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NDC
HCPCS
HCPCS Description
NDC Label
Route of Administration
70092-0405-50
J1170
INJECTION, HYDROMORPHONE, UP TO 4 MG
HYDROMORPHONE HCL-SODIUM CHLORIDE (PF,SULFITE-FREE) 0.5 MG/1 ML-0.9%
IV
70092-0415-47
J3010
INJECTION, FENTANYL CITRATE, 0.1 MG
FENTANYL (PF,SULFITE-FREE) 50 MCG/1 ML
IV
70092-0435-46
J0131
INJECTION, ACETAMINOPHEN, NOT OTHERWISE SPECIFIED,10 MG
ACETAMINOPHEN (PF,SULFITE-FREE) 10 MG/1 ML
IV
70092-0454-44
J3010
INJECTION, FENTANYL CITRATE, 0.1 MG
FENTANYL (PF,SULFITE-FREE) 50 MCG/1 ML
IV
70092-0456-43
J3010
INJECTION, FENTANYL CITRATE, 0.1 MG
FENTANYL (PF,SULFITE-FREE) 50 MCG/1 ML
IV
70092-0475-50
A4216
STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML
DEXTROSE (PF,SULFITE-FREE) 50%
IV
70092-0494-49
J3010
INJECTION, FENTANYL CITRATE, 0.1 MG
FENTANYL (MONOJECT BARREL,PF) 50 MCG/1 ML
IV
70092-0495-50
J3010
INJECTION, FENTANYL CITRATE, 0.1 MG
FENTANYL (PF,SULFITE-FREE) 50 MCG/1 ML
IV
70092-0497-47
J3010
INJECTION, FENTANYL CITRATE, 0.1 MG
FENTANYL (PF,SULFITE-FREE) 50 MCG/1 ML
IV
70092-0505-79
J3010
INJECTION, FENTANYL CITRATE, 0.1 MG
FENTANYL (PF,SULFITE-FREE) 50 MCG/1 ML
IV
70092-0517-43
J2274
INJECTION, MORPHINE SULFATE, PRESERVATIVE-FREE FOR EPIDURAL OR INTRATHECAL USE, 10MG
MORPHINE SULFATE-SODIUM CHLORIDE (PF,SULFITE-FREE) 1 MG/1 ML-0.9%
IV
70092-0519-48
J2274
INJECTION, MORPHINE SULFATE, PRESERVATIVE-FREE FOR EPIDURAL OR INTRATHECAL USE, 10MG
MORPHINE SULFATE-SODIUM CHLORIDE (PF,SULFITE-FREE) 1 MG/1 ML-0.9%
IV
HCPCS Code
Description
Billing Unit
SA Type
E0995
Wheelchair Accessory, Calf Rest/Pad, Replacement only, Each
Each
N
E0995 U1
Wheelchair Accessory, Calf Rest/Pad, Each (For use only with Group 3 and above)
Each
Y
E0849 RR
Traction equipment, cervical, free-standing stand/frame, pneumatic, applying traction force to other than mandible
Day
N
E0850 RR
Traction Stand, Free Standing, Cervical Traction
Day
N
E0855 RR
Cervical traction equipment not requiring additional stand or frame
Day
N
E0856 RR
Cervical traction device, cervical collar with inflatable air bladder
Each
Y
E0860 RR
Traction Equipment Over Door, Cervical Rental
Day
N
E0870
Traction Frame, Attached To Footboard, Extremity Traction (e.g., Buck�s)
Per Set
N
E0880
Traction Stand, Free Standing Extremity Traction (E.g.,. Bucks)
Per Set
N
E0870 RR
Traction Frame, Attached To Footboard, Extremity Traction (e.g., Buck�s) Rental
Day
N
E0880 RR
Traction Stand, Free Standing Extremity Traction (E.g.,. Bucks) Rental
Day
N
E0890
Traction Frame, Attached To Footboard, Pelvic Traction
Per Set
N
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