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NDC | HCPCS | HCPCS Description | NDC Label | Route of Administration |
|---|---|---|---|---|
72078-0033-02 | J0153 | INJECTION, ADENOSINE, 1 MG (NOT TO BE USED TO REPORT ANY ADENOSINE PHOSPHATE COMPOUNDS) | ADENOSINE NOVAPLUS (SDV,PF,LATEX-FREE) 3 MG/1 ML | IV |
72078-0038-02 | J0630 | INJECTION, CALCITONIN SALMON, UP TO 400 UNITS | MIACALCIN NOVAPLUS (MDV;USP) 200 IU/1 ML | IJ |
72078-0046-09 | J0282 | INJECTION, AMIODARONE HYDROCHLORIDE, 30 MG | AMIODARONE HCL NOVAPLUS (SDV,LATEX-FREE) 50 MG/1 ML | IV |
69097-0173-53 | 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 5 VIALS/POUCH) 3MG/3ML-0.5MG/3ML | IH |
69097-0173-64 | 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 (60X3ML 5 VIALS/POUCH) 3 MG/3 ML-0.5 MG/3 ML | IH |
69097-0277-03 | J8499 | PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS | VALGANCICLOVIR HYDROCHLORIDE (FILM-COATED) 450 MG | PO |
69097-0285-37 | J0894 | INJECTION, DECITABINE, 1 MG | DECITABINE (LYOPHILIZED) 50 MG | IV |
69097-0316-02 | J8999 | PRESCRIPTION DRUG, ORAL, CHEMOTHERAPEUTIC, NOS | EXEMESTANE (FILM COATED) 25 MG | PO |
69097-0318-53 | 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) 0.25 MG/2 ML | IH |
69097-0318-53 | 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) 0.25 MG/2 ML | IH |
70655-0088-10 | J1450 | INJECTION FLUCONAZOLE, 200 MG | FLUCONAZOLE (PF,LATEX-FREE) 400 MG/200 ML | IV |
70655-0099-95 | J2700 | INJECTION, OXACILLIN SODIUM, UP TO 250 MG | OXACILLIN 1 GM | IJ |
HCPCS Code | Description | Billing Unit | SA Type |
|---|---|---|---|
L2397 | Addition to lower extremity orthosis, suspension sleeve | Each | Y |
L2405 | Addition to knee joint, drop lock, each | Each | Y |
L2415 | Addition to knee lock with integrated release mechanism (bail, cable, or equal), any material, each joint | Each | Y |
L2425 | Addition to knee joint, disc or dial lock for adjustable knee flexion, each joint | Each | Y |
L2430 | Addition to knee joint, ratchet lock for active and progressive knee extension, each joint | Each | Y |
L2492 | Addition to knee joint, lift loop for drop lock ring | Each | Y |
L2500 | Addition to lower extremity, thigh/wieght bearing, gluteal/ischial weight bearing, ring | Each | Y |
L2510 | Addition to lower extremity, thigh/weight bearing, quadri-lateral brim, molded to patient model | Each | Y |
L2520 | Addition to lower extremity, thigh/weight bearing, quadri-lateral brim, custom fitted | Each | Y |
L2525 | Addition to lower extremity, thigh/weight bearing, ischial containment/narrow M-L brim molded to patient model | Each | Y |
L2526 | Addition to lower extremity, thigh/weight bearing, ischial containment/narrow M-L brim, custom fitted | Each | Y |
L2530 | Addition to lower extremity, thigh/weight bearing, lacer, nonmolded | Each | Y |
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