Active substance: Opsin II
Opsin II 6015 (Opsin II) NDC 63083-6015 converts to 63083-6015-02 for billing and bills under J0171 at 0.1 mg = 1 Unit.
Calculate the exact number of billable HCPCS units to report on CMS-1500 / 837P claims based on the patient dose and single-dose vial waste.
| Formulation / role | Package NDC | Product NDC | 11-digit HIPAA | Packaging detail | Copy |
|---|---|---|---|---|---|
| 3 [hp_X]/59mL, 3 [hp_X]/59mL, 3 [hp_X]/59mL, 3 [hp_X]/59mL, 4 [hp_X]/59mL, 6 [hp_X]/59mL, 6 [hp_X]/59mL, 6 [hp_X]/59mL, 12 [hp_X]/59mL, 12 [hp_X]/59mL, 12 [hp_X]/59mL, 12 [hp_X]/59mL | 63083-6015-2 | 63083-6015 | 63083-6015-02 | 59 mL in 1 BOTTLE, DROPPER (63083-6015-2) |
Taken from the manufacturer's FDA Structured Product Labeling submission. This is the label as filed, not a summary.