HCPCS Code Details - J0290

2017 HCPCS Level II Code
Drugs administered other than oral method, chemotherapy drugs
HCPCS Code J0290
Description

Long description:
Injection, ampicillin sodium, 500 mg

Short description:
Ampicillin 500 mg inj

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, 2000
Date added Jan 01, 1984
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 - J0290

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 500 MG 1.152 - - - - - -
April 1, 2017 - June 30, 2017 500 MG 1.157 - - - - - -
January 1, 2017 - March 31, 2017 500 MG 1.259 - - - - - -
October 1, 2016 - December 31, 2016 500 MG 1.307 - - - - - -
July 1, 2016 - September 30, 2016 500 MG 1.591 - - - - - -
500 MG 1.66 - - - - - -
500 MG 1.427 - - - - - -

See also

  • HCPCS J0289 · Injection, amphotericin b liposome, 10 mg

  • HCPCS J0295 · Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm


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”