HCPCS Code Details - J9185

HCPCS Level II Code
Drugs administered other than oral method, chemotherapy drugs
HCPCS Code J9185
Description

Long description:
Injection, fludarabine phosphate, 50 mg

Short description:
Fludarabine phosphate 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, 2018 - This procedure is approved to be performed in an ambulatory surgical center.
BETOS2 code O1D - Chemotherapy
HCPCS Action code P - Payment change (MOG, pricing indicator codes, anesthesia base units,Ambulatory Surgical Centers)
Type of service 1 - Medical care
Effective date Effective Jan 01, 2018
Date added Added Jan 01, 1994
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 - J9185

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 50 MG 59.936 - - - - - -
July 1, 2018 - September 30, 2018 50 MG 74.277 - - - - - -
April 1, 2018 - June 30, 2018 50 MG 76.616 - - - - - -
January 1, 2018 - March 31, 2018 50 MG 84.691 - - - - - -
October 1, 2017 - December 31, 2017 50 MG 104.887 - - - - - -

See also


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”