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NDC | HCPCS | HCPCS Description | NDC Label | Route of Administration |
|---|---|---|---|---|
70710-1663-07 | J3420 | INJECTION, VITAMIN B-12 CYANOCOBALAMIN, UP TO 1000 MCG | CYANOCOBALAMIN 1000 MCG/1 ML | IJ |
70710-1664-06 | J3420 | INJECTION, VITAMIN B-12 CYANOCOBALAMIN, UP TO 1000 MCG | CYANOCOBALAMIN 1000 MCG/1 ML | IJ |
70092-0086-44 | J0330 | INJECTION, SUCCINYLCHOLINE CHLORIDE, UP TO 20 MG | SUCCINYLCHOLINE CHLORIDE (SULFITE-FREE) 20 MG/1 ML | IV |
70092-0087-46 | J0330 | INJECTION, SUCCINYLCHOLINE CHLORIDE, UP TO 20 MG | SUCCINYLCHOLINE CHLORIDE (5X10ML,SULFITE-FREE) 20 MG/1 ML | IV |
70092-0097-43 | J3010 | INJECTION, FENTANYL CITRATE, 0.1 MG | FENTANYL (PF,SULFITE-FREE) 50 MCG/1 ML | IV |
70092-0098-44 | J3010 | INJECTION, FENTANYL CITRATE, 0.1 MG | FENTANYL (PF,SULFITE-FREE) 50 MCG/1 ML | IV |
70092-0099-49 | J3010 | INJECTION, FENTANYL CITRATE, 0.1 MG | FENTANYL (MONOJECT SYRINGE,PF) 50 MCG/1 ML | IV |
70092-0100-50 | J3010 | INJECTION, FENTANYL CITRATE, 0.1 MG | FENTANYL (PF,SULFITE-FREE) 50 MCG/1 ML | IV |
70092-0111-48 | J1170 | INJECTION, HYDROMORPHONE, UP TO 4 MG | HYDROMORPHONE HCL-SODIUM CHLORIDE (PF,SULFITE-FREE) 0.2 MG/1 ML-0.9% | IV |
70092-0112-49 | J1170 | INJECTION, HYDROMORPHONE, UP TO 4 MG | HYDROMORPHONE HCL-SODIUM CHLORIDE (MONOJECT SYRINGE,PF) 0.2 MG/1 ML-0.9% | IV |
70092-0113-79 | J1170 | INJECTION, HYDROMORPHONE, UP TO 4 MG | HYDROMORPHONE HCL-SODIUM CHLORIDE (PF,SULFITE-FREE) 0.2 MG/1 ML-0.9% | IV |
70092-0114-50 | J1170 | INJECTION, HYDROMORPHONE, UP TO 4 MG | HYDROMORPHONE HCL-SODIUM CHLORIDE (PF,SULFITE-FREE) 0.2 MG/1 ML-0.9% | IV |
HCPCS Code | Description | Billing Unit | SA Type |
|---|---|---|---|
L3924 | Hand finger orthosis, without joints, may include soft interface, straps, prefabricated, off-the-shelf | Each | Y |
L3925 | Finger orthosis, proximal interphalangeal (pip)/distal interphalangeal (dip), non torsion joint/spring, extension/flexion, may include soft interface material, prefabricated, off-the-shelf | Each | Y |
L3927 | Finger orthosis, proximal interphalangeal (pip)/distal interphalangeal (dip), without joint/spring, extension/flexion (e.g. static or ring type), may include soft interface material, prefabricated, off-the-shelf | Each | Y |
L3929 | Hand finger orthosis, includes one or more nontorsion joint(s), turnbuckles, elastic bands/springs, may include soft interface material, 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 |
L3930 | Hand finger orthosis, includes one or more nontorsion joint(s), turnbuckles, elastic bands/springs, may include soft interface material, straps, prefabricated, off-the-shelf | Each | Y |
L3931 | Wrist hand finger orthosis, includes one or more nontorsion joint(s), turnbucles, elastic bands/springs, may inculde soft interface material, straps, prefabricated, includes fitting and adjustment | Each | Y |
L3933 | FO, without joints, may include soft interface, custom fabricated, includes fitting and adjustment | Each | Y |
L3935 | FO, nontorsion joint, may include soft interface, custom fabricated, includes fitting and adjustment | Each | Y |
L3956 | Addition of joint to upper extremity orthosis, any material; per joint | Each | Y |
L3960 | SEWHO, abduction positioning, airplane design, prefabricated, includes fitting and adjustment | Each | Y |
L3961 | SEWHO, shoulder cap design, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment | Each | Y |
L3962 | SEWHO, abduction positioning, Erb's palsy design, prefabricated, includes fitting and adjustment | Each | Y |
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