HCPCS Code Details - J0207

2017 HCPCS Level II Code
Drugs administered other than oral method, chemotherapy drugs
HCPCS Code J0207
Description

Long description:
Injection, amifostine, 500 mg

Short description:
Amifostine

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
ASC payment group code Effective Jan 01, 2008 - This procedure is approved to be performed in an ambulatory surgical center.
BETOS2 code O1D - Chemotherapy
HCPCS Action code N - No maintenance for this code
Type of service 1 - Medical care
Effective date Effective Jan 01, 1998
Date added Jan 01, 1998
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 - J0207

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 500 MG 519.005 - - - - - -
January 1, 2017 - March 31, 2017 500 MG 412.27 - - - - - -
July 1, 2016 - September 30, 2016 500 MG 401.425 - - - - - -
April 1, 2016 - June 30, 2016 500 MG 390.336 - - - - - -
500 MG 377.883 - - - - - -

See also

  • HCPCS J0205 · Injection, alglucerase, per 10 units

  • HCPCS J0210 · Injection, methyldopate hcl, up to 250 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”