HCPCS Code Details - J2545

HCPCS Level II Code
Drugs administered other than oral method, chemotherapy drugs
HCPCS Code J2545
Description

Long description:
Pentamidine isethionate, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per 300 mg

Short description:
Pentamidine non-comp unit

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 D1G - Drugs Administered through DME
HCPCS Action code N - No maintenance for this code
Type of service 1 - Medical care
Effective date Effective Jan 01, 2008
Date added Added Jan 01, 1992
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 - J2545

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 300 MG 114.109 - - - - - -
January 1, 2021 - March 31, 2021 300 MG 92.771 - - - - - -
October 1, 2020 - December 31, 2020 300 MG 119.589 - - - - - -
July 1, 2020 - September 30, 2020 300 MG 107.336 - - - - - -
April 1, 2020 - June 30, 2020 300 MG 123.31 - - - - - -

See also

  • HCPCS J2543 · Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams)

  • HCPCS J7676 · Pentamidine isethionate, inhalation solution, compounded product, administered through dme, unit dose form, per 300 mg

  • HCPCS J2547 · Injection, peramivir, 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”