HCPCS Code Details - J0561

HCPCS Level II Code
Drugs administered other than oral method, chemotherapy drugs
HCPCS Code J0561
Description

Long description:
Injection, penicillin g benzathine, 100,000 units

Short description:
Penicillin g benzathine 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
ASC payment group code Effective Jan 01, 2016 - 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, 2016
Date added Added Jan 01, 2011
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 - J0561

Effective Code Dosage Payment
Limit
Vaccine AWP % Vaccine Limit Infusion AWP % DME infusion limit Blood AWP % Blood limit Clotting factor Note
October 1, 2017 - December 31, 2017 100,000 UNITS 11.921 - - - - - -
July 1, 2017 - September 30, 2017 100,000 UNITS 11.45 - - - - - -
April 1, 2017 - June 30, 2017 100,000 UNITS 10.746 - - - - - -
January 1, 2017 - March 31, 2017 100,000 UNITS 10.659 - - - - - -
October 1, 2016 - December 31, 2016 100,000 UNITS 10.307 - - - - - -
100,000 UNITS 9.519 - - - - - -
100,000 UNITS 8.381 - - - - - -
100,000 UNITS 8.328 - - - - - -

See also

  • HCPCS J0558 · Injection, penicillin g benzathine and penicillin g procaine, 100,000 units

  • HCPCS J2510 · Injection, penicillin g procaine, aqueous, up to 600,000 units

  • HCPCS J2540 · Injection, penicillin g potassium, up to 600,000 units

  • HCPCS J0570 · Buprenorphine implant, 74.2 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”