HCPCS Code Details - J0741

HCPCS Level II Code
Drugs administered other than oral method, chemotherapy drugs
HCPCS Code J0741
Description

Long description:
Injection, cabotegravir and rilpivirine, 2mg/3mg

Short description:
Inj, cabote rilpivir 2mg 3mg

HCPCS Modifier1
HCPCS Pricing indicator 51 - Drugs
Multiple pricing indicator A - Not applicable as HCPCS priced under one methodology
Coverage code C - Carrier judgment
ASC payment group code Effective Oct 01, 2021 - 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 Oct 01, 2021
Date added Added Oct 01, 2021
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 - J0741

Effective Code Dosage Payment
Limit
Vaccine AWP % Vaccine Limit Infusion AWP % DME infusion limit Blood AWP % Blood limit Clotting factor Note
April 1, 2024 - June 30, 2024 2MG/3MG 22.617 - - - - - -
January 1, 2024 - March 31, 2024 2MG/3MG 22.597 - - - - - -
October 1, 2023 - December 31, 2023 2MG/3MG 22.286 20% - - - - -
Jul 1, 2023 - Sep 30, 2023 2MG/3MG 21.842 20% - - - - -
April 1, 2023 - June 30, 2023 2MG/3MG 21.555 20% - - - - -

See also

  • HCPCS J0740 · Injection, cidofovir, 375 mg

  • HCPCS C9077 · Injection, cabotegravir and rilpivirine, 2mg/3mg

  • HCPCS J0742 · Injection, imipenem 4 mg, cilastatin 4 mg and relebactam 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”