HCPCS Code Details - J9070

HCPCS Level II Code
Drugs administered other than oral method, chemotherapy drugs
HCPCS Code J9070
Description

Long description:
Cyclophosphamide, 100 mg

Short description:
Cyclophosphamide 100 mg inj

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
ASC payment group code Effective Jan 01, 2012 - This procedure is approved to be performed in an ambulatory surgical center.
BETOS2 code O1D - Chemotherapy
HCPCS Action code N - No maintenance for this code
Type of service 1 - Medical care
Effective date Effective Jan 01, 1997
Date added Added Jan 01, 1984
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 - J9070

Effective Code Dosage Payment
Limit
Vaccine AWP % Vaccine Limit Infusion AWP % DME infusion limit Blood AWP % Blood limit Clotting factor Note
January 1, 2023 - March 31, 2023 100 MG 22.131 - - - - - -
October 1, 2022 - December 31, 2022 100 MG 21.923 - - - - - -
Jul 1, 2022 - Sep 30, 2022 100 MG 26.87 - - - - - -
April 1, 2022 - June 30, 2022 100 MG 23.88 - - - - - -
January 1, 2022 - March 31, 2022 100 MG 27.473 - - - - - -

See also

  • HCPCS J9065 · Injection, cladribine, per 1 mg

  • HCPCS J9071 · Injection, cyclophosphamide, (auromedics), 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”