Showing codes S0034 (Injection, ofloxacin, 400 mg) — S0144 (Injection, propofol, 10 mg)

S0034 - Injection, ofloxacin, 400 mg
Long description: Injection, ofloxacin, 400 mg
Code added date: 20000101.
Code effective date: 20000101.
Pricing Indicator Code(s): 00 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: I (A code denoting Medicare coverage status).
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S0039 - Injection, sulfamethoxazole
Long description: Injection, sulfamethoxazole and trimethoprim, 10 ml
Code added date: 20000101.
Code effective date: 20000101.
Pricing Indicator Code(s): 00 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: I (A code denoting Medicare coverage status).
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S0040 - Injection, ticarcillin disod
Long description: Injection, ticarcillin disodium and clavulanate potassium, 3.1 grams
Code added date: 20000101.
Code effective date: 20000101.
Pricing Indicator Code(s): 00 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: I (A code denoting Medicare coverage status).
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S0073 - Injection, aztreonam, 500 mg
Long description: Injection, aztreonam, 500 mg
Code added date: 20000101.
Code effective date: 20230701.
Pricing Indicator Code(s): 00 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: I (A code denoting Medicare coverage status).
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S0074 - Injection, cefotetan disodiu
Long description: Injection, cefotetan disodium, 500 mg
Code added date: 20000101.
Code effective date: 20000101.
Pricing Indicator Code(s): 00 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: I (A code denoting Medicare coverage status).
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S0077 - Injection, clindamycin phosp
Long description: Injection, clindamycin phosphate, 300 mg
Code added date: 20000101.
Code effective date: 20230701.
Pricing Indicator Code(s): 00 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: I (A code denoting Medicare coverage status).
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S0078 - Injection, fosphenytoin sodi
Long description: Injection, fosphenytoin sodium, 750 mg
Code added date: 20000101.
Code effective date: 20000101.
Pricing Indicator Code(s): 00 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: I (A code denoting Medicare coverage status).
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S0080 - Injection, pentamidine iseth
Long description: Injection, pentamidine isethionate, 300 mg
Code added date: 20000101.
Code effective date: 20000101.
Pricing Indicator Code(s): 00 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: I (A code denoting Medicare coverage status).
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S0081 - Injection, piperacillin sodi
Long description: Injection, piperacillin sodium, 500 mg
Code added date: 20000101.
Code effective date: 20000101.
Pricing Indicator Code(s): 00 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: I (A code denoting Medicare coverage status).
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S0088 - Imatinib 100 mg
Long description: Imatinib, 100 mg
Code added date: 20020101.
Code effective date: 20081001.
Pricing Indicator Code(s): 00 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: I (A code denoting Medicare coverage status).
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S0090 - Sildenafil citrate, 25 mg
Long description: Sildenafil citrate, 25 mg
Code added date: 20000101.
Code effective date: 20000101.
Pricing Indicator Code(s): 00 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: I (A code denoting Medicare coverage status).
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S0091 - Granisetron 1mg
Long description: Granisetron hydrochloride, 1 mg (for circumstances falling under the medicare statute, use q0166)
Code added date: 20020101.
Code effective date: 20010701.
Pricing Indicator Code(s): 00 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: I (A code denoting Medicare coverage status).
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S0092 - Hydromorphone 250 mg
Long description: Injection, hydromorphone hydrochloride, 250 mg (loading dose for infusion pump)
Code added date: 20020101.
Code effective date: 20010701.
Pricing Indicator Code(s): 00 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: I (A code denoting Medicare coverage status).
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S0093 - Morphine 500 mg
Long description: Injection, morphine sulfate, 500 mg (loading dose for infusion pump)
Code added date: 20020101.
Code effective date: 20010701.
Pricing Indicator Code(s): 00 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: I (A code denoting Medicare coverage status).
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S0104 - Zidovudine, oral, 100 mg
Long description: Zidovudine, oral, 100 mg
Code added date: 20021001.
Code effective date: 20021001.
Pricing Indicator Code(s): 00 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: I (A code denoting Medicare coverage status).
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S0106 - Bupropion hcl sr 60 tablets
Long description: Bupropion hcl sustained release tablet, 150 mg, per bottle of 60 tablets
Code added date: 20020401.
Code effective date: 20020401.
Pricing Indicator Code(s): 00 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: I (A code denoting Medicare coverage status).
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S0108 - Mercaptopurine 50 mg
Long description: Mercaptopurine, oral, 50 mg
Code added date: 20020401.
Code effective date: 20020401.
Pricing Indicator Code(s): 00 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: I (A code denoting Medicare coverage status).
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S0109 - Methadone oral 5mg
Long description: Methadone, oral, 5 mg
Code added date: 20041001.
Code effective date: 20041001.
Pricing Indicator Code(s): 00 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: I (A code denoting Medicare coverage status).
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S0117 - Tretinoin topical 5 g
Long description: Tretinoin, topical, 5 grams
Code added date: 20040701.
Code effective date: 20040701.
Pricing Indicator Code(s): 00 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: I (A code denoting Medicare coverage status).
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S0119 - Ondansetron 4 mg
Long description: Ondansetron, oral, 4 mg (for circumstances falling under the medicare statute, use hcpcs q code)
Code added date: 20120101.
Code effective date: 20120101.
Pricing Indicator Code(s): 00 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: I (A code denoting Medicare coverage status).
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S0122 - Inj menotropins 75 iu
Long description: Injection, menotropins, 75 iu
Code added date: 20020401.
Code effective date: 20020401.
Pricing Indicator Code(s): 00 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: I (A code denoting Medicare coverage status).
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S0126 - Inj follitropin alfa 75 iu
Long description: Injection, follitropin alfa, 75 iu
Code added date: 20020401.
Code effective date: 20020401.
Pricing Indicator Code(s): 00 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: I (A code denoting Medicare coverage status).
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S0128 - Inj follitropin beta 75 iu
Long description: Injection, follitropin beta, 75 iu
Code added date: 20020401.
Code effective date: 20020401.
Pricing Indicator Code(s): 00 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: I (A code denoting Medicare coverage status).
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S0132 - Inj ganirelix acetat 250 mcg
Long description: Injection, ganirelix acetate, 250 mcg
Code added date: 20020401.
Code effective date: 20020401.
Pricing Indicator Code(s): 00 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: I (A code denoting Medicare coverage status).
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S0136 - Clozapine, 25 mg
Long description: Clozapine, 25 mg
Code added date: 20030401.
Code effective date: 20030401.
Pricing Indicator Code(s): 00 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: I (A code denoting Medicare coverage status).
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S0137 - Didanosine, 25 mg
Long description: Didanosine (ddi), 25 mg
Code added date: 20030401.
Code effective date: 20030401.
Pricing Indicator Code(s): 00 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: I (A code denoting Medicare coverage status).
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S0138 - Finasteride, 5 mg
Long description: Finasteride, 5 mg
Code added date: 20030401.
Code effective date: 20030401.
Pricing Indicator Code(s): 00 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: I (A code denoting Medicare coverage status).
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S0139 - Minoxidil, 10 mg
Long description: Minoxidil, 10 mg
Code added date: 20030401.
Code effective date: 20030401.
Pricing Indicator Code(s): 00 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: I (A code denoting Medicare coverage status).
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S0140 - Saquinavir, 200 mg
Long description: Saquinavir, 200 mg
Code added date: 20030401.
Code effective date: 20030401.
Pricing Indicator Code(s): 00 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: I (A code denoting Medicare coverage status).
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S0142 - Colistimethate inh sol mg
Long description: Colistimethate sodium, inhalation solution administered through dme, concentrated form, per mg
Code added date: 20050401.
Code effective date: 20050401.
Pricing Indicator Code(s): 00 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: I (A code denoting Medicare coverage status).
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S0144 - Inj, propofol, 10 mg
Long description: Injection, propofol, 10 mg
Code added date: 20140701.
Code effective date: 20150101.
Pricing Indicator Code(s): 00 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: I (A code denoting Medicare coverage status).
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