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J7504 - Lymphocyte immune globulin

Navigation: HCPCS Codes > Codes with Prefix: J7
Field Value
HCPCS Code: J7504
Long Description: Lymphocyte immune globulin, antithymocyte globulin, equine, parenteral, 250 mg
Short Description: Lymphocyte immune globulin
Pricing Indicator 1: 51 (Drugs)
Multiple Pricing Code: A (Not applicable as HCPCS priced under one methodology)
Coverage Issues Manual 1: 45-22
MCM Reference Section Number 1: 2049
Statute Number:
Coverage Code: D (Special coverage instructions apply)
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: G (Immunosuppressive drugs)
Anesthesia Base Unit Quality: 0
Code Added: 01-01-1988
Action Effective Date: 01-01-2002
Action Code: N (No maintenance for this code)