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    HCPCS Details

    HCPC J7121
    Short Description 5% dextrose in lac ringers
    Long Description 5% dextrose in lactated ringers infusion, up to 1000 cc
    Pricing indicator 51
    Coverage code D
    ASC payment group code
    BETOS2 code O1E
    Action code N
    Type of service 1
    Effective date 2016-01-01
    Date Added 2016-01-01