HCPCS Code Details - J1364

HCPCS Level II Code
Drugs administered other than oral method, chemotherapy drugs
HCPCS Code J1364
Description

Long description:
Injection, erythromycin lactobionate, per 500 mg

Short description:
Erythro lactobionate /500 mg

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, 2022
Date added Added Jan 01, 1995
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 - J1364

Effective Code Dosage Payment
Limit
Vaccine AWP % Vaccine Limit Infusion AWP % DME infusion limit Blood AWP % Blood limit Clotting factor Note
January 1, 2022 - March 31, 2022 500 MG 75.253 - - - - - -
October 1, 2021 - December 31, 2021 500 MG 77.745 - - - - - -
Jul 1, 2021 - Sep 30, 2021 500 MG 78.744 - - - - - -
April 1, 2021 - June 30, 2021 500 MG 76.706 - - - - - -
January 1, 2021 - March 31, 2021 500 MG 73.737 - - - - - -

See also

  • HCPCS J1335 · Injection, ertapenem sodium, 500 mg

  • HCPCS J1380 · Injection, estradiol valerate, up to 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”