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NDC | HCPCS | HCPCS Description | NDC Label | Route of Administration |
|---|---|---|---|---|
70069-0783-10 | J0330 | INJECTION, SUCCINYLCHOLINE CHLORIDE, UP TO 20 MG | SUCCINYLCHOLINE CHLORIDE (MDV,LATEX-FREE) 20 MG/1 ML | IJ |
70069-0783-25 | J0330 | INJECTION, SUCCINYLCHOLINE CHLORIDE, UP TO 20 MG | SUCCINYLCHOLINE CHLORIDE (MDV,LATEX-FREE) 20 MG/1 ML | IJ |
70069-0801-25 | J2370 | INJECTION, PHENYLEPHRINE HCL, UP TO 1 ML | PHENYLEPHRINE HCL (SDV,LATEX-FREE) 10 MG/1 ML | IV |
70069-0801-25 | J2371 | INJECTION, PHENYLEPHRINE HYDROCHLORIDE, 20 MICROGRAMS | PHENYLEPHRINE HCL (SDV,LATEX-FREE) 10 MG/1 ML | IV |
70069-0802-10 | J2370 | INJECTION, PHENYLEPHRINE HCL, UP TO 1 ML | PHENYLEPHRINE HCL (SDV,LATEX-FREE) 10 MG/1 ML | IV |
70069-0802-10 | J2371 | INJECTION, PHENYLEPHRINE HYDROCHLORIDE, 20 MICROGRAMS | PHENYLEPHRINE HCL (SDV,LATEX-FREE) 10 MG/1 ML | IV |
70069-0803-01 | J2370 | INJECTION, PHENYLEPHRINE HCL, UP TO 1 ML | PHENYLEPHRINE HCL (SDV,LATEX-FREE) 10 MG/1 ML | IV |
70069-0803-01 | J2371 | INJECTION, PHENYLEPHRINE HYDROCHLORIDE, 20 MICROGRAMS | PHENYLEPHRINE HCL (SDV,LATEX-FREE) 10 MG/1 ML | IV |
70069-0804-01 | J3030 | INJECTION, SUMATRIPTAN SUCCINATE, 6 MG (CODE MAY BE USED FOR MEDICARE WHEN DRUG ADMINISTERED UNDER THE DIRECT SUPERVISION OF A PHYSICIAN, NOT FOR USE WHEN DRUG IS SELF ADMINISTERED) | SUMATRIPTAN SUCCINATE (1X0.5ML;SD;USP) 6 MG/0.5 ML | SC |
70069-0804-05 | J3030 | INJECTION, SUMATRIPTAN SUCCINATE, 6 MG (CODE MAY BE USED FOR MEDICARE WHEN DRUG ADMINISTERED UNDER THE DIRECT SUPERVISION OF A PHYSICIAN, NOT FOR USE WHEN DRUG IS SELF ADMINISTERED) | SUMATRIPTAN SUCCINATE (5X0.5ML,SD;USP) 6 MG/0.5 ML | SC |
70069-0805-10 | J2710 | INJECTION, NEOSTIGMINE METHYLSULFATE, UP TO 0.5 MG | NEOSTIGMINE METHYLSULFATE (10X10ML;MD;USP) 0.5 MG/1 ML | IV |
70069-0806-10 | J2710 | INJECTION, NEOSTIGMINE METHYLSULFATE, UP TO 0.5 MG | NEOSTIGMINE METHYLSULFATE (10X10ML;MD;USP) 1 MG/1 ML | IV |
HCPCS Code | Description | Billing Unit | SA Type |
|---|---|---|---|
L3217 | Orthopedic footwear, ladies shoe, hightop, depth inlay, each | Each | Y |
L3219 | Orthopedic footwear, mens shoe, oxford, each | Each | Y |
L3221 | Orthopedic footwear, mens shoe, depth inlay, each | Each | Y |
L3222 | Orthopedic footwear, mens shoe, hightop, depth inlay, each | Each | Y |
L3224 | Orthopedic footwear, woman's shoe, Oxford, used as an integral part of a brace (orthosis) | Each | Y |
L3225 | Orthopedic footwear, men's shoe, Oxford, used as an integral part of a brace (orthosis) | Each | Y |
L3230 | Orthopedic footwear, custom shoe, depth inlay, each | Each | Y |
L3250 | Orthopedic footwear, custom molded shoe, removable inner mold, prosthetic shoe, each | Each | Y |
L3251 | Foot, shoe molded to patient model, silicone shoe, each | Each | Y |
L3252 | Foot, shoe molded to patient model, Plastazote (or similar), custom fabricated, each | Each | Y |
L3253 | Foot, molded shoe Plastazote (or similar), custom fitted, each | Each | Y |
L3254 | Nonstandard size or width | Each | Y |
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