HCPCS Code Details - J1626

HCPCS Level II Code
Drugs administered other than oral method, chemotherapy drugs
HCPCS Code J1626
Description

Long description:
Injection, granisetron hydrochloride, 100 mcg

Short description:
Granisetron hcl injection

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, 2009
Date added Added Jan 01, 1998
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 - J1626

Effective Code Dosage Payment
Limit
Vaccine AWP % Vaccine Limit Infusion AWP % DME infusion limit Blood AWP % Blood limit Clotting factor Note
April 1, 2021 - June 30, 2021 100 MCG 0.324 - - - - - -
January 1, 2021 - March 31, 2021 100 MCG 0.222 - - - - - -
October 1, 2020 - December 31, 2020 100 MCG 0.314 - - - - - -
July 1, 2020 - September 30, 2020 100 MCG 0.26 - - - - - -
April 1, 2020 - June 30, 2020 100 MCG 0.292 - - - - - -

See also

  • HCPCS J1620 · Injection, gonadorelin hydrochloride, per 100 mcg

  • HCPCS J1627 · Injection, granisetron, extended-release, 0.1 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”