HCPCS Code Details - J2916

HCPCS Level II Code
Drugs administered other than oral method, chemotherapy drugs
HCPCS Code J2916
Description

Long description:
Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg

Short description:
Na ferric gluconate complex

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 O1E - Other drugs
HCPCS Action code N - No maintenance for this code
Type of service 1 - Medical care
Effective date Effective Jan 01, 2003
Date added Added Jan 01, 2003
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 - J2916

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 12.5 MG 1.942 - - - - - -
January 1, 2021 - March 31, 2021 12.5 MG 2.007 - - - - - -
October 1, 2020 - December 31, 2020 12.5 MG 2.085 - - - - - -
July 1, 2020 - September 30, 2020 12.5 MG 1.94 - - - - - -
April 1, 2020 - June 30, 2020 12.5 MG 1.973 - - - - - -

See also

  • HCPCS J2910 · Injection, aurothioglucose, up to 50 mg

  • HCPCS J2920 · Injection, methylprednisolone sodium succinate, up to 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”