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  4. 20 mEq/L Potassium Chloride in 5% Dextrose and 0.45% Sodium Chloride Injection, USP, 1000 mL VIAFLEX Plastic Container
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20 mEq/L Potassium Chloride in 5% Dextrose and 0.45% Sodium Chloride Injection, USP, 1000 mL VIAFLEX Plastic Container
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Item Number: 2B1654X
GTIN:  0303380671045
GTIN-CS:  50303380671040
20 mEq/L Potassium Chloride in 5% Dextrose and 0.45% Sodium Chloride Injection, USP, 1000 mL VIAFLEX Plastic Container. NDC: 0338-0671-04
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Specifications

Product Characteristics

Minimum Storage Temperature 0.0 °C
Maximum Storage Temperature 0.0 °C
Volume 1000.0 ml
Latex Free Yes
Shelf Life from Manufacture 18 months
Chloride 97 mg/L
Container Type VIAFLEX
Containes Preservative No
Dextrose Concentration 5%
Diluent Dextrose and Sodium Chloride
Fill Range Volume 1030 - 1070
Osmolarity Molperl 447
pH 4.5
Potassium 20 mg/L
Rx Only Yes
Sodium Concentration 0.45%
Sodium 77 mg/L
Specific Gravity 1.02
Storage Recommendations Store at room temperature (25°C/77°F), brief exposure up to 40°C/104°F does not adversely affect the product.
Strength 20 mEq/L
Total Calories 170 Kcal/L

Carton

Units per Case 14.0
Carton Weight 35.5 lb.
Carton Length 16.0 in.
Carton Width 10.0 in.
Carton Height 10.0 in.
Carton Volume 0.93 fc
Packaging Single Pack

Reimbursement Information

HCPCS Code HCPCS Description
J3480 INJECTION, POTASSIUM CHLORIDE, PER 2 MEQ
A4216 STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML
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.
Ordering Information
Item Number 2B1654X
Sales Unit case
GTIN 0303380671045
GTIN-CS 50303380671040
National Drug Code 00338067104

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