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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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