Hillrom and Welch Allyn are a part of Baxter.
20% PROSOL - SULFITE-FREE (AMINO ACID) INJECTION
Item Number: 2B6186
GTIN:
0303380499069
GTIN-CS:
50303380499064
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20% PROSOL - SULFITE-FREE (AMINO ACID) INJECTION
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Product Characteristics
| Minimum Storage Temperature | 2.0 °C |
| Maximum Storage Temperature | 25.0 °C |
| Volume | 2000.0 cf |
| DEHP Free | No |
| PVC Free | No |
| Latex Free | No |
| Shelf Life from Manufacture | 0 |
| Acetate | 140 mg/L |
| Amino Acid Concentration | 20% |
| Amino Acid | 20 g/100 mL |
| Container Type | VIAFLEX |
| Containes Preservative | No |
| Nitrogen | 3.21 g/100 mL |
| Osmolarity Molperl | 1835 |
| pH | 6 |
| Rx Only | Yes |
| Specific Gravity | 1.06 |
| Storage Recommendations | Stored at room temperature (25°C/77°F). Brief exposure up to 40°C/104°F does not adversely affect the product. Protect from freezing. |
Carton
| Units per Case | 6.0 |
| Carton Weight | 32.0 Pfund |
| Carton Length | 14.3 Zoll |
| Carton Width | 13.2 Zoll |
| Carton Height | 10.0 Zoll |
| Carton Volume | 1.09 fc |
Reimbursement Information
| HCPCS Code | HCPCS Description |
| B4193 | PARENTERAL NUTRITION SOLUTION, COMPOUNDED AMINO ACID AND CARBOHYDRATES WITH ELECTROLYTES, TRACE ELEMENTS, AND VITAMINS, INCLUDING PREPARATION, ANY STRENGTH, 52 TO 73 GRAMS OF PROTEIN - PREMIX |
| B4199 | PARENTERAL NUTRITION SOLUTION, COMPOUNDED AMINO ACID AND CARBOHYDRATES WITH ELECTROLYTES, TRACE ELEMENTS AND VITAMINS, INCLUDING PREPARATION, ANY STRENGTH, OVER 100 GRAMS OF PROTEIN - PREMIX |
| B4189 | PARENTERAL NUTRITION SOLUTION, COMPOUNDED AMINO ACID AND CARBOHYDRATES WITH ELECTROLYTES, TRACE ELEMENTS, AND VITAMINS, INCLUDING PREPARATION, ANY STRENGTH, 10 TO 51 GRAMS OF PROTEIN - PREMIX |
| B4197 | PARENTERAL NUTRITION SOLUTION, COMPOUNDED AMINO ACID AND CARBOHYDRATES WITH ELECTROLYTES, TRACE ELEMENTS AND VITAMINS, INCLUDING PREPARATION, ANY STRENGTH, 74 TO 100 GRAMS OF PROTEIN - PREMIX |
| Medication Delivery Reimbursement Hotline | 888-338-0001 |
Information Source : CMS
Disclaimer:The coverage, coding, and payment information included in this guide has been compiled from various resources for informational use as a tool to assist providers with reimbursement issues. This information is current as of 3/31/2008; however this information is subject to change and should not be construed as legal advice. Providers should exercise independent clinical judgment when selecting codes and submitting claims to accurately reflect services rendered to individual patients. Baxter Healthcare Corporation does not guarantee success in obtaining insurance payments. Providers are encouraged to contact third-party payors for specific information on their coverage, coding, and payment policies.
Disclaimer:The coverage, coding, and payment information included in this guide has been compiled from various resources for informational use as a tool to assist providers with reimbursement issues. This information is current as of 3/31/2008; however this information is subject to change and should not be construed as legal advice. Providers should exercise independent clinical judgment when selecting codes and submitting claims to accurately reflect services rendered to individual patients. Baxter Healthcare Corporation does not guarantee success in obtaining insurance payments. Providers are encouraged to contact third-party payors for specific information on their coverage, coding, and payment policies.
| Item Number | 2B6186 |
| Sales Unit | case |
| GTIN | 0303380499069 |
| GTIN-CS | 50303380499064 |
| National Drug Code | 00338049906 |
Documentation
203050r1
