HCPCS Code Details - J1944

HCPCS Level II Code
Drugs administered other than oral method, chemotherapy drugs
HCPCS Code J1944
Description

Long description:
Injection, aripiprazole lauroxil, (aristada), 1 mg

Short description:
Aripiprazole lauroxil 1 mg

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, 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 Oct 01, 2019
Date added Added Oct 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 - J1944

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 1 MG 3.123 - - - - - -
January 1, 2024 - March 31, 2024 1 MG 3.109 - - - - - -
October 1, 2023 - December 31, 2023 1 MG 3.105 20% - - - - -
Jul 1, 2023 - Sep 30, 2023 1 MG 3.067 20% - - - - -
April 1, 2023 - June 30, 2023 1 MG 2.975 20% - - - - -

See also

  • HCPCS C9470 · Injection, aripiprazole lauroxil, 1 mg

  • HCPCS J1942 · Injection, aripiprazole lauroxil, 1 mg

  • HCPCS J1943 · Injection, aripiprazole lauroxil, (aristada initio), 1 mg

  • HCPCS J1945 · Injection, lepirudin, 50 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”