HCPCS Code Details - J1955

HCPCS Level II Code
Drugs administered other than oral method, chemotherapy drugs
HCPCS Code J1955
Description

Long description:
Injection, levocarnitine, per 1 gm

Short description:
Inj levocarnitine per 1 gm

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, 1996
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 - J1955

Effective Code Dosage Payment
Limit
Vaccine AWP % Vaccine Limit Infusion AWP % DME infusion limit Blood AWP % Blood limit Clotting factor Note
1 GM 35.136 - - - - - -
January 1, 2024 - March 31, 2024 1 GM 35.321 - - - - - -
October 1, 2023 - December 31, 2023 1 GM 35.438 20% - - - - -
Jul 1, 2023 - Sep 30, 2023 1 GM 35.415 13.558% - - - - -
April 1, 2023 - June 30, 2023 1 GM 34.166 13.918% - - - - -

See also

  • HCPCS J1954 · Injection, leuprolide acetate for depot suspension (cipla), 7.5 mg

  • HCPCS J1956 · Injection, levofloxacin, 250 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”