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NDC | HCPCS | HCPCS Description | NDC Label | Route of Administration |
|---|---|---|---|---|
70121-1049-02 | J3301 | INJECTION, TRIAMCINOLONE ACETONIDE, NOT OTHERWISE SPECIFIED, 10 MG | TRIAMCINOLONE ACETONIDE 40 MG/1 ML | IJ |
70121-1049-05 | J3301 | INJECTION, TRIAMCINOLONE ACETONIDE, NOT OTHERWISE SPECIFIED, 10 MG | TRIAMCINOLONE ACETONIDE 40 MG/1 ML | IJ |
70121-1076-05 | J1940 | INJECTION, FUROSEMIDE, UP TO 20 MG | FUROSEMIDE (SDV) 10 MG/1 ML | IJ |
70121-1099-01 | J0641 | INJECTION, LEVOLEUCOVORIN, NOT OTHERWISE SPECIFIED, 0.5MG | LEVOLEUCOVORIN CALCIUM (SDV,PF,LYOPHILIZED) 50 MG | IV |
70121-1163-05 | J1940 | INJECTION, FUROSEMIDE, UP TO 20 MG | FUROSEMIDE (SDV) 10 MG/1 ML | IJ |
70121-1164-05 | J1940 | INJECTION, FUROSEMIDE, UP TO 20 MG | FUROSEMIDE (SDV) 10 MG/1 ML | IJ |
69339-0168-03 | J8565 | GEFITINIB, ORAL, 250 MG | GEFITINIB (FILM-COATED) 250 MG | PO |
69339-0171-03 | Q0162 | ONDANSETRON 1 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN | ONDANSETRON HCL (FILM-COATED) 4 MG | PO |
69339-0171-05 | Q0162 | ONDANSETRON 1 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN | ONDANSETRON HCL (FILM-COATED) 4 MG | PO |
69339-0172-03 | Q0162 | ONDANSETRON 1 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN | ONDANSETRON (FILM-COATED) 8 MG | PO |
69367-0137-01 | J8499 | PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS | ACYCLOVIR 400 MG | PO |
69367-0137-05 | J8499 | PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS | ACYCLOVIR 400 MG | PO |
HCPCS Code | Description | Billing Unit | SA Type |
|---|---|---|---|
E0920 RR | Fracture Frame, Attached To Bed, Includes Weights | Day | N |
E0930 RR | Fracture Frame, Free Standing Includes Weights | Day | N |
E0946 RR | Fracture Frame Dual W/Cross Bars attached to bed (e.g., Balken, 4 poster) Rental | Day | N |
E0830 | Ambulatory traction device, all types, each | Each | Y |
E0941 | Gravity Assisted Traction Device Any Type | Per Set | N |
E0830 RR | Ambulatory traction device, all types, each | Day | Y |
E0941 RR | Gravity Assisted Traction Device Any Type | Day | N |
E0942 | Cervical Head Harness/Halter | Each | N |
E0942 RR | Cervical Head Harness/Halter | Day | N |
E0944 | Pelvic Belt/ Harness/ Boot | Each | N |
E0944 RR | Pelvic Belt /Harness / Boot | Day | N |
E0945 | Extremity Belt/Harness | Each | N |
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