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J1568 - Octagam injection

Navigation: HCPCS Codes > Codes with Prefix: J1
Field Value
HCPCS Code: J1568
Long Description: Injection, immune globulin, (octagam), intravenous, non-lyophilized (e.g. liquid), 500 mg
Short Description: Octagam injection
Pricing Indicator 1: 51 (Drugs)
Multiple Pricing Code: A (Not applicable as HCPCS priced under one methodology)
Statute Number:
Coverage Code: C (Carrier judgment)
ASC Payment Group Code: YY
ASC Payment Group Date: 01-01-2008
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: 01-01-2008
Action Effective Date: 01-01-2008
Action Code: N (No maintenance for this code)