top of page
NDC | HCPCS | HCPCS Description | NDC Label | Route of Administration |
|---|---|---|---|---|
71127-5200-01 | A4216 | STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML | STERILE WATER (SEVENFACT DILUENT) | IJ |
71225-0104-01 | J1729 | INJECTION, HYDROXYPROGESTERONE CAPROATE, NOT OTHERWISE SPECIFIED, 10 MG | HYDROXYPROGESTERONE CAPROATE (MULTI-DOSE VIAL) 250 MG/1 ML | IM |
71225-0105-01 | J1729 | INJECTION, HYDROXYPROGESTERONE CAPROATE, NOT OTHERWISE SPECIFIED, 10 MG | HYDROXYPROGESTERONE CAPROATE (PF) 250 MG/1 ML | IM |
71266-1040-02 | J1100 | INJECTION, DEXAMETHASONE SODIUM PHOSPHATE, 1MG | DEXAMETHASONE SODIUM PHOSPHATE (PF) 10 MG/1 ML | IJ |
70092-0117-79 | J1170 | INJECTION, HYDROMORPHONE, UP TO 4 MG | HYDROMORPHONE HCL-SODIUM CHLORIDE (PCA,PF,SULFITE-FREE) 1 MG/1 ML-0.9% | IV |
70092-0118-50 | J1170 | INJECTION, HYDROMORPHONE, UP TO 4 MG | HYDROMORPHONE HCL-SODIUM CHLORIDE (PF,SULFITE-FREE) 1 MG/1 ML-0.9% | IV |
70092-0125-48 | J2270 | INJECTION, MORPHINE SULFATE, UP TO 10 MG | MORPHINE SULFATE-SODIUM CHLORIDE 1 MG/1 ML-0.9% | IV |
70092-0126-49 | J2270 | INJECTION, MORPHINE SULFATE, UP TO 10 MG | MORPHINE SULFATE-SODIUM CHLORIDE (MONOJECT SYR) 1 MG/1 ML-0.9% | IV |
70092-0128-50 | J2270 | INJECTION, MORPHINE SULFATE, UP TO 10 MG | MORPHINE SULFATE-SODIUM CHLORIDE 1 MG/1 ML-0.9% | IV |
70092-0153-46 | J2001 | INJECTION, LIDOCAINE HCL FOR INTRAVENOUS INFUSION, 10 MG | LIDOCAINE HCL (PF,SULFITE-FREE) 2% | IJ |
70092-0166-48 | J1170 | INJECTION, HYDROMORPHONE, UP TO 4 MG | HYDROMORPHONE HCL-SODIUM CHLORIDE (PF,SULFITE-FREE) 0.2 MG/1 ML-0.9% | IV |
70092-0169-46 | J2001 | INJECTION, LIDOCAINE HCL FOR INTRAVENOUS INFUSION, 10 MG | LIDOCAINE HCL (PF,SULFITE-FREE) 1% | IJ |
HCPCS Code | Description | Billing Unit | SA Type |
|---|---|---|---|
K0018 | Detachable, Adjustable Height Armrest, Upper Portion, Replacement only, Each | Each | N |
K0018 RR | Detachable, Adjustable Height Armrest, Upper Portion, Replacement only, Each | Day | N |
K0018 U1 | Detachable, Adjustable Height Armrest, Upper Portion, Replacement only, Each (For use only with Group 3 and above) | Each | Y |
K0019 | Arm Pad, Replacement only, Each | Each | N |
K0019 U1 | Arm Pad, Each (For use only with Group 3 and above) | Each | Y |
K0020 | Fixed, Adjustable Armrest, pair | Each | N |
K0020 RR | Fixed, Adjustable Armrest, pair | Day | N |
K0020 U1 | Fixed, Adjustable Armrest, pair (For use only with Group 3 and above) | Each | Y |
E0951 | Heel Loop/Holder, With Or Without Ankle Strap, Each | Each | N |
E0951 RR | Heel Loop/Holder, With Or Without Ankle Strap, Each | Day | N |
E0951 U1 | Heel Loop/Holder, With Or Without Ankle Strap, Each (For use with only Group 3 and above) | Each | Y |
E0952 | Toe Loop/Holder, Each | Each | N |
bottom of page