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  4. IV Fat Emulsion Administration Set, Non-Vented. 60 drops/mL. 86 (2.2 m). Non-DEHP
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IV Fat Emulsion Administration Set, Non-Vented. 60 drops/mL. 86 (2.2 m). Non-DEHP
Item Number: 2C1146
GTIN:  0085412075280
GTIN-CS:  50085412075285
IV Fat Emulsion Administration Set with Non-Vented Spike and Male Luer Lock Adapter with Retractable Collar. Approximately 60 drops/mL. Approximate Length 86 (2.2 m). Non-DEHP. Fluid path is sterile, nonpyrogenic.
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Specifications

Product Characteristics

Minimum Storage Temperature -99.0 °C
Maximum Storage Temperature 99.0 °C
Length 86.0 in.
Latex Free Yes
Backcheck Valve No
Collar Type Retractable
Drops Per Ml 60
Number Of Ysites None
Rx Only Yes
Spike Non-Vented
Sterility Sterile Fluid Path
Tubing Configuration STRAIGHT

Carton

Units per Case 48.0
Carton Weight 3.85 lb.
Carton Length 12.4 in.
Carton Width 10.5 in.
Carton Height 8.1 in.
Carton Volume 0.61 fc

Reimbursement Information

HCPCS Code HCPCS Description
B4220 Parenteral nutrition supply kit, premix, per day
A4222 INFUSION SUPPLIES FOR EXTERNAL DRUG INFUSION PUMP, PER CASSETTE OR BAG (LIST DRUGS SEPARATELY)
B4224 Parenteral nutrition administration kit, per day
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 2C1146
Sales Unit case
GTIN 0085412075280
GTIN-CS 50085412075285

     203052r1