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NDC	HCPCS	HCPCS Description	NDC Label	Route of Administration
70092-0179-44	J2001	INJECTION, LIDOCAINE HCL FOR INTRAVENOUS INFUSION, 10 MG	LIDOCAINE HCL (PF,SULFITE-FREE) 2%	IJ
70092-0180-79	J3010	INJECTION, FENTANYL CITRATE, 0.1 MG	FENTANYL (PCA,PF,SULFITE-FREE) 50 MCG/1 ML	IV
70092-0189-44	J2710	INJECTION, NEOSTIGMINE METHYLSULFATE, UP TO 0.5 MG	NEOSTIGMINE METHYLSULFATE (SULFITE-FREE) 1 MG/1 ML	IV
70092-0247-46	J3010	INJECTION, FENTANYL CITRATE, 0.1 MG	FENTANYL CITRATE-SODIUM CHLORIDE (PF,SULFITE-FREE) 10 MCG/1 ML-0.9%	IV
70092-0274-50	J3010	INJECTION, FENTANYL CITRATE, 0.1 MG	FENTANYL CITRATE-SODIUM CHLORIDE (PF,SULFITE-FREE) 10 MCG/1 ML-0.9%	IV
70092-0290-49	J1170	INJECTION, HYDROMORPHONE, UP TO 4 MG	HYDROMORPHONE HCL-SODIUM CHLORIDE (PF,SULFITE-FREE) 0.5 MG/1 ML-0.9%	IV
70092-0293-49	J1170	INJECTION, HYDROMORPHONE, UP TO 4 MG	HYDROMORPHONE HCL-SODIUM CHLORIDE (MONOJECT BARREL,PF) 1 MG/1 ML-0.9%	IV
70092-0317-44	J2710	INJECTION, NEOSTIGMINE METHYLSULFATE, UP TO 0.5 MG	NEOSTIGMINE METHYLSULFATE (SULFITE-FREE) 1 MG/1 ML	IV
70092-0318-44	J2710	INJECTION, NEOSTIGMINE METHYLSULFATE, UP TO 0.5 MG	NEOSTIGMINE METHYLSULFATE (SULFITE-FREE) 1 MG/1 ML	IV
70092-0319-44	J2710	INJECTION, NEOSTIGMINE METHYLSULFATE, UP TO 0.5 MG	NEOSTIGMINE METHYLSULFATE (SULFITE-FREE) 1 MG/1 ML	IV
70092-0336-46	J0330	INJECTION, SUCCINYLCHOLINE CHLORIDE, UP TO 20 MG	SUCCINYLCHOLINE CHLORIDE (SULFITE-FREE) 20 MG/1 ML	IV
70092-0400-43	J3010	INJECTION, FENTANYL CITRATE, 0.1 MG	FENTANYL CITRATE-SODIUM CHLORIDE (PF,SULFITE-FREE) 10 MCG/1 ML-0.9%	IV

HCPCS Code	Description	Billing Unit	SA Type
E0952 RR	Toe Loop/Holder, Each	Day	N
E0952 U1	Toe Loop/Holder, Each (For use with only Group 3 and above)	Each	Y
E0953	Wheelchair accessory, lateral thigh or knee support, any type including fixed mounting hardware, each	Each	N
E0953 RR	Wheelchair accessory, lateral thigh or knee support, any type including fixed mounting hardware, each	Day	N
E0953 U1	Wheelchair accessory, lateral thigh or knee support, any type including fixed mounting hardware, each	Each	Y
E0954	Wheelchair accessory, foot box, any type, includes attachment and mounting hardware, each foot	Each	N
E0954 RR	Wheelchair accessory, foot box, any type, includes attachment and mounting hardware, each foot	Day	N
E0954 U1	Wheelchair accessory, foot box, any type, includes attachment and mounting hardware, each foot	Each	Y
E0970	No. 2 Footplates, Except For Elevating Leg Rests	Each	N
E0990	Wheelchair Accessory, Elevating Leg Rest, Complete Assembly, Each	Each	N
E0990 RR	Wheelchair Accessory, Elevating Leg Rest, Complete Assembly, Each	Day	N
E0990 U1	Wheelchair Accessory, Elevating Leg Rest, Complete Assembly, Each (For use only with Grouo 3 and above)	Each	Y