HCPCS Code Details - J0795

HCPCS Level II Code
Drugs administered other than oral method, chemotherapy drugs
HCPCS Code J0795
Description

Long description:
Injection, corticorelin ovine triflutate, 1 microgram

Short description:
Corticorelin ovine triflutal

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, 2023
Date added Added Jan 01, 2006
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 - J0795

Effective Code Dosage Payment
Limit
Vaccine AWP % Vaccine Limit Infusion AWP % DME infusion limit Blood AWP % Blood limit Clotting factor Note
1 MCG 9.673 - - - - - -
1 MCG 9.673 - - - - - -
1 MCG 9.57 - - - - - -
1 MCG 9.377 - - - - - -
1 MCG 9.37 - - - - - -

See also

  • HCPCS J0791 · Injection, crizanlizumab-tmca, 5 mg

  • HCPCS J0799 · Fda approved prescription drug, only for use as hiv pre-exposure prophylaxis (not for use as treatment of hiv), not otherwise classified


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”