| Source NDC Code |
|
Target HCPCS Code |
00052-0602-02
|
⇄
|
90585
|
| Detail Information |
| Relationship Start Date |
|
| Relationship End Date |
|
| Number Of Items In Ndc Package |
|
| Ndc Package Measure |
|
| Ndc Package Type |
|
| Route Of Administration |
|
| Billing Units |
|
|
|
|
00052-0602-02
|
⇄
|
90586
|
| Detail Information |
| Relationship Start Date |
|
| Relationship End Date |
|
| Number Of Items In Ndc Package |
|
| Ndc Package Measure |
|
| Ndc Package Type |
|
| Route Of Administration |
|
| Billing Units |
|
|
|
|
00052-0602-02
TICE BCG (VIAL) 800 Million CFU
|
⇄
|
J9030
BCG LIVE INTRAVESICAL INSTILLATION, 1MG
|
| Detail Information |
| Relationship Start Date |
07/01/2019 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
VL |
| Route Of Administration |
IL |
| Billing Units |
EA |
|
|
|
00052-0602-02
TICE BCG (VIAL) 800 Million CFU
|
⇄
|
J9031
BCG (INTRAVESICAL) PER INSTILLATION
|
| Detail Information |
| Relationship Start Date |
01/01/2002 |
| Relationship End Date |
06/30/2019 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
VL |
| Route Of Administration |
IL |
| Billing Units |
EA |
|
|
|
00052-0602-02
Tice Bcg
|
⇄
|
J9030
Bcg live intravesical 1mg
|
| Detail Information |
| Relationship Start Date |
|
| Relationship End Date |
|
| Number Of Items In Ndc Package |
|
| Ndc Package Measure |
|
| Ndc Package Type |
|
| Route Of Administration |
|
| Billing Units |
|
|
|
|