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Cardioplegic Solution for Cardiac Perfusion 1000 mL in VIAFLEX Plastic Container

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SKU: 2B1462X

Cardioplegic Solution for Cardiac Perfusion 1000 mL in VIAFLEX Plastic Container. Liquid Premix. Not for Intravenous Injection. NDC 0338-0341-04

Product information last updated Aug-26-2020

Product Characteristics

Container Type: VIAFLEX
Volume: 1000 ML
Drug Class: Cardio- Vascular
Dosage Form: Liquid
Diluent: Water for Injection
Shelf Life from manufacture: 24 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.
Rx Only: Yes

Carton

Length: 16 IN
Width: 10 IN
Height: 10 IN
Volume: 0.93 FC
Weight: 36 LB
Pack Factor: 14

Reimbursement Information

HCPCS Code HCPCS Descriptor
J3490 UNCLASSIFIED DRUGS
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.