INOMAX Billing Codes |
INOMAX® is a vasodilator, which, in conjunction with ventilatory support and other appropriate agents, is indicated for the treatment of term and near-term (>34 weeks gestation) neonates with hypoxic respiratory failure associated with clinical or echocardiographic evidence of pulmonary hypertension, where it improves oxygenation and reduces the need for extracorporeal membrane oxygenation.
INOMAX Important Safety Information (ISI)
INOMAX should not be used in the treatment of neonates known to be dependent on right-to-left shunting of blood
INOMAX Billing Codes
National Drug Codes (NDCs)
64693-002-01
Size D portable aluminum cylinder containing 353 liters at STP of nitric oxide gas in 800 ppm concentration in nitrogen (delivered volume 344 liters).
64693-002-02
Size 88 aluminum cylinder containing 1963 liters at STP of nitric oxide gas in 800 ppm concentration in nitrogen (delivered volume 1918 liters).
ICD-9-CM Procedure Code
ICD-9 00.12
Administration of inhaled nitric oxide (nitric oxide therapy).
Billing Revenue Codes
636 Drug requiring detailed HCPCS coding
250 Pharmacy: general
259 Pharmacy: other
Healthcare Common Procedure Coding System (HCPCS)
J3490 Unclassified drug
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