HCPCS Code Details - J0898

HCPCS Level II Code
Drugs administered other than oral method, chemotherapy drugs
HCPCS Code J0898
Description

Long description:
Injection, argatroban (auromedics), not therapeutically equivalent to j0883, 1 mg (for non-esrd use)

Short description:
Argatroban nonesrd (auromed)

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
ASC payment group code Effective Jan 01, 2023 - 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 9 - Other medical items or services
Effective date Effective Jan 01, 2023
Date added Added Jan 01, 2023
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 - J0898

Effective Code Dosage Payment
Limit
Vaccine AWP % Vaccine Limit Infusion AWP % DME infusion limit Blood AWP % Blood limit Clotting factor Note
Jul 1, 2023 - Sep 30, 2023 1 MG 1.642 20% - - - - -
April 1, 2023 - June 30, 2023 1 MG 2.029 20% - - - - -
January 1, 2023 - March 31, 2023 1 MG 2.185 - - - - - -

See also

  • HCPCS J0897 · Injection, denosumab, 1 mg

  • HCPCS J0899 · Injection, argatroban (auromedics), not therapeutically equivalent to j0884, 1 mg (for esrd on dialysis)


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”