HCPCS Code Details - J2354

HCPCS Level II Code
Drugs administered other than oral method, chemotherapy drugs
HCPCS Code J2354
Description

Long description:
Injection, octreotide, non-depot form for subcutaneous or intravenous injection, 25 mcg

Short description:
Octreotide inj, non-depot

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 Jan 01, 2004
Date added Added Jan 01, 2004
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 - J2354

Effective Code Dosage Payment
Limit
Vaccine AWP % Vaccine Limit Infusion AWP % DME infusion limit Blood AWP % Blood limit Clotting factor Note
Jul 1, 2021 - Sep 30, 2021 25 MCG 1.039 - - - - - -
April 1, 2021 - June 30, 2021 25 MCG 1.026 - - - - - -
January 1, 2021 - March 31, 2021 25 MCG 0.737 - - - - - -
October 1, 2020 - December 31, 2020 25 MCG 0.948 - - - - - -
July 1, 2020 - September 30, 2020 25 MCG 0.829 - - - - - -

See also

  • HCPCS J2353 · Injection, octreotide, depot form for intramuscular injection, 1 mg

  • HCPCS J2355 · Injection, oprelvekin, 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”