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NDC | HCPCS | HCPCS Description | NDC Label | Route of Administration |
|---|---|---|---|---|
67457-0418-05 | J1100 | INJECTION, DEXAMETHASONE SODIUM PHOSPHATE, 1MG | DEXAMETHASONE SODIUM PHOSPHATE NOVAPLUS (25X5ML;USP;MDV) 4 MG/1 ML | IJ |
67457-0419-01 | J1100 | INJECTION, DEXAMETHASONE SODIUM PHOSPHATE, 1MG | DEXAMETHASONE SODIUM PHOSPHATE NOVAPLUS (25X1ML;USP;SDV) 4 MG/1 ML | IJ |
67457-0424-10 | J9060 | INJECTION, CISPLATIN, POWDER OR S0LUTION, 10 MG | CISPLATIN (MDV) 1 MG/ML | IV |
67457-0425-51 | J9060 | INJECTION, CISPLATIN, POWDER OR S0LUTION, 10 MG | CISPLATIN 1 MG/ML | IV |
67457-0429-20 | J9208 | INJECTION, IFOSFAMIDE, 1 GRAM | IFOSFAMIDE (1X20ML) 1 GM/20 ML | IV |
67457-0434-51 | J9267 | INJECTION, PACLITAXEL, 1 MG | PACLITAXEL (MDV) 6 MG/ML | IV |
67457-0440-22 | J2405 | INJECTION, ONDANSETRON HYDROCHLORIDE, PER 1 MG | ONDANSETRON HCL (25X2ML; SDV;USP,PF) 2 MG/ML | IJ |
67457-0441-20 | J2405 | INJECTION, ONDANSETRON HYDROCHLORIDE, PER 1 MG | ONDANSETRON HCL (1X20ML;MDV;USP,PF) 2 MG/ML | IJ |
67457-0443-60 | J9208 | INJECTION, IFOSFAMIDE, 1 GRAM | IFOSFAMIDE (1X60ML) 3 GM/60 ML | IV |
67457-0449-17 | J9267 | INJECTION, PACLITAXEL, 1 MG | PACLITAXEL (MDV) 6 MG/ML | IV |
67457-0450-10 | J9065 | INJECTION, CLADRIBINE, PER 1 MG | CLADRIBINE (1X10ML,SDV,PF) 1 MG/ML | IV |
67457-0452-20 | J9100 | INJECTION, CYTARABINE, 100 MG | CYTARABINE (SDV,PF,LATEX-FREE) 100 MG/ML | IJ |
HCPCS Code | Description | Billing Unit | SA Type |
|---|---|---|---|
L3500 | Orthopedic shoe addition, insole, leather | Each | Y |
L3510 | Orthopedic shoe addition, insole, rubber | Each | Y |
L3520 | Orthopedic shoe addition, insole, felt covered with leather | Each | Y |
L3530 | Orthopedic shoe addition, sole, half | Each | Y |
L3540 | Orthopedic shoe addition, sole, full | Each | Y |
L3550 | Orthopedic shoe addition, toe tap, standard | Each | Y |
L3560 | Orthopedic shoe addition, toe tap, horseshoe | Each | Y |
L3570 | Orthopedic shoe addition, special extension to instep (leather with eyelets) | Each | Y |
L3580 | Orthopedic shoe addition, convert instep to Velcro closure | Each | Y |
L3590 | Orthopedic shoe addition, convert firm shoe counter to soft counter | Each | Y |
L3595 | Orthopedic shoe addition, March bar | Each | Y |
L3600 | Transfer of an orthosis from one shoe to another, caliper plate, existing | Each | Y |
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