HCPCS Code Details - J0873

HCPCS Level II Code
Drugs administered other than oral method, chemotherapy drugs
HCPCS Code J0873

Long description:
Injection, daptomycin (xellia) not therapeutically equivalent to j0878, 1 mg

Short description:
Inj, daptomycin (xellia)

HCPCS Modifier1
HCPCS Pricing indicator 51 - Drugs
Multiple pricing indicator A - Not applicable as HCPCS priced under one methodology
Coverage code C - Carrier judgment
BETOS2 code O1E - Other drugs
HCPCS Action code A - Add procedure or modifier code
Type of service 1 - Medical care
Effective date Effective Jan 01, 2024
Date added Added Jan 01, 2024
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 - J0873

Effective Code Dosage Payment
Vaccine AWP % Vaccine Limit Infusion AWP % DME infusion limit Blood AWP % Blood limit Clotting factor Note
January 1, 2024 - March 31, 2024 1 MG 0.05 - - - - - -

See also

  • HCPCS J0850 · Injection, cytomegalovirus immune globulin intravenous (human), per vial

  • HCPCS J0874 · Injection, daptomycin (baxter), not therapeutically equivalent to j0878, 1 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”