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NDC | HCPCS | HCPCS Description | NDC Label | Route of Administration |
|---|---|---|---|---|
70069-0807-10 | J2260 | INJECTION, MILRINONE LACTATE, 5 MG | MILRINONE LACTATE 1 MG/1 ML | IV |
70069-0808-10 | J2260 | INJECTION, MILRINONE LACTATE, 5 MG | MILRINONE LACTATE 1 MG/1 ML | IV |
70069-0809-01 | J2260 | INJECTION, MILRINONE LACTATE, 5 MG | MILRINONE LACTATE 1 MG/1 ML | IV |
70092-0008-46 | J1805 | INJECTION, ESMOLOL HYDROCHLORIDE, 10 MG | ESMOLOL HCL (PF,SULFITE-FREE) 10 MG/1 ML | IV |
70092-0009-44 | J1920 | INJECTION, LABETALOL HYDROCHLORIDE, 5 MG | LABETALOL HCL (5ML SYRINGE) 5 MG/1 ML | IV |
70092-0084-44 | J2710 | INJECTION, NEOSTIGMINE METHYLSULFATE, UP TO 0.5 MG | NEOSTIGMINE METHYLSULFATE (SULFITE-FREE) 1 MG/1 ML | IV |
69097-0318-87 | J7626 | BUDESONIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, UP TO 0.5 MG | BUDESONIDE (30X2ML,SINGLE-DOSE) 0.25 MG/2 ML | IH |
69097-0318-87 | J7626 | BUDESONIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, UP TO 0.5 MG | BUDESONIDE (30X2ML,SINGLE-DOSE) 0.25 MG/2 ML | IH |
69097-0319-53 | J7626 | BUDESONIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, UP TO 0.5 MG | BUDESONIDE (30X2ML,SINGLE-DOSE) 0.5 MG/2 ML | IH |
69097-0319-53 | J7626 | BUDESONIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, UP TO 0.5 MG | BUDESONIDE (30X2ML,SINGLE-DOSE) 0.5 MG/2 ML | IH |
69097-0319-87 | J7626 | BUDESONIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, UP TO 0.5 MG | BUDESONIDE (30X2ML,SINGLE-DOSE) 0.5 MG/2 ML | IH |
69097-0319-87 | J7626 | BUDESONIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, UP TO 0.5 MG | BUDESONIDE (30X2ML,SINGLE-DOSE) 0.5 MG/2 ML | IH |
HCPCS Code | Description | Billing Unit | SA Type |
|---|---|---|---|
L3255 | Nonstandard size or length | Each | Y |
L3257 | Orthopedic footwear, additional charge for split size | Each | Y |
L3260 | Surgical boot/shoe, each | Each | Y |
L3265 | Plastazote sandal, each | Each | Y |
L3300 | Lift, elevation, heel, tapered to metatarsals, per in. | Per inch | Y |
L3310 | Lift, elevation, heel and sole, neoprene, per in. | Per inch | Y |
L3320 | Lift, elevation, heel and sole, cork, per in. | Per inch | Y |
L3330 | Lift, elevation, metal extension (skate) | Each | Y |
L3332 | Lift, elevation, inside shoe, tapered, up to one-half inch | Each | Y |
L3334 | Lift, elevation, heel, per in. | Per inch | Y |
L3340 | Heel wedge, SACH | Each | Y |
L3350 | Heel wedge | Each | Y |
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