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NDC
HCPCS
HCPCS Description
NDC Label
Route of Administration
68001-0535-41
J9305
INJECTION, PEMETREXED, NOT OTHERWISE SPECIFIED, 10 MG
PEMETREXED (SDV,LATEX-FREE) 100 MG
IV
68001-0535-41
J9322
INJECTION, PEMETREXED (BLUEPOINT) NOT THERAPEUTICALLY EQUIVALENT TO J9305, 10 MG
PEMETREXED (SDV,LATEX-FREE) 100 MG
IV
68001-0536-41
J9305
INJECTION, PEMETREXED, NOT OTHERWISE SPECIFIED, 10 MG
PEMETREXED (SDV,LATEX-FREE) 500 MG
IV
68001-0536-41
J9322
INJECTION, PEMETREXED (BLUEPOINT) NOT THERAPEUTICALLY EQUIVALENT TO J9305, 10 MG
PEMETREXED (SDV,LATEX-FREE) 500 MG
IV
68001-0538-41
J9305
INJECTION, PEMETREXED, NOT OTHERWISE SPECIFIED, 10 MG
PEMETREXED (SDV,LATEX-FREE) 100 MG
IV
68001-0538-41
J9322
INJECTION, PEMETREXED (BLUEPOINT) NOT THERAPEUTICALLY EQUIVALENT TO J9305, 10 MG
PEMETREXED (SDV,LATEX-FREE) 100 MG
IV
68001-0539-41
J9305
INJECTION, PEMETREXED, NOT OTHERWISE SPECIFIED, 10 MG
PEMETREXED (SDV,LATEX-FREE) 500 MG
IV
68001-0539-41
J9322
INJECTION, PEMETREXED (BLUEPOINT) NOT THERAPEUTICALLY EQUIVALENT TO J9305, 10 MG
PEMETREXED (SDV,LATEX-FREE) 500 MG
IV
68001-0540-36
J9041
INJECTION, BORTEZOMIB, 0.1 MG
BORTEZOMIB (SDV,LYOPHILIZED) 3.5 MG
IJ
68001-0540-36
J9044
INJECTION, BORTEZOMIB, NOT OTHERWISE SPECIFIED, 0.1 MG
BORTEZOMIB (SDV,LYOPHILIZED) 3.5 MG
IJ
68001-0541-36
J9041
INJECTION, BORTEZOMIB, 0.1 MG
BORTEZOMIB (SDV,PF,LATEX-FREE) 3.5 MG
IJ
68001-0541-36
J9044
INJECTION, BORTEZOMIB, NOT OTHERWISE SPECIFIED, 0.1 MG
BORTEZOMIB (SDV,PF,LATEX-FREE) 3.5 MG
IJ
HCPCS Code
Description
Billing Unit
SA Type
L2330
Addition to lower extremity, lacer molded to patient model, for custom fabricated orthosis only
Each
Y
L2335
Addition to lower extremity, anterior swing band
Each
Y
L2340
Addition to lower extremity, pretibial shell, molded to patient model
Each
Y
L2350
Addition to lower extremity, prosthetic type, (BK) socket, molded to patient model, (used for PTB, AFO orthoses)
Each
Y
L2360
Addition to lower extremity, extended stell shank
Each
Y
L2370
Addition to lower extremity, Patten bottom
Each
Y
L2375
Addition to lower extremity, torsion control, ankle joint and half solid stirrup
Each
Y
L2380
Addition to lower extremity, torsion control, straight knee joint, each joint
Each
Y
L2385
Addition to lower extremity, straight knee joint, heavy duty, each joint
Each
Y
L2387
Addition to lower extremtiy, polycentric knee joint, for custom fabricated knee ankle foot orthosis, each joint
Each
Y
L2390
Addition to lower extremity, offset knee joint, each joint
Each
Y
L2395
Addition to lower extremity, offset knee joint, heavy duty, each joint
Each
Y
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