HCPCS Code Details - J2469

HCPCS Level II Code
Drugs administered other than oral method, chemotherapy drugs
HCPCS Code J2469
Description

Long description:
Injection, palonosetron hcl, 25 mcg

Short description:
Palonosetron hcl

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 P - Payment change (MOG, pricing indicator codes, anesthesia base units,Ambulatory Surgical Centers)
Type of service 1 - Medical care
Effective date Effective Jan 01, 2024
Date added Added Jan 01, 2005
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 - J2469

Effective Code Dosage Payment
Limit
Vaccine AWP % Vaccine Limit Infusion AWP % DME infusion limit Blood AWP % Blood limit Clotting factor Note
January 1, 2024 - March 31, 2024 25 MCG 0.845 - - - - - -
October 1, 2023 - December 31, 2023 25 MCG 0.884 20% - - - - -
Jul 1, 2023 - Sep 30, 2023 25 MCG 1.001 20% - - - - -
April 1, 2023 - June 30, 2023 25 MCG 1.297 20% - - - - -
January 1, 2023 - March 31, 2023 25 MCG 1.013 - - - - - -

See also


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”