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  3. 40 mEq/L Potassium Chloride in 5% Dextrose and 0.9% Sodium Chloride Injection, USP, 1000 mL VIAFLEX Plastic Container
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40 mEq/L Potassium Chloride in 5% Dextrose and 0.9% Sodium Chloride Injection, USP, 1000 mL VIAFLEX Plastic Container
Item Number: 2B2454X
GTIN:  0303380807048
GTIN-CS:  50303380807043
40 mEq/L Potassium Chloride in 5% Dextrose and 0.9% Sodium Chloride Injection, USP, 1000 mL VIAFLEX Plastic Container.
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Specifications

Product Characteristics

Minimum Storage Temperature 0.0 °C
Maximum Storage Temperature 0.0 °C
Volume 1000.0 ml
DEHP Free Yes
PVC Free Yes
Latex Free No
Shelf Life from Manufacture 0
Chloride 194 mg/L
Container Type VIAFLEX
Containes Preservative No
Dextrose Concentration 5%
Diluent Dextrose and Sodium Chloride
Fill Range Volume 1030-1070
Osmolarity Molperl 641
pH 4.5
Potassium 40 mg/L
Rx Only Yes
Sodium Concentration 0.9%
Sodium 154 mg/L
Specific Gravity 1.03
Storage Recommendations Store at room temperature 15°C to 25°C
Strength 40 mEq/L
Total Calories 170 Kcal/L

Carton

Units per Case 14.0
Carton Weight 35.5 lb.
Carton Length 16.0 in.
Carton Width 9.6 in.
Carton Height 9.7 in.
Carton Volume 0.86 fc
Packaging Single Pack

Reimbursement Information

HCPCS Code HCPCS Description
A4216 STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML
J3480 INJECTION, POTASSIUM CHLORIDE, PER 2 MEQ
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 2B2454X
Sales Unit case
GTIN 0303380807048
GTIN-CS 50303380807043
National Drug Code 00338080704