HCPCS Code Details - J0597

HCPCS Level II Code
Drugs administered other than oral method, chemotherapy drugs
HCPCS Code J0597
Description

Long description:
Injection, c-1 esterase inhibitor (human), berinert, 10 units

Short description:
C-1 esterase, berinert

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 Jan 01, 2011 - 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 Jan 01, 2011
Date added Added Jan 01, 2011
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 - J0597

Effective Code Dosage Payment
Limit
Vaccine AWP % Vaccine Limit Infusion AWP % DME infusion limit Blood AWP % Blood limit Clotting factor Note
Jul 1, 2021 - Sep 30, 2021 10 UNITS 57.494 - - - - - -
April 1, 2021 - June 30, 2021 10 UNITS 54.263 - - - - - -
January 1, 2021 - March 31, 2021 10 UNITS 54.326 - - - - - -
October 1, 2020 - December 31, 2020 10 UNITS 54.134 - - - - - -
July 1, 2020 - September 30, 2020 10 UNITS 51.26 - - - - - -

See also

  • HCPCS J0596 · Injection, c1 esterase inhibitor (recombinant), ruconest, 10 units

  • HCPCS C9015 · Injection, c-1 esterase inhibitor (human), haegarda, 10 units

  • HCPCS C9445 · Injection, c-1 esterase inhibitor (recombinant), ruconest, 10 units

  • HCPCS J0598 · Injection, c-1 esterase inhibitor (human), cinryze, 10 units

  • HCPCS J0599 · Injection, c-1 esterase inhibitor (human), (haegarda), 10 units


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”