WELCOME

NDC	HCPCS	HCPCS Description	NDC Label	Route of Administration
69367-0138-01	J8499	PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS	ACYCLOVIR 800 MG	PO
69367-0138-05	J8499	PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS	ACYCLOVIR 800 MG	PO
69367-0190-50	J3489	INJECTION, ZOLEDRONIC ACID, 1 MG	ZOLEDRONIC ACID (SDV) 4 MG/5 ML	IV
72572-0440-25	J2274	INJECTION, MORPHINE SULFATE, PRESERVATIVE-FREE FOR EPIDURAL OR INTRATHECAL USE, 10MG	MORPHINE SULFATE (USP) 4 MG/1 ML	IV
72572-0450-25	J2310	INJECTION, NALOXONE HYDROCHLORIDE, PER 1 MG	NALOXONE HCL 0.4 MG/1 ML	IJ
72572-0460-24	J2710	INJECTION, NEOSTIGMINE METHYLSULFATE, UP TO 0.5 MG	NEOSTIGMINE METHYLSULFATE (LATEX-FREE) 0.5 MG/1 ML	IV
72572-0461-24	J2710	INJECTION, NEOSTIGMINE METHYLSULFATE, UP TO 0.5 MG	NEOSTIGMINE METHYLSULFATE (LATEX-FREE) 1 MG/1 ML	IV
72572-0462-10	J2710	INJECTION, NEOSTIGMINE METHYLSULFATE, UP TO 0.5 MG	NEOSTIGMINE METHYLSULFATE (LATEX-FREE) 1 MG/1 ML	IV
72572-0520-25	J2405	INJECTION, ONDANSETRON HYDROCHLORIDE, PER 1 MG	ONDANSETRON HCL (SDV,PF,LATEX-FREE) 2 MG/1 ML	IJ
72572-0550-10	J3490	UNCLASSIFIED DRUGS	PANTOPRAZOLE SODIUM (SDV,FREEZE-DRIED) 40 MG	IV
72572-0570-10	J2370	INJECTION, PHENYLEPHRINE HCL, UP TO 1 ML	PHENYLEPHRINE HCL (LATEX-FREE) 10 MG/1 ML	IV
72572-0570-10	J2371	INJECTION, PHENYLEPHRINE HYDROCHLORIDE, 20 MICROGRAMS	PHENYLEPHRINE HCL (LATEX-FREE) 10 MG/1 ML	IV

HCPCS Code	Description	Billing Unit	SA Type
E0945 RR	Extremity Belt/Harness	Day	N
E0947	Fracture Frame Attachment For complex Pelvic Traction	Per Set	Y
E0947 RR	Fracture Frame Attachment For complex Pelvic Traction;	Day	N
E0948	Fracture Frame Attachment For complex Cervical Traction	Per Set	Y
E0948 RR	Fracture Frame Attachment For complex Cervical Traction;	Day	N
E0955	Wheelchair Accessory, Headrest, Cushioned, Prefabricated, Including Fixed Mounting Hardware	Each	N
E0955 RR	Wheelchair Accessory, Headrest, Cushioned, Prefabricated, Including Fixed Mounting Hardware	Day	N
E0955 U1	Wheelchair Accessory, Headrest, Cushioned, Prefabricated, Including Fixed Mounting Hardware (for use only with Group 3 and above)	Each	Y
E0966	Manual Wheelchair Accessory, Headrest Extension	Each	N
E0966 RR	Manual Wheelchair Accessory, Headrest Extension	Day	N
E0973	Wheelchair Accessory, Adjustable Height, Detachable Armrests, Complete Assembly, Each	Each	N
E0973 RR	Wheelchair Accessory, Adjustable Height, Detachable Armrests, Complete Assembly, Each	Day	N