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NDC | HCPCS | HCPCS Description | NDC Label | Route of Administration |
|---|---|---|---|---|
71288-0016-15 | J0878 | INJECTION, DAPTOMYCIN, 1 MG | DAPTOMYCIN (SDV,PF,LATEX-FREE) 500 MG | IV |
71288-0016-91 | J0878 | INJECTION, DAPTOMYCIN, 1 MG | HEALTHTRUST DAPTOMYCIN (SDV,PF,LATEX-FREE) 500 MG | IV |
71288-0016-95 | J0878 | INJECTION, DAPTOMYCIN, 1 MG | DAPTOMYCIN NOVAPLUS (SDV,PF,LATEX-FREE) 500 MG | IV |
71288-0017-15 | J0878 | INJECTION, DAPTOMYCIN, 1 MG | DAPTOMYCIN (SDV,PF,LATEX-FREE) 350 MG | IV |
71288-0017-91 | J0878 | INJECTION, DAPTOMYCIN, 1 MG | HEALTHTRUST DAPTOMYCIN (SDV,PF,LATEX-FREE) 350 MG | IV |
71288-0018-10 | J0878 | INJECTION, DAPTOMYCIN, 1 MG | DAPTOMYCIN (SDV,PF,LATEX-FREE) 500 MG | IV |
71288-0019-11 | J3243 | INJECTION, TIGECYCLINE, 1 MG | TIGECYCLINE (PF,LATEX-FREE) 50 MG | IV |
70748-0186-02 | J7517 | MYCOPHENOLATE MOFETIL, ORAL, 250 MG | MYCOPHENOLATE MOFETIL (HARD GELATIN) 250 MG | PO |
70748-0217-16 | J7518 | MYCOPHENOLIC ACID, ORAL, 180 MG | MYCOPHENOLIC ACID (FILM-COATED) 180 MG | PO |
70748-0218-16 | J7518 | MYCOPHENOLIC ACID, ORAL, 180 MG | MYCOPHENOLIC ACID (FILM-COATED) 360 MG | PO |
70748-0219-01 | J7507 | TACROLIMUS, IMMEDIATE RELEASE, ORAL, 1 MG | TACROLIMUS (USP) 0.5 MG | PO |
70748-0220-01 | J7507 | TACROLIMUS, IMMEDIATE RELEASE, ORAL, 1 MG | TACROLIMUS (USP) 1 MG | PO |
HCPCS Code | Description | Billing Unit | SA Type |
|---|---|---|---|
E2623 | Skin protection wheelchair seat cushion, adjustable, width 22 inches or greater, any depth | Each | Y |
E2623 RR | Skin protection wheelchair seat cushion, adjustable, width 22 inches or greater, any depth | Day | Y |
E2624 | Skin protection and positioning wheelchair seat cushion, adjustable, width less than 22 inches, any depth | Each | Y |
E2624 RR | Skin protection and positioning wheelchair seat cushion, adjustable, width less than 22 inches, any depth | Day | Y |
E2624 U1 | Skin protection and positioning wheelchair seat cushion, adjustable, width less than 22 inches, any depth (For use only with Group 3 and above) | Each | Y |
E2625 | Skin protection and positioning wheelchair seat cushion, adjustable, width 22 inches or greater, any depth | Each | Y |
E2625 RR | Skin protection and positioning wheelchair seat cushion, adjustable, width 22 inches or greater, any depth | Day | Y |
E2625 U1 | Skin protection and positioning wheelchair seat cushion, adjustable, width 22 inches or greater, any depth (For use only with Group 3 and above) | Each | Y |
E1296 | Special Wheelchair Seat, Height From Floor | Each | N |
E1296 RR | Special Wheelchair Seat, Height From Floor | Day | N |
E1009 | Wheelchair Accessory, Addition To Power Seating System, Mechanically Linked Leg Elevation System, Including Pushrod And Leg Rest, Each | Each | Y |
E1009 RR | Wheelchair Accessory, Addition To Power Seating System, Mechanically Linked Leg Elevation System, Including Pushrod And Leg Rest, Each | Day | Y |
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