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NDC | HCPCS | HCPCS Description | NDC Label | Route of Administration |
|---|---|---|---|---|
72572-0571-25 | J2370 | INJECTION, PHENYLEPHRINE HCL, UP TO 1 ML | PHENYLEPHRINE HCL (LATEX-FREE) 10 MG/1 ML | IV |
72572-0571-25 | J2371 | INJECTION, PHENYLEPHRINE HYDROCHLORIDE, 20 MICROGRAMS | PHENYLEPHRINE HCL (LATEX-FREE) 10 MG/1 ML | IV |
72572-0573-10 | J2543 | INJECTION, PIPERACILLIN SODIUM/TAZOBACTAM SODIUM, 1 GRAM/0.125 GRAMS (1.125 GRAMS) | PIPERACILLIN AND TAZOBACTAM (SDV;USP,PF,LATEX-FREE) 3 GM-0.375 GM | IV |
72572-0574-10 | J2543 | INJECTION, PIPERACILLIN SODIUM/TAZOBACTAM SODIUM, 1 GRAM/0.125 GRAMS (1.125 GRAMS) | PIPERACILLIN AND TAZOBACTAM (SDV;USP,PF,LATEX-FREE) 4 GM-0.5 GM | IV |
72572-0576-10 | J2543 | INJECTION, PIPERACILLIN SODIUM/TAZOBACTAM SODIUM, 1 GRAM/0.125 GRAMS (1.125 GRAMS) | PIPERACILLIN AND TAZOBACTAM (SDV;USP,PF,LATEX-FREE) 3 GM-0.375 GM | IV |
72572-0577-10 | J2543 | INJECTION, PIPERACILLIN SODIUM/TAZOBACTAM SODIUM, 1 GRAM/0.125 GRAMS (1.125 GRAMS) | PIPERACILLIN AND TAZOBACTAM (SDV;USP,PF,LATEX-FREE) 4 GM-0.5 GM | IV |
72572-0580-25 | J0780 | INJECTION, PROCHLORPERAZINE, UP TO 10 MG | PROCHLORPERAZINE EDISYLATE (USP) 5 MG/1 ML | IJ |
72572-0583-10 | J2704 | INJECTION, PROPOFOL, 10 MG | PROPOFOL (PF) 10 MG/1 ML | IV |
72572-0584-20 | J2704 | INJECTION, PROPOFOL, 10 MG | PROPOFOL (PF) 10 MG/1 ML | IV |
72572-0585-10 | J2704 | INJECTION, PROPOFOL, 10 MG | PROPOFOL (PF) 10 MG/1 ML | IV |
72572-0590-01 | J2704 | INJECTION, PROPOFOL, 10 MG | PROPOFOL 10 MG/1 ML | IV |
72572-0590-10 | J2704 | INJECTION, PROPOFOL, 10 MG | PROPOFOL 10 MG/1 ML | IV |
HCPCS Code | Description | Billing Unit | SA Type |
|---|---|---|---|
E0973 U1 | Wheelchair Accessory, Adjustable Height, Detachable Armrests, Complete Assembly, Each (For use only with Group 3 and above) | Each | y |
E0994 | Arm Rests, Each | Each | N |
E0994 RR | Arm Rests, Each | Day | N |
E2209 | Accessory, Arm Trough, With Or Without Hand Support, Each | Each | N |
A4420 | Ostomy pouch, closed; for use on barrier with locking flange, (two piece), each | Each | Y |
A4423 | Ostomy pouch, closed; for use on barrier with locking flange, with filter (two piece), each | Each | N |
A4424 | Ostomy pouch, drainable, with barrier attached, with filter (one piece), each | Each | N |
A4425 | Ostomy pouch, drainable, for use on barrier with non-locking flange, with filter (two piece system), each | Each | N |
A4426 | Ostomy pouch drainable, for use on barrier with locking flange, (two piece system), each | Each | N |
A4427 | Ostomy pouch drainable, for use on barrier with locking flange, with filter (two piece system), each | Each | N |
A4428 | Ostomy pouch, urinary, with extended wear barrier attached, with faucet � type tap with valve (one piece), each | Each | N |
A4429 | Ostomy pouch, urinary, with barrier attached with built in convexity, with faucet � type tap with valve (one piece), each | Each | N |
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