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NDC | HCPCS | HCPCS Description | NDC Label | Route of Administration |
|---|---|---|---|---|
69097-0840-87 | J7620 | ALBUTEROL, UP TO 2.5 MG AND IPRATROPIUM BROMIDE, UP TO 0.5 MG, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME | IPRATROPIUM BROMIDE-ALBUTEROL SULFATE (30X3ML;SDV) 3 MG/3 ML-0.5 MG/3 ML | IH |
69097-0850-67 | J0878 | INJECTION, DAPTOMYCIN, 1 MG | DAPTOMYCIN (SDV,PF,LATEX-FREE) 350 MG | IV |
69097-0870-67 | J1930 | INJECTION, LANREOTIDE, 1 MG | LANREOTIDE (SINGLE USE) 120 MG/0.5 ML | SC |
69097-0905-67 | J0894 | INJECTION, DECITABINE, 1 MG | DECITABINE (LYOPHILIZED) 50 MG | IV |
69097-0909-50 | J9217 | LEUPROLIDE ACETATE (FOR DEPOT SUSPENSION), 7.5 MG | LEUPROLIDE ACETATE (LYOPHILIZED) 22.5 MG | IM |
69097-0927-35 | J2469 | INJECTION, PALONOSETRON HCL, 25 MCG | PALONOSETRON HCL (S.D.V.) 0.05 MG/1 ML | IV |
69097-0948-08 | None | CAPECITABINE, 500 MG, ORAL | CAPECITABINE (FILM COATED) 500 MG | PO |
69097-0949-03 | None | CAPECITABINE, 150 MG, ORAL | CAPECITABINE (FILM COATED) 150 MG | PO |
69101-0410-01 | J7510 | PREDNISOLONE ORAL, PER 5 MG | PREDNISOLONE SODIUM PHOSPHATE (AF,DYE-FREE,GRAPE) 20 MG/5 ML | PO |
69117-0003-01 | J8999 | PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS | ANASTROZOLE 1 MG | PO |
69117-0018-01 | J8499 | PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS | ACYCLOVIR 400 MG | PO |
69117-0018-02 | J8499 | PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS | ACYCLOVIR 400 MG | PO |
HCPCS Code | Description | Billing Unit | SA Type |
|---|---|---|---|
L2840 | Addition to lower extremity orthosis, tibial length sock, fracture or equal, each | Each | Y |
L2850 | Addition to lower extremity orthosis, femoral length sock, fracture or equal, each | Each | Y |
L2861 | Addition to lower extremity joint, knee or ankle, concentric adjustable torsion style mechanism for custom frabicated orthotics only, each | Each | Y |
L2999 | Lower extremity orthoses, NOS (Providers need to determine if an alternative HCPCS code better describes the service being reported or that is not already included in the main code. This code should only be used if a more specific code is unavailable) | Each | Y |
L2750 | Addition to lower extremity orthosis, plating chrome or nickel, per bar | Each | Y |
L2755 | Addition to lower extremity orthosis, high strength, lightweight material, all hybrid lamination/prepreg composite, per segment, for custom fabricated orthosis only | Each | Y |
L2760 | Addition to lower extremity orthosis, extension, per extension, per bar (for lineal adjustment for growth) | Each | Y |
L2768 | Orthotic side bar disconnect device, per bar | Each | Y |
L2780 | Addition to lower extremity orthosis, noncorrosive finish, per bar | Each | Y |
L2785 | Addition to lower extremity orthosis, drop lock retainer, each | Each | Y |
L2795 | Addition to lower extremity orthosis, knee control, full knee cap | Each | Y |
L2800 | Addition to lower extremity orthosis, knee control, knee cap, medial or lateral pull, for use with custom fabricated orthosis only | Each | Y |
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