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NDC | HCPCS | HCPCS Description | NDC Label | Route of Administration |
|---|---|---|---|---|
70069-0063-25 | J2795 | INJECTION, ROPIVACAINE HYDROCHLORIDE, 1 MG | ROPIVACAINE HCL (SDV,PF,LATEX-FREE) 5 MG/1 ML | IJ |
70069-0064-01 | J2795 | INJECTION, ROPIVACAINE HYDROCHLORIDE, 1 MG | ROPIVACAINE HCL (PF,LATEX-FREE) 5 MG/1 ML | IJ |
70069-0064-10 | J2795 | INJECTION, ROPIVACAINE HYDROCHLORIDE, 1 MG | ROPIVACAINE HCL (SDV,PF,LATEX-FREE) 5 MG/1 ML | IJ |
70069-0064-25 | J2795 | INJECTION, ROPIVACAINE HYDROCHLORIDE, 1 MG | ROPIVACAINE HCL (SDV,PF,LATEX-FREE) 5 MG/1 ML | IJ |
70069-0067-10 | J2795 | INJECTION, ROPIVACAINE HYDROCHLORIDE, 1 MG | ROPIVACAINE HCL (SDV,PF,LATEX-FREE) 10 MG/1 ML | IJ |
70069-0067-25 | J2795 | INJECTION, ROPIVACAINE HYDROCHLORIDE, 1 MG | ROPIVACAINE HCL (SDV,PF,LATEX-FREE) 10 MG/1 ML | IJ |
70069-0071-10 | J2310 | INJECTION, NALOXONE HYDROCHLORIDE, PER 1 MG | NALOXONE HCL (SINGLE-DOSE) 0.4 MG/1 ML | IJ |
70069-0072-10 | J2310 | INJECTION, NALOXONE HYDROCHLORIDE, PER 1 MG | NALOXONE HCL (MDV) 0.4 MG/1 ML | IJ |
70069-0101-05 | J2800 | INJECTION, METHOCARBAMOL, UP TO 10 ML | METHOCARBAMOL 100 MG/1 ML | IJ |
70069-0101-25 | J2800 | INJECTION, METHOCARBAMOL, UP TO 10 ML | METHOCARBAMOL 100 MG/1 ML | IJ |
70069-0171-10 | J3420 | INJECTION, VITAMIN B-12 CYANOCOBALAMIN, UP TO 1000 MCG | CYANOCOBALAMIN (MDV) 1000 MCG/1 ML | IJ |
70069-0172-10 | J3420 | INJECTION, VITAMIN B-12 CYANOCOBALAMIN, UP TO 1000 MCG | CYANOCOBALAMIN (MDV,LATEX-FREE) 1000 MCG/1 ML | IJ |
HCPCS Code | Description | Billing Unit | SA Type |
|---|---|---|---|
L3720 | EO, double upright with forearm/arm cuffs, free motion, custom fabricated | Each | Y |
L3730 | EO, double upright with forearm/arm cuffs, extension/flexion assist, custom fabricated | Each | Y |
L3740 | EO, double upright with forearm/arm cuffs, adjustable postion lock with active control, custom fabricated | Each | Y |
L3760 | Elbow orthosis (EO), with adjustable position locking joint(s), prefabricated, item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by and individual with expertise | Each | Y |
L3761 | Elbow orthosis (EO), with adjustable position locking joint(s), prefabricated, off the shelf | Each | Y |
L3762 | Elbow orthosis, rigid, without joints, includes soft interface material, prefabricated, off-the-shelf | Each | Y |
L3763 | Elbow wrist hand orthosis, rigid, withouts joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment | Each | Y |
L3764 | Elbow 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 |
L3765 | Elbow wrist hand finger orthosis, rigid, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment | Each | Y |
L3766 | Elbow wrist hand finger orthosis, includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft interface, straps, custom fabricated, includes fitting and adjustment | Each | Y |
L3806 | WHFO, includes one or more nontorsion joint(s), elastic bands/springs, turnbuckles, may include soft interface material, straps, custom fabricated, includes fitting and adjustment | Each | Y |
L3807 | Wrist hand finger orthosis, without joint(s), prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise | Each | Y |
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