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Medicare Data Utilities Appendices

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J9268 PENTOSTATIN, PER 10 MG<br />

J9270 PLICAMYCIN, 2.5 MG<br />

J9280 MITOMYCIN, 5 MG<br />

J9290 MITOMYCIN, 20 MG<br />

J9291 MITOMYCIN, 40 MG<br />

J9293 INJECTION, MITOXANTRONE HYDROCHLORIDE, PER 5 MG<br />

J9310 RITUXIMAB, 100 MG<br />

J9320 STREPTOZOCIN, 1 GM<br />

J9340 THIOTEPA, 15 MG<br />

J9350 TOPOTECAN, 4 MG<br />

J9355 TRASTUZUMAB, 10 MG<br />

J9357 VALRUBICIN, INTRAVESICAL, 200 MG<br />

J9360 VINBLASTINE SULFATE, 1 MG<br />

J9370 VINCRISTINE SULFATE, 1 MG<br />

J9375 VINCRISTINE SULFATE, 2 MG<br />

J9380 VINCRISTINE SULFATE, 5 MG<br />

J9390 VINORELBINE TARTRATE, PER 10 MG<br />

J9600 PORFIMER SODIUM, 75 MG<br />

J9999 NOT OTHERWISE CLASSIFIED, ANTINEOPLASTIC DRUGS<br />

K0001 STANDARD WHEELCHAIR<br />

K0002 STANDARD HEMI (LOW SEAT) WHEELCHAIR<br />

K0003 LIGHTWEIGHT WHEELCHAIR<br />

K0004 HIGH STRENGTH, LIGHTWEIGHT WHEELCHAIR<br />

K0005 ULTRALIGHTWEIGHT WHEELCHAIR<br />

K0006 HEAVY DUTY WHEELCHAIR<br />

K0007 EXTRA HEAVY DUTY WHEELCHAIR<br />

K0008 CUSTOM MANUAL WHEELCHAIR/BASE<br />

K0009 OTHER MANUAL WHEELCHAIR/BASE<br />

K0010 STANDARD - WEIGHT FRAME MOTORIZED/POWER WHEELCHAIR<br />

K0011 STANDARD - WEIGHT FRAME MOTORIZED/POWER WHEELCHAIR WITH PROGRAMMABLE CONTROL<br />

PARAMETERS FOR SPEED ADJUSTMENT, TREMOR DAMPENING, ACCELERATION CONTROL AND<br />

BRAKING<br />

K0012 LIGHTWEIGHT PORTABLE MOTORIZED/POWER WHEELCHAIR<br />

K0013 CUSTOM MOTORIZED/POWER WHEELCHAIR BASE<br />

K0014 OTHER MOTORIZED/POWER WHEELCHAIR BASE<br />

K0015 DETACHABLE, NON-ADJUSTABLE HEIGHT ARMREST, EACH<br />

K0016 DETACHABLE, ADJUSTABLE HEIGHT ARMREST, COMPLETE ASSEMBLY, EACH<br />

K0017 DETACHABLE, ADJUSTABLE HEIGHT ARMREST, BASE, EACH<br />

K0018 DETACHABLE, ADJUSTABLE HEIGHT ARMREST, UPPER PORTION, EACH<br />

K0019 ARM PAD, EACH<br />

K0020 FIXED, ADJUSTABLE HEIGHT ARMREST, PAIR<br />

K0021 ANTI-TIPPING DEVICE, EACH<br />

K0022 REINFORCED BACK UPHOLSTERY<br />

K0023 SOLID BACK INSERT, PLANAR BACK, SINGLE DENSITY FOAM, ATTACHED WITH STRAPS<br />

K0024 SOLID BACK INSERT, PLANAR BACK, SINGLE DENSITY FOAM, WITH ADJUSTABLE HOOK-ON<br />

HARDWARE<br />

K0025 HOOK-ON HEADREST EXTENSION<br />

K0026 BACK UPHOLSTERY FOR ULTRALIGHTWEIGHT OR HIGH STRENGTH LIGHTWEIGHT WHEELCHAIR<br />

K0027 BACK UPHOLSTERY FOR WHEELCHAIR TYPE OTHER THAN ULTRALIGHTWEIGHT OR HIGH<br />

STRENGTH LIGHTWEIGHT WHEELCHAIR<br />

K0028 MANUAL, FULLY RECLINING BACK<br />

K0029 REINFORCED SEAT UPHOLSTERY<br />

K0030 SOLID SEAT INSERT, PLANAR SEAT, SINGLE DENSITY FOAM<br />

K0031 SAFETY BELT/PELVIC STRAP, EACH<br />

K0032 SEAT UPHOLSTERY FOR ULTRALIGHTWEIGHT OR HIGH STRENGTH LIGHTWEIGHT WHEELCHAIR<br />

K0033 SEAT UPHOLSTERY FOR WHEELCHAIR TYPE OTHER THAN ULTRALIGHTWEIGHT OR HIGH<br />

STRENGTH LIGHTWEIGHT WHEELCHAIR

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