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  4. Empty INTRAVIA Container 250 mL
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Empty INTRAVIA Container 250 mL
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Item Number: 2B8012
GTIN:  00085412003191
GTIN-CS:  50085412003196
Empty INTRAVIA Container 250 mL. Sterile, nonpyrogenic fluid path. Port Tubes, which contact fluid path are DEHP-plasticized PVC.
Specifications

Product Characteristics

Volume 250.0 ml
Latex Free Yes
Rx Only Yes
Sterility Sterile Fluid Path

Carton

Units per Case 48.0
Carton Weight 3.0 Pfund
Carton Length 11.9 Zoll
Carton Width 9.2 Zoll
Carton Height 6.4 Zoll
Carton Volume 0.41 fc

Reimbursement Information

HCPCS Code HCPCS Description
A4223 INFUSION SUPPLIES NOT USED WITH EXTERNAL INFUSION PUMP, PER CASSETTE OR BAG (LIST DRUGS SEPARATELY)
A4222 INFUSION SUPPLIES FOR EXTERNAL DRUG INFUSION PUMP, PER CASSETTE OR BAG (LIST DRUGS SEPARATELY)

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.
Ordering Information
Item Number 2B8012
Sales Unit case
GTIN 00085412003191
GTIN-CS 50085412003196

     203052r1