOMBINANT), RUCONEST, 10 UNITS | RUCONEST (PF) 2100 IU | IV |
71288-0002-31 | J2543 | INJECTION, PIPERACILLIN SODIUM/TAZOBACTAM SODIUM, 1 GRAM/0.125 GRAMS (1.125 GRAMS) | PIPERACILLIN AND TAZOBACTAM (PF,LATEX-FREE) 2 GM-0.25 GM | IV |
71288-0003-31 | J2543 | INJECTION, PIPERACILLIN SODIUM/TAZOBACTAM SODIUM, 1 GRAM/0.125 GRAMS (1.125 GRAMS) | PIPERACILLIN AND TAZOBACTAM (PF,LATEX-FREE) 3 GM-0.375 GM | IV |
71288-0004-51 | J2543 | INJECTION, PIPERACILLIN SODIUM/TAZOBACTAM SODIUM, 1 GRAM/0.125 GRAMS (1.125 GRAMS) | PIPERACILLIN AND TAZOBACTAM (PF,LATEX-FREE) 4 GM-0.5 GM | IV |
71288-0005-20 | J0295 | INJECTION, AMPICILLIN SODIUM/SULBACTAM SODIUM, PER 1.5 GM | AMPICILLIN-SULBACTAM (USP,PF,LATEX-FREE) 1 GM-0.5 GM | IJ |
71288-0006-30 | J0295 | INJECTION, AMPICILLIN SODIUM/SULBACTAM SODIUM, PER 1.5 GM | AMPICILLIN-SULBACTAM (USP,PF,LATEX-FREE) 2 GM-1 GM | IJ |
71288-0007-75 | J0295 | INJECTION, AMPICILLIN SODIUM/SULBACTAM SODIUM, PER 1.5 GM | AMPICILLIN-SULBACTAM (PHARMACY BULK PACKAGE) 10 GM-5 GM | IV |
71288-0008-15 | J0692 | INJECTION, CEFEPIME HYDROCHLORIDE, 500 MG | CEFEPIME (SDV,PF,LATEX-FREE) 1 GM | IJ |
71288-0009-20 | J0692 | INJECTION, CEFEPIME HYDROCHLORIDE, 500 MG | CEFEPIME (SDV,PF,LATEX-FREE) 2 GM | IJ |
71288-0014-21 | J2185 | INJECTION, MEROPENEM, 100 MG | MEROPENEM (SDV, USP,PF,LATEX-FREE) 500 MG | IV |
71288-0015-31 | J2185 | INJECTION, MEROPENEM, 100 MG | MEROPENEM (SDV, USP,PF,LATEX-FREE) 1 GM | IV |
HCPCS Code | Description | Billing Unit | SA Type |
|---|---|---|---|
E2606 | Positioning Wheelchair Seat Cushion, Width 22 Inches Or Greater, Any Depth | Each | Y |
E2606 U1 | Positioning Wheelchair Seat Cushion, Width 22 Inches Or Greater, Any Depth (For use only with Group 3 and above) | Each | Y |
E2607 | Skin Protection And Positioning Wheelchair Seat Cushion, Width Less Than 22 Inches, Any Depth | Each | Y |
E2607 U1 | Skin Protection And Positioning Wheelchair Seat Cushion, Width Less Than 22 Inches, Any Depth (For use only with Group 3 and above) | Each | Y |
E2608 | Skin Protection And Positioning Wheelchair Seat Cushion, Width 22 Inches Or Greater, Any Depth | Each | Y |
E2608 U1 | Skin Protection And Positioning Wheelchair Seat Cushion, Width 22 Inches Or Greater, Any Depth (For use only with Group 3 and above) | Each | Y |
E2609 | Custom Fabricated Wheelchair Seat Cushion, Any Size | Each | Y |
E2610 | Wheelchair Seat Cushion, Powered | Each | Y |
E2619 | Replacement Cover For Wheelchair Seat Cushion Or Back Cushion, Each | Each | Y |
E2619 U1 | Replacement Cover For Wheelchair Seat Cushion Or Back Cushion, Each (For use only with Group 3 and above) | Each | Y |
E2622 | Skin protection wheelchair seat cushion, adjustable, width less than 22 inches, any depth | Each | Y |
E2622 RR | Skin protection wheelchair seat cushion, adjustable, width less than 22 inches, any depth | Day | Y |
bottom of page