top of page
NDC | HCPCS | HCPCS Description | NDC Label | Route of Administration |
|---|---|---|---|---|
70710-1515-09 | J1652 | INJECTION, FONDAPARINUX SODIUM, 0.5 MG | FONDAPARINUX SODIUM (PF) 5 MG/0.4 ML | SC |
70710-1516-06 | J1652 | INJECTION, FONDAPARINUX SODIUM, 0.5 MG | FONDAPARINUX SODIUM (PREFILLED,PF) 7.5 MG/0.6 ML | SC |
70710-1516-09 | J1652 | INJECTION, FONDAPARINUX SODIUM, 0.5 MG | FONDAPARINUX SODIUM (PREFILLED,PF) 7.5 MG/0.6 ML | SC |
70710-1517-06 | J1652 | INJECTION, FONDAPARINUX SODIUM, 0.5 MG | FONDAPARINUX SODIUM (PREFILLED,PF) 10 MG/0.8 ML | SC |
70710-1517-09 | J1652 | INJECTION, FONDAPARINUX SODIUM, 0.5 MG | FONDAPARINUX SODIUM (PREFILLED,PF) 10 MG/0.8 ML | SC |
70710-1525-09 | J9050 | INJECTION, CARMUSTINE, 100 MG | CARMUSTINE (LYOPHILIZED) 100 MG | IV |
70710-1530-01 | Q2050 | INJECTION, DOXORUBICIN HYDROCHLORIDE, LIPOSOMAL, NOT OTHERWISE SPECIFIED, 10 MG | DOXORUBICIN HCL LIPOSOME 2 MG/1 ML | IV |
70710-1531-01 | Q2050 | INJECTION, DOXORUBICIN HYDROCHLORIDE, LIPOSOMAL, NOT OTHERWISE SPECIFIED, 10 MG | DOXORUBICIN HCL LIPOSOME 2 MG/1 ML | IV |
70710-1550-01 | J2780 | INJECTION, RANITIDINE HYDROCHLORIDE, 25 MG | RANITIDINE (PHARMACY BULK PACKAGE) 25 MG/1 ML | IJ |
70710-1610-06 | J9017 | INJECTION, ARSENIC TRIOXIDE, 1 MG | ARSENIC TRIOXIDE (PF,LATEX-FREE) 2 MG/1 ML | IV |
70710-1654-01 | J9305 | INJECTION, PEMETREXED, NOT OTHERWISE SPECIFIED, 10 MG | PEMETREXED (SDV,LYOPHILIZED) 100 MG | IV |
70710-1655-01 | J9305 | INJECTION, PEMETREXED, NOT OTHERWISE SPECIFIED, 10 MG | PEMETREXED (SDV,LYOPHILIZED) 500 MG | IV |
HCPCS Code | Description | Billing Unit | SA Type |
|---|---|---|---|
L3905 | Wrist hand orthosis, includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft interface, straps, custom fabricated, includes fitting and adjustment | Each | Y |
L3906 | Wrist hand orthosis, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment | Each | Y |
L3908 | Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf | Each | Y |
L3912 | Hand finger orthosis (hfo), flexion glove with elastic finger control, prefabricated, off-the-shelf | Each | Y |
L3913 | Hand finger orthosis, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment | Each | Y |
L3915 | Wrist hand orthosis, includes one or more nontorsion joint(s), elastic bands, turnbuckles, may include soft interface, straps, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise | Each | Y |
L3916 | Wrist hand orthosis, includes one or more nontorsion joint(s), elastic bands, turnbuckles, may include soft interface, straps, prefabricated, off-the-shelf | Each | Y |
L3917 | Hand orthosis, metacarpal fracture orthosis, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise | Each | Y |
L3918 | Hand orthosis, metacarpal fracture orthosis, prefabricated, off-the-shelf | Each | Y |
L3919 | Hand orthosis, without joints, may include soft interface, straps, custom fabricated, inlcudes fitting and adjustment | Each | Y |
L3921 | HFO, inlcudes one or more nontorsion joints, elasitc bands, turnbuckles, may include soft interface, straps, custom fabricated, includes fitting and adjustment | Each | Y |
L3923 | Hand finger orthosis, without joints, may include soft interface, straps, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise | Each | Y |
bottom of page