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NDC	HCPCS	HCPCS Description	NDC Label	Route of Administration
71288-0726-52	J0665	INJECTION, BUPIVICAINE, NOT OTHERWISE SPECIFIED, 0.5 MG	BUPIVACAINE HCL (1X50ML,MDV,LATEX-FREE) 0.5%	IJ
71288-0802-03	J1270	INJECTION, DOXERCALCIFEROL, 1 MCG	DOXERCALCIFEROL (50X2ML;MDV,LATEX-FREE) 2 MCG/1 ML	IV
71288-0802-04	J1270	INJECTION, DOXERCALCIFEROL, 1 MCG	DOXERCALCIFEROL (MDV,LATEX-FREE) 2 MCG/1 ML	IV
71288-0806-51	J3489	INJECTION, ZOLEDRONIC ACID, 1 MG	ZOLEDRONIC ACID (SINGLE USE,PF) 5 MG/100 ML	IV
71288-0807-02	J2370	INJECTION, PHENYLEPHRINE HCL, UP TO 1 ML	PHENYLEPHRINE HCL (SDV,LATEX-FREE) 10 MG/1 ML	IV
71288-0807-02	J2371	INJECTION, PHENYLEPHRINE HYDROCHLORIDE, 20 MICROGRAMS	PHENYLEPHRINE HCL (SDV,LATEX-FREE) 10 MG/1 ML	IV
71288-0808-76	J2370	INJECTION, PHENYLEPHRINE HCL, UP TO 1 ML	PHENYLEPHRINE HCL (LATEX-FREE) 10 MG/1 ML	IV
71288-0808-76	J2371	INJECTION, PHENYLEPHRINE HYDROCHLORIDE, 20 MICROGRAMS	PHENYLEPHRINE HCL (LATEX-FREE) 10 MG/1 ML	IV
71288-0808-77	J2370	INJECTION, PHENYLEPHRINE HCL, UP TO 1 ML	PHENYLEPHRINE HCL (BULK PACKAGE,LATEX-FREE) 10 MG/1 ML	IV
71288-0808-77	J2371	INJECTION, PHENYLEPHRINE HYDROCHLORIDE, 20 MICROGRAMS	PHENYLEPHRINE HCL (BULK PACKAGE,LATEX-FREE) 10 MG/1 ML	IV
71297-0127-27	J8540	DEXAMETHASONE, ORAL, 0.25 MG	LOCORT (7-DAY) 1.5 MG	PO
71297-0211-41	J8540	DEXAMETHASONE, ORAL, 0.25 MG	LOCORT (11-DAY) 1.5 MG	PO

HCPCS Code	Description	Billing Unit	SA Type
K0825	Power Wheelchair, Group 2 Heavy Duty, Captains Chair, Patient Weight Capacity 301 To 450 Pounds	Each	Y
K0825 RR	Power Wheelchair, Group 2 Heavy Duty, Captains Chair, Patient Weight Capacity 301 To 450 Pounds	Day	Y
K0826	Power Wheelchair, Group 2 Very Heavy Duty, Sling/Solid Seat/Back, Patient Weight Capacity 451 To 600 Pounds	Each	Y
K0826 RR	Power Wheelchair, Group 2 Very Heavy Duty, Sling/Solid Seat/Back, Patient Weight Capacity 451 To 600 Pounds	Day	Y
K0827	Power Wheelchair, Group 2 Very Heavy Duty, Captains Chair, Patient Weight Capacity 451 To 600 Pounds	Each	Y
K0827 RR	Power Wheelchair, Group 2 Very Heavy Duty, Captains Chair, Patient Weight Capacity 451 To 600 Pounds	Day	Y
K0828	Power Wheelchair, Group 2 Extra Heavy Duty, Sling/Solid Seat/Back, Patient Weight Capacity 601 Pounds Or More	Each	Y
K0828 RR	Power Wheelchair, Group 2 Extra Heavy Duty, Sling/Solid Seat/Back, Patient Weight Capacity 601 Pounds Or More	Day	Y
K0829	Power Wheelchair, Group 2 Extra Heavy Duty, Captains Chair, Patient Weight Capacity 601 Pounds Or More	Each	Y
K0829 RR	Power Wheelchair, Group 2 Extra Heavy Duty, Captains Chair, Patient Weight Capacity 601 Pounds Or More	Day	Y
K0830	Power Wheelchair, Group 2 Standard, Seat Elevator, Sling/Solid Seat/Back, Patient Weight Capacity Up To And Including 300 Pounds	Each	Y
K0830 RR	Power Wheelchair, Group 2 Standard, Seat Elevator, Sling/Solid Seat/Back, Patient Weight Capacity Up To And Including 300 Pounds	Day	Y