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NDC | HCPCS | HCPCS Description | NDC Label | Route of Administration |
|---|---|---|---|---|
70860-0218-03 | J9070 | CYCLOPHOSPHAMIDE, 100 MG | CYCLOPHOSPHAMIDE (MDV,PF,LATEX-FREE) 200 MG/1 ML | IV |
70860-0218-05 | J9070 | CYCLOPHOSPHAMIDE, 100 MG | CYCLOPHOSPHAMIDE (MDV,PF,LATEX-FREE) 200 MG/1 ML | IV |
70860-0219-20 | J0894 | INJECTION, DECITABINE, 1 MG | DECITABINE (SDV,PF,LATEX-FREE) 50 MG | IV |
70860-0302-02 | J1940 | INJECTION, FUROSEMIDE, UP TO 20 MG | FUROSEMIDE (USP,PF,LATEX-FREE) 10 MG/1 ML | IJ |
69238-1797-01 | J1729 | INJECTION, HYDROXYPROGESTERONE CAPROATE, NOT OTHERWISE SPECIFIED, 10 MG | HYDROXYPROGESTERONE CAPROATE (PF) 250 MG/1 ML | IM |
70069-0025-10 | J1100 | INJECTION, DEXAMETHASONE SODIUM PHOSPHATE, 1MG | DEXAMETHASONE SODIUM PHOSPHATE (10X10ML,MDV,USP) 10 MG/1 ML | IJ |
70069-0030-03 | J1631 | INJECTION, HALOPERIDOL DECANOATE, PER 50 MG | HALOPERIDOL DECANOATE (3X1ML) 50 MG/1 ML | IM |
70069-0031-05 | J1631 | INJECTION, HALOPERIDOL DECANOATE, PER 50 MG | HALOPERIDOL DECANOATE (5X1ML) 100 MG/1 ML | IM |
70069-0061-10 | J2795 | INJECTION, ROPIVACAINE HYDROCHLORIDE, 1 MG | ROPIVACAINE HCL (SDV,PF,LATEX-FREE) 2 MG/1 ML | IJ |
70069-0061-25 | J2795 | INJECTION, ROPIVACAINE HYDROCHLORIDE, 1 MG | ROPIVACAINE HCL (SDV,PF,LATEX-FREE) 2 MG/1 ML | IJ |
70069-0062-10 | J2795 | INJECTION, ROPIVACAINE HYDROCHLORIDE, 1 MG | ROPIVACAINE HCL (10X20ML,SDV,PF) 2 MG/1 ML | IJ |
70069-0062-25 | J2795 | INJECTION, ROPIVACAINE HYDROCHLORIDE, 1 MG | ROPIVACAINE HCL (25X20ML,SDV,PF) 2 MG/1 ML | IJ |
HCPCS Code | Description | Billing Unit | SA Type |
|---|---|---|---|
L3678 | Shoulder orthosis, shoulder joint design, without joints, may include soft interface, straps, prefabricated, off-the-shelf | Each | Y |
L3650 | Shoulder orthosis, figure of eight design abduction restrainer, prefabricated, off-the-shelf | Each | Y |
L3660 | Shoulder orthosis, figure of eight design abduction restrainer, canvas and webbing, prefabricated, off-the-shelf | Each | Y |
L3670 | Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf | Each | Y |
L3671 | SO, shoulder cap design, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment | Each | Y |
L3674 | Shoulder orthosis, abduction positioning (airplane design), thoracic component and support bar, with or without nontorsion joint/turnbuckle, may include soft interface, straps, custon fabricated, includes fitting and adjustment | Each | Y |
L3675 | Shoulder orthosis, vest type abduction restrainer, canvas webbing type or equal, prefabricated, off-the-shelf | Each | Y |
L3677 | Shoulder orthosis, shoulder joint design, 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 |
L3678 | Shoulder orthosis, shoulder joint design, without joints, may include soft interface, straps, prefabricated, off-the-shelf | Each | Y |
L3701 | EO, elastic, prefabricated, includes fitting and adjustment (e.g., neoprene, Lycra) | Each | Y |
L3702 | EO, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment | Each | Y |
L3710 | Elbow orthosis, elastic with metal joints, prefabricated, off-the-shelf | Each | Y |
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