HCPCS Code Details - J9100

HCPCS Level II Code
Drugs administered other than oral method, chemotherapy drugs
HCPCS Code J9100
Description

Long description:
Injection, cytarabine, 100 mg

Short description:
Cytarabine hcl 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
BETOS2 code O1D - Chemotherapy
HCPCS Action code N - No maintenance for this code
Type of service 1 - Medical care
Effective date Effective Jan 01, 2009
Date added Added Jan 01, 1986
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 - J9100

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 100 MG 0.748 - - - - - -
January 1, 2021 - March 31, 2021 100 MG 0.692 - - - - - -
October 1, 2020 - December 31, 2020 100 MG 0.68 - - - - - -
July 1, 2020 - September 30, 2020 100 MG 0.708 - - - - - -
April 1, 2020 - June 30, 2020 100 MG 0.66 - - - - - -

See also

  • HCPCS J9098 · Injection, cytarabine liposome, 10 mg

  • HCPCS J9118 · Injection, calaspargase pegol-mknl, 10 units


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”