HCPCS Code Details - J0841

HCPCS Level II Code
Drugs administered other than oral method, chemotherapy drugs
HCPCS Code J0841
Description

Long description:
Injection, crotalidae immune f(ab')2 (equine), 120 mg

Short description:
Inj crotalidae im f(ab')2 eq

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 Jan 01, 2019 - 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, 2019
Date added Added Jan 01, 2019
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 - J0841

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 120 MG 1047.293 - - - - - -
January 1, 2024 - March 31, 2024 120 MG 912.076 - - - - - -
October 1, 2023 - December 31, 2023 120 MG 1113.511 20% - - - - -
Jul 1, 2023 - Sep 30, 2023 120 MG 1019.456 20% - - - - -
April 1, 2023 - June 30, 2023 120 MG 433.19 20% - - - - -

See also

  • HCPCS J0840 · Injection, crotalidae polyvalent immune fab (ovine), up to 1 gram

  • HCPCS J0850 · Injection, cytomegalovirus immune globulin intravenous (human), per vial


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”