HCPCS Code Details - J1920

HCPCS Level II Code
Drugs administered other than oral method, chemotherapy drugs
HCPCS Code J1920
Description

Long description:
Injection, labetalol hydrochloride, 5 mg

Short description:
Inj, labetalol hcl, 5mg

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 N - No maintenance for this code
Type of service 1 - Medical care
Effective date Effective Jul 01, 2023
Date added Added Jul 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 - J1920

Effective Code Dosage Payment
Limit
Vaccine AWP % Vaccine Limit Infusion AWP % DME infusion limit Blood AWP % Blood limit Clotting factor Note
October 1, 2023 - December 31, 2023 5 MG 0.183194989926029 20% - - - - -
Jul 1, 2023 - Sep 30, 2023 5 MG 0.244 20% - - - - -

See also

  • HCPCS J1890 · Injection, cephalothin sodium, up to 1 gram

  • HCPCS J1921 · Injection, labetalol hydrochloride (hikma) not therapeutically equivalent to j1920, 5 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”