HCPCS Code Details - J7294

HCPCS Level II Code
Drugs administered other than oral method, chemotherapy drugs
HCPCS Code J7294
Description

Long description:
Segesterone acetate and ethinyl estradiol 0.15mg, 0.013mg per 24 hours; yearly vaginal system, each

Short description:
Seg acet and eth estr yearly

HCPCS Modifier1
HCPCS Pricing indicator 00 - Physician Fee Schedule And Non-Physician Practitioners - Service not separately priced by part B (e.g., services not covered, bundled, used by Part A only, etc.)
Multiple pricing indicator 9 - Not applicable as HCPCS not priced separately by part B or value is not established
Statute number 1862(a)(1)
Coverage code S - Non-covered by Medicare statute
BETOS2 code Z2 - Undefined codes
HCPCS Action code N - No maintenance for this code
Type of service 9 - Other medical items or services
Effective date Effective Oct 01, 2021
Date added Added Oct 01, 2021
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

See also

  • HCPCS J7214 · Injection, factor viii/von willebrand factor complex, recombinant (altuviiio), per factor viii i.u.

  • HCPCS J7295 · Ethinyl estradiol and etonogestrel 0.015mg, 0.12mg per 24 hours; monthly vaginal ring, each


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”