HCPCS Code Details - J0257

2017 HCPCS Level II Code
Drugs administered other than oral method, chemotherapy drugs
HCPCS Code J0257
Description

Long description:
Injection, alpha 1 proteinase inhibitor (human), (glassia), 10 mg

Short description:
Glassia injection

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, 2012 - This procedure is approved to be performed in an ambulatory surgical center.
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, 2012
Date added Jan 01, 2012
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 - J0257

Effective Code Dosage Payment
Limit
Vaccine AWP % Vaccine Limit Infusion AWP % DME infusion limit Blood AWP % Blood limit Clotting factor Note
July 1, 2017 - September 30, 2017 10 MG 4.632 - - - - - -
April 1, 2017 - June 30, 2017 10 MG 4.357 - - - - - -
January 1, 2017 - March 31, 2017 10 MG 4.367 - - - - - -
October 1, 2016 - December 31, 2016 10 MG 4.367 - - - - - -
July 1, 2016 - September 30, 2016 10 MG 4.378 - - - - - -
10 MG 4.272 - - - - - -
10 MG 4.272 - - - - - -

See also

  • HCPCS J0256 · Injection, alpha 1 proteinase inhibitor (human), not otherwise specified, 10 mg

  • HCPCS J0270 · Injection, alprostadil, 1.25 mcg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)


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”