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Empty INTRAVIA Container 500 mL. Non-DEHP Fluid Path
Item Number: 2J8003
GTIN:  00085412029566
GTIN-CS:  50085412029561
Empty INTRAVIA Container 500 mL. Sterile, nonpyrogenic fluid path. Blue port protector, which does not contact fluid path, contains DEHP-plasticized PVC. Port Tubes, which contact fluid path are Non-DEHP PVC.

Product Characteristics

Volume 500.0 ml
DEHP Free Yes
Latex Free Yes
Rx Only Yes
Sterility Sterile Fluid Path

Carton

Units per Case 48.0
Carton Weight 3.0 Pfund
Carton Length 12.0 Zoll
Carton Width 9.0 Zoll
Carton Height 6.0 Zoll
Carton Volume 0.37 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)
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.
Item Number 2J8003
Sales Unit case
GTIN 00085412029566
GTIN-CS 50085412029561

     203052r1