United States
Lactated Ringer's and 5% Dextrose Injection, USP, 1000 mL VIAFLEX Plastic Container
Product Characteristics
| Trademark: | VIAFLEX is a trademark of Baxter International, Inc., its subsidiaries or affiliates. |
| Latex: | Not Made with Natural Rubber Latex |
| Container Type: | VIAFLEX |
| Volume: | 1000 ML |
| Dextrose Concentration: | 5% |
| Total Calories: | 180 Kcal/L |
| Sodium: | 130 mEq/L |
| Potassium: | 4 mEq/L |
| Calcium: | 2.7 mEq/L |
| Chloride: | 109 mEq/L |
| Lactate: | 28 mEq/L |
| Osmolarity (mOsmol/L): | 525 |
| Specific Gravity: | 1.02 |
| pH: | 5 |
| Fill Range Volume (mL): | 1030 - 1070 |
| Shelf Life from manufacture: | 18 months |
| Contains Preservative: | No |
| Storage Recommendations: | Store at room temperature (25°C/77°F); brief exposure up to 40°C/104°F does not adversely affect the product. |
| Packaging: | Single Pack |
| Rx Only: | Yes |
Carton
| Length: | 16.1 IN |
| Width: | 10 IN |
| Height: | 10 IN |
| Volume: | 0.93 FC |
| Weight: | 35.5 LB |
| Pack Factor: | 14 |
Reimbursement Information
| HCPCS Code | HCPCS Descriptor |
| J7120 | RINGERS LACTATE INFUSION, UP TO 1000 CC |
| 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. |
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