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NDC | HCPCS | HCPCS Description | NDC Label | Route of Administration |
|---|---|---|---|---|
68001-0507-82 | J2543 | INJECTION, PIPERACILLIN SODIUM/TAZOBACTAM SODIUM, 1 GRAM/0.125 GRAMS (1.125 GRAMS) | PIPERACILLIN AND TAZOBACTAM (PF,LATEX-FREE) 3 GM-0.375 GM | IV |
68001-0508-31 | J2543 | INJECTION, PIPERACILLIN SODIUM/TAZOBACTAM SODIUM, 1 GRAM/0.125 GRAMS (1.125 GRAMS) | PIPERACILLIN AND TAZOBACTAM (PF,LATEX-FREE) 4 GM-0.5 GM | IV |
68001-0509-60 | J3420 | INJECTION, VITAMIN B-12 CYANOCOBALAMIN, UP TO 1000 MCG | CYANOCOBALAMIN (LATEX-FREE) 1000 MCG/1 ML | IJ |
68001-0516-27 | J9267 | INJECTION, PACLITAXEL, 1 MG | PACLITAXEL (MDV,LATEX-FREE) 6 MG/1 ML | IV |
68001-0517-36 | J1453 | INJECTION, FOSAPREPITANT, 1 MG | FOSAPREPITANT DIMEGLUMINE (SDV,LATEX-FREE) 150 MG | IV |
68001-0523-36 | J1453 | INJECTION, FOSAPREPITANT, 1 MG | FOSAPREPITANT DIMEGLUMINE (SDV,LYOPHILIZED) 150 MG | IV |
68001-0524-30 | J9190 | INJECTION, FLUOROURACIL, 500 MG | FLUOROURACIL (SDV,LATEX-FREE) 50 MG/1 ML | IV |
68001-0524-31 | J9190 | INJECTION, FLUOROURACIL, 500 MG | FLUOROURACIL (SDV,LATEX-FREE) 50 MG/1 ML | IV |
68001-0525-27 | J9190 | INJECTION, FLUOROURACIL, 500 MG | FLUOROURACIL (SDV,LATEX-FREE) 50 MG/1 ML | IV |
68001-0525-32 | J9190 | INJECTION, FLUOROURACIL, 500 MG | FLUOROURACIL (SDV,LATEX-FREE) 50 MG/1 ML | IV |
68001-0527-54 | J9025 | INJECTION, AZACITIDINE, 1 MG | AZACITIDINE (SDV,LATEX-FREE) 100 MG | IJ |
68001-0534-36 | J9041 | INJECTION, BORTEZOMIB, 0.1 MG | BORTEZOMIB (SDV,PF,LATEX-FREE) 3.5 MG | IJ |
HCPCS Code | Description | Billing Unit | SA Type |
|---|---|---|---|
L3160 | Foot, adjustable shoe-styled positioning device | Each | Y |
L3170 | Foot, plastic, silicone or equal, heel stabilizer, prafabricated, off-the-shelf, each | Each | Y |
L3201 | Orthopedic shoe, Oxford with supinator or pronator, infant | Each | Y |
L3202 | Orthopedic shoe, Oxford with supinator or pronator, child | Each | Y |
L3203 | Orthopedic shoe, Oxford with supinator or pronator, junior | Each | Y |
L3204 | Orhtopedic shoe, hightop with supinator or pronator, infant | Each | Y |
L2270 | Addition to lower extremity, varus/valgus correction (T) strap, padded/linned or malleolus pad | Each | Y |
L2275 | Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined | Each | Y |
L2280 | Addition to lower extremity, molded inner boot | Each | Y |
L2300 | Addition to lower extremity, abduction bar (bilateral hip involvement), jointed, adjustable | Each | Y |
L2310 | Addition to lower extremity, abduction bar, straight | Each | Y |
L2320 | Addition to lower extremity, nonmolded lacer, for custom fabricated orthosis only | Each | Y |
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