HCPCS Code Details - J0130

HCPCS Level II Code
Drugs administered other than oral method, chemotherapy drugs
HCPCS Code J0130
Description

Long description:
Injection abciximab, 10 mg

Short description:
Abciximab 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 P - Payment change (MOG, pricing indicator codes, anesthesia base units,Ambulatory Surgical Centers)
Type of service 1 - Medical care
Effective date Effective Jan 01, 2018
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 - J0130

Effective Code Dosage Payment
Limit
Vaccine AWP % Vaccine Limit Infusion AWP % DME infusion limit Blood AWP % Blood limit Clotting factor Note
October 1, 2018 - December 31, 2018 10 MG 1299.262 - - - - - -
July 1, 2018 - September 30, 2018 10 MG 1285.637 - - - - - -
April 1, 2018 - June 30, 2018 10 MG 1204.494 - - - - - -
January 1, 2018 - March 31, 2018 10 MG 1206.831 - - - - - -
October 1, 2017 - December 31, 2017 10 MG 1215.197 - - - - - -

See also

  • HCPCS J0129 · Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)

  • HCPCS J0131 · Injection, acetaminophen, 10 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”