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NDC | HCPCS | HCPCS Description | NDC Label | Route of Administration |
|---|---|---|---|---|
70756-0604-56 | J7682 | TOBRAMYCIN, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, UNIT DOSE FORM, ADMINISTERED THROUGH DME, PER 300 MILLIGRAMS | TOBRAMYCIN (14X4,PF,LATEX-FREE) 300 MG/5 ML | IH |
70756-0604-56 | J7682 | TOBRAMYCIN, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, UNIT DOSE FORM, ADMINISTERED THROUGH DME, PER 300 MILLIGRAMS | TOBRAMYCIN (14X4,PF,LATEX-FREE) 300 MG/5 ML | IH |
70756-0615-10 | J1631 | INJECTION, HALOPERIDOL DECANOATE, PER 50 MG | HALOPERIDOL DECANOATE (SDV,LATEX-FREE) 50 MG/1 ML | IM |
70756-0615-81 | J1631 | INJECTION, HALOPERIDOL DECANOATE, PER 50 MG | HALOPERIDOL DECANOATE (SDV,LATEX-FREE) 50 MG/1 ML | IM |
70756-0616-10 | J1631 | INJECTION, HALOPERIDOL DECANOATE, PER 50 MG | HALOPERIDOL DECANOATE (SDV,LATEX-FREE) 100 MG/1 ML | IM |
70756-0616-81 | J1631 | INJECTION, HALOPERIDOL DECANOATE, PER 50 MG | HALOPERIDOL DECANOATE (SDV,LATEX-FREE) 100 MG/1 ML | IM |
70756-0624-85 | J1631 | INJECTION, HALOPERIDOL DECANOATE, PER 50 MG | HALOPERIDOL DECANOATE (MDV,LATEX-FREE) 50 MG/1 ML | IM |
70756-0625-85 | J1631 | INJECTION, HALOPERIDOL DECANOATE, PER 50 MG | HALOPERIDOL DECANOATE (MDV,LATEX-FREE) 100 MG/1 ML | IM |
70756-0815-60 | None | CAPECITABINE, 150 MG, ORAL | CAPECITABINE (USP,FILM COATED) 150 MG | PO |
70756-0816-22 | None | CAPECITABINE, 500 MG, ORAL | CAPECITABINE (USP,FILM COATED) 500 MG | PO |
70801-0003-01 | J3304 | INJECTION, TRIAMCINOLONE ACETONIDE, PRESERVATIVE-FREE, EXTENDED-RELEASE, MICROSPHERE FORMULATION, 1 MG | ZILRETTA (W/DILUENT) 32 MG | IJ |
70801-0003-01 | Q9993 | INJECTION, TRIAMCINOLONE ACETONIDE, PRESERVATIVE-FREE, EXTENDED-RELEASE, MICROSPHERE FORMULATION, 1 MG | ZILRETTA (W/DILUENT) 32 MG | IJ |
HCPCS Code | Description | Billing Unit | SA Type |
|---|---|---|---|
K0040 U1 | Adjustable Angle Footplate, Each (For use with Group 3 and above) | Each | Y |
K0041 | Large Size Footplate, Each | Each | N |
K0041 RR | Large Size Footplate, Each | Day | N |
K0041 U1 | Large Size Footplate, Each (For use with Group 3 and Above) | Each | Y |
K0042 | Standard Size Footplate,Replacement only, Each | Each | N |
K0042 U1 | Standard Size Footplate, Replacement only, Each (For use with only Group 3 and above) | Each | Y |
K0043 | Footrest, Lower Extension Tube, Replacement only,Each | Each | N |
K0043 U1 | Footrest, Lower Extension Tube, Replacement only, Each (For use with only Group 3 and above) | Each | Y |
K0044 | Footrest, Upper Hanger Bracket, Replacement only, Each | Each | N |
K0044 U1 | Footrest, Upper Hanger Bracket, Replacement only, Each (For use with only Group 3 and above) | Each | Y |
K0045 | Footrest, Complete Assembly, Replacement only, Each | Each | N |
K0045 U1 | Footrest, Complete Assembly, Replacement only (For use with only Group 3 and above) | Each | Y |
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