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 N - No maintenance for this code
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
October 1, 2024 - December 31, 2024 25 MCG 0.616 - - - - - -
Jul 1, 2024 - Sep 30, 2024 25 MCG 0.977 - - - - - -
April 1, 2024 - June 30, 2024 25 MCG 1.192 - - - - - -
January 1, 2024 - March 31, 2024 25 MCG 0.845 - - - - - -
October 1, 2023 - December 31, 2023 25 MCG 0.884 20% - - - - -

See also

  • HCPCS J2468 · Injection, palonosetron hydrochloride (avyxa), not therapeutically equivalent to j2469, 25 micrograms

  • HCPCS J2470 · Injection, pantoprazole sodium, 40 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”