HCPCS Code Details - J3358

HCPCS Level II Code
Drugs administered other than oral method, chemotherapy drugs
HCPCS Code J3358
Description

Long description:
Ustekinumab, for intravenous injection, 1 mg

Short description:
Ustekinumab, iv inject, 1 mg

HCPCS Modifier1
HCPCS Pricing indicator 51 - Drugs
Multiple pricing indicator A - Not applicable as HCPCS priced under one methodology
Coverage code C - Carrier judgment
ASC payment group code Effective Jan 01, 2018 - This procedure is approved to be performed in an ambulatory surgical center.
BETOS2 code O1E - Other drugs
HCPCS Action code A - Add procedure or modifier code
Type of service 1 - Medical care
Effective date Effective Jan 01, 2018
Date added Added Jan 01, 2018
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 - J3358

Effective Code Dosage Payment
Limit
Vaccine AWP % Vaccine Limit Infusion AWP % DME infusion limit Blood AWP % Blood limit Clotting factor Note
October 1, 2018 - December 31, 2018 1 MG 12.28 - - - - - -
July 1, 2018 - September 30, 2018 1 MG 12.549 - - - - - -
April 1, 2018 - June 30, 2018 1 MG 12.803 - - - - - -
January 1, 2018 - March 31, 2018 1 MG 12.852 - - - - - -

See also

  • HCPCS J3357 · Ustekinumab, for subcutaneous injection, 1 mg

  • HCPCS C9487 · Ustekinumab, for intravenous injection, 1 mg

  • HCPCS Q9989 · Ustekinumab, for intravenous injection, 1 mg

  • HCPCS J3360 · Injection, diazepam, up to 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”