HCPCS Code Details - J1260

HCPCS Level II Code
Drugs administered other than oral method, chemotherapy drugs
HCPCS Code J1260
Description

Long description:
Injection, dolasetron mesylate, 10 mg

Short description:
Dolasetron mesylate

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
BETOS2 code O1D - Chemotherapy
HCPCS Action code N - No maintenance for this code
Type of service 1 - Medical care
Effective date Effective Jan 01, 2000
Date added Added Jan 01, 1999
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 - J1260

Effective Code Dosage Payment
Limit
Vaccine AWP % Vaccine Limit Infusion AWP % DME infusion limit Blood AWP % Blood limit Clotting factor Note
10 MG 6.168 - - - - - -
10 MG 6.093 - - - - - -
10 MG 7.004 - - - - - -
10 MG 7.765 - - - - - -

See also

  • HCPCS J1250 · Injection, dobutamine hydrochloride, per 250 mg

  • HCPCS J1265 · Injection, dopamine hcl, 40 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”