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NDC | HCPCS | HCPCS Description | NDC Label | Route of Administration |
|---|---|---|---|---|
70842-0140-03 | J2407 | INJECTION, ORITAVANCIN, 10 MG | ORBACTIV (PF,LYOPHILIZED) 400 MG | IV |
70842-0160-10 | J2265 | INJECTION, MINOCYCLINE HYDROCHLORIDE, 1 MG | MINOCIN (LYOPHILIZED) 100 MG | IV |
70121-1168-01 | J3301 | INJECTION, TRIAMCINOLONE ACETONIDE, NOT OTHERWISE SPECIFIED, 10 MG | TRIAMCINOLONE ACETONIDE 40 MG/1 ML | IJ |
70121-1169-01 | J3301 | INJECTION, TRIAMCINOLONE ACETONIDE, NOT OTHERWISE SPECIFIED, 10 MG | TRIAMCINOLONE ACETONIDE 40 MG/1 ML | IJ |
70121-1236-01 | J9027 | INJECTION, CLOFARABINE, 1 MG | CLOFARABINE (PF) 1 MG/1 ML | IV |
70121-1237-01 | J9025 | INJECTION, AZACITIDINE, 1 MG | AZACITIDINE (SDV,PF,LATEX-FREE) 100 MG | IJ |
70121-1238-01 | J9070 | CYCLOPHOSPHAMIDE, 100 MG | CYCLOPHOSPHAMIDE (SDV,USP,PF) 500 MG | IV |
70121-1239-01 | J9070 | CYCLOPHOSPHAMIDE, 100 MG | CYCLOPHOSPHAMIDE (SDV,USP,PF) 1 GM | IV |
70121-1240-01 | J9070 | CYCLOPHOSPHAMIDE, 100 MG | CYCLOPHOSPHAMIDE (SDV,USP,PF) 2 GM | IV |
70121-1244-07 | J0594 | INJECTION, BUSULFAN, 1 MG | BUSULFAN 6 MG/1 ML | IV |
70121-1399-05 | J1100 | INJECTION, DEXAMETHASONE SODIUM PHOSPHATE, 1 MG | DEXAMETHASONE SODIUM PHOSPHATE (SDV,PF,LATEX-FREE) 10 MG/1 ML | IJ |
70860-0753-20 | J3490 | UNCLASSIFIED DRUGS | FAMOTIDINE (M.D.V.,LATEX-FREE) 10 MG/1 ML | IV |
HCPCS Code | Description | Billing Unit | SA Type |
|---|---|---|---|
K0046 | Elevating Legrest, Lower Extension Tube, Replacement only, Each | Each | N |
K0046 U1 | Elevating Legrest, Lower Extension Tube, Replacement only, Each (For use with only Group 3 and above) | Each | Y |
K0047 | Elevating Legrest, Upper Hanger Bracket, Replacement only, Each | Each | N |
K0047 U1 | Elevating Legrest, Upper Hanger Bracket, Replacement only, Each (For use with only Group 3 and above) | Each | Y |
K0050 | Ratchet Assembly, Replacement only | Each | N |
K0051 | Cam Release Assembly, Footrest Or Legrest,Replacement only, Each | Each | N |
K0051 U1 | Cam Release Assembly, Footrest Or Legrest, Replacement only, Each (For use with only Group 3 and above) | Each | Y |
K0052 | Swing Away Detachable Footrest, Replacements only, Each | Each | N |
K0052 U1 | Swing Away Detachable Footrest, Replacement only, (For use with only Group 3 and above) | Each | Y |
K0053 | Elevating Foot Rests, Articulating (Telescoping), Each | Each | Y |
K0053 RR | Elevating Foot Rests, Articulating (Telescoping), Each | Day | Y |
K0053 U1 | Elevating Foot Rests, Articulating (Telescoping), Each (For use with only Group 3 and above) | Each | Y |
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