HCPCS Code Details - J0400

HCPCS Level II Code
Drugs administered other than oral method, chemotherapy drugs
HCPCS Code J0400
Description

Long description:
Injection, aripiprazole, intramuscular, 0.25 mg

Short description:
Aripiprazole injection

HCPCS Modifier1
HCPCS Pricing indicator 51 - Drugs
Multiple pricing indicator A - Not applicable as HCPCS priced under one methodology
Coverage code C - Carrier judgment
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, 2008
Date added Added Jan 01, 2008
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 - J0400

Effective Code Dosage Payment
Limit
Vaccine AWP % Vaccine Limit Infusion AWP % DME infusion limit Blood AWP % Blood limit Clotting factor Note
0.25 MG 0.756676923076923 - - - - - -
0.25 MG 0.756676923076923 - - - - - -
0.25 MG 0.756676923076923 - - - - - -

See also

  • HCPCS J0395 · Injection, arbutamine hcl, 1 mg

  • HCPCS J0401 · Injection, aripiprazole, extended release, 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”