HCPCS Code Details - J0850

HCPCS Level II Code
Drugs administered other than oral method, chemotherapy drugs
HCPCS Code J0850
Description

Long description:
Injection, cytomegalovirus immune globulin intravenous (human), per vial

Short description:
Cytomegalovirus imm iv /vial

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, 2008 - 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, 1997
Date added Added Jan 01, 1982
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 - J0850

Effective Code Dosage Payment
Limit
Vaccine AWP % Vaccine Limit Infusion AWP % DME infusion limit Blood AWP % Blood limit Clotting factor Note
PER VIAL 1808.222 - - - - - -
January 1, 2024 - March 31, 2024 PER VIAL 1807.872 - - - - - -
October 1, 2023 - December 31, 2023 PER VIAL 1667.586 20% - - - - -
Jul 1, 2023 - Sep 30, 2023 PER VIAL 1814.195 19.173% - - - - -
April 1, 2023 - June 30, 2023 PER VIAL 1814.619 18.983% - - - - -

See also

  • HCPCS J0841 · Injection, crotalidae immune f(ab')2 (equine), 120 mg

  • HCPCS J0873 · Injection, daptomycin (xellia) not therapeutically equivalent to j0878, 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”