HCPCS Code Details - J7605

HCPCS Level II Code
Drugs administered other than oral method, chemotherapy drugs
HCPCS Code J7605
Description

Long description:
Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms

Short description:
Arformoterol non-comp unit

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 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, 2008
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 - J7605

Effective Code Dosage Payment
Limit
Vaccine AWP % Vaccine Limit Infusion AWP % DME infusion limit Blood AWP % Blood limit Clotting factor Note
October 1, 2017 - December 31, 2017 15 mcg 9.131 - - - - - -
July 1, 2017 - September 30, 2017 15 mcg 9.289 - - - - - -
April 1, 2017 - June 30, 2017 15 mcg 9.54 - - - - - -
January 1, 2017 - March 31, 2017 15 mcg 9.373 - - - - - -
October 1, 2016 - December 31, 2016 15 mcg 8.974 - - - - - -

See also

  • HCPCS J7604 · Acetylcysteine, inhalation solution, compounded product, administered through dme, unit dose form, per gram

  • HCPCS J7606 · Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms


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”