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J1165 - Phenytoin sodium injection

Navigation: HCPCS Codes > Codes with Prefix: J1
Field Value
HCPCS Code: J1165
Long Description: Injection, phenytoin sodium, per 50 mg
Short Description: Phenytoin sodium injection
Pricing Indicator 1: 51 (Drugs)
Multiple Pricing Code: A (Not applicable as HCPCS priced under one methodology)
MCM Reference Section Number 1: 2049
Statute Number:
Coverage Code: D (Special coverage instructions apply)
ASC Payment Group Code:
Processing Note Number:
Berenson-Eggers Type of Service (BETOS) Code: O1E (Other drugs)
Type of Service Code 1: 1 (Medical care)
Type of Service Code 2: P (Lump sum purchase of DME, prosthetics, orthotics)
Anesthesia Base Unit Quality: 0
Code Added: 01-01-1982
Action Effective Date: 01-01-1997
Action Code: N (No maintenance for this code)