HCPCS Code Details - J0153

2017 HCPCS Level II Code
Drugs administered other than oral method, chemotherapy drugs
HCPCS Code J0153
Description

Long description:
Injection, adenosine, 1 mg (not to be used to report any adenosine phosphate compounds)

Short description:
Adenosine inj 1mg

HCPCS Modifier1
HCPCS Pricing indicator 51 - Drugs
Multiple pricing indicator A - Not applicable as HCPCS priced under one methodology
Coverage code D - Special coverage instructions apply
BETOS2 code O1E - Other drugs
HCPCS Action code N - No maintenance for this code
Type of service 1 - Medical care
Effective date Effective Jan 01, 2015
Date added Jan 01, 2015
HCPCS Coding Procedures

HCPCS Modifiers

In HCPCS Level II, modifiers are composed of two alpha or alphanumeric characters.

Example: E0260-NU - Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress
NU” identifies the hospital bed as new equipment

ASP Drug pricing - J0153

Effective Code Dosage Payment
Limit
Vaccine AWP % Vaccine Limit Infusion AWP % DME infusion limit Blood AWP % Blood limit Clotting factor Note
April 1, 2017 - June 30, 2017 1 MG 0.554 - - - - - -
January 1, 2017 - March 31, 2017 1 MG 0.601 - - - - - -
July 1, 2016 - September 30, 2016 1 MG 0.667 - - - - - -
April 1, 2016 - June 30, 2016 1 MG 0.77 - - - - - -
1 MG 0.962 - - - - - -

See also

  • HCPCS J0152 · Injection, adenosine for diagnostic use, 30 mg (not to be used to report any adenosine phosphate compounds; instead use a9270)

  • HCPCS J0171 · Injection, adrenalin, epinephrine, 0.1 mg


1 Two-digit numeric codes are Level I code modifiers copyrighted© by the American Medical Association's Current Procedural Terminology (CPT).

2 BETOS stands for “Berenson-Eggers Type Of Service”