HCPCS Code Details - J1570

HCPCS Level II Code
Drugs administered other than oral method, chemotherapy drugs
HCPCS Code J1570
Description

Long description:
Injection, ganciclovir sodium, 500 mg

Short description:
Ganciclovir sodium injection

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 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, 1994
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 - J1570

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 500 MG 44.095 - - - - - -
January 1, 2024 - March 31, 2024 500 MG 44.922 - - - - - -
October 1, 2023 - December 31, 2023 500 MG 29.992 20% - - - - -
Jul 1, 2023 - Sep 30, 2023 500 MG 39.494 20% - - - - -
April 1, 2023 - June 30, 2023 500 MG 47.326 20% - - - - -

See also

  • HCPCS J1569 · Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg

  • HCPCS J1571 · Injection, hepatitis b immune globulin (hepagam b), intramuscular, 0.5 ml


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”