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TRAVASOL INJ ACIDES AMIN S 10%SANS LECTROLYTES
Numéro de pièce : 1B6624
GTIN :  0303380644049
GTIN-CS:  50303380644044
TRAVASOL INJ ACIDES AMIN S 10%SANS LECTROLYTES
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Product Characteristics

Temp. d'entreposage min. 15.0 °C
Temp. d'entreposage max 25.0 °C
Volume 1000.0 cf
DEHP Non
Sans PVC Non
N'est pas fabriqué avec du latex de caoutchouc naturel Non
durée de conservation selon le fabricant 24 months
Acétate 88 mg/L
Concentration en acides aminés 10%
Acide aminé 10 g/100 mL
Chlorure 40 mg/L
Type de contenant VIAFLEX
Contient un agent de conservation Non
Azote 1.65 g/100 mL
Osmolarité (mOsmol/L) 998
pH 6
Sur ordonnance seulement Oui
Densité 1.03
Conservation Stored at room temperature (25°C/77°F). Avoid excessive heat. Protect from freezing.

Carton

Capacité par caisse 12.0
Poids 31.2 lb.
Longueur 14.4 in.
Largeur 13.2 in.
Hauteur 10.1 in.
Volume 1919.81 ci

Reimbursement Information

HCPCS Code HCPCS Description
B4193 PARENTERAL NUTRITION SOLUTION, COMPOUNDED AMINO ACID AND CARBOHYDRATES WITH ELECTROLYTES, TRACE ELEMENTS, AND VITAMINS, INCLUDING PREPARATION, ANY STRENGTH, 52 TO 73 GRAMS OF PROTEIN - PREMIX
B4197 PARENTERAL NUTRITION SOLUTION, COMPOUNDED AMINO ACID AND CARBOHYDRATES WITH ELECTROLYTES, TRACE ELEMENTS AND VITAMINS, INCLUDING PREPARATION, ANY STRENGTH, 74 TO 100 GRAMS OF PROTEIN - PREMIX
B4189 PARENTERAL NUTRITION SOLUTION, COMPOUNDED AMINO ACID AND CARBOHYDRATES WITH ELECTROLYTES, TRACE ELEMENTS, AND VITAMINS, INCLUDING PREPARATION, ANY STRENGTH, 10 TO 51 GRAMS OF PROTEIN - PREMIX
B4199 PARENTERAL NUTRITION SOLUTION, COMPOUNDED AMINO ACID AND CARBOHYDRATES WITH ELECTROLYTES, TRACE ELEMENTS AND VITAMINS, INCLUDING PREPARATION, ANY STRENGTH, OVER 100 GRAMS OF PROTEIN - PREMIX
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.
Item Number 1B6624
Unité de vente case
UPN/GTIN de chaque unité 0303380644049
UPN/GTIN d'une caisse 50303380644044
Code national du médicament 00338064404

Documentation