HCPCS Code Details - J9226

HCPCS Level II Code
Drugs administered other than oral method, chemotherapy drugs
HCPCS Code J9226
Description

Long description:
Histrelin implant (supprelin la), 50 mg

Short description:
Supprelin la implant

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, 2008 - 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, 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 - J9226

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 50 MG 41773.132 - - - - - -
January 1, 2021 - March 31, 2021 50 MG 40116.002 - - - - - -
October 1, 2020 - December 31, 2020 50 MG 40237.001 - - - - - -
July 1, 2020 - September 30, 2020 50 MG 38414.971 - - - - - -
April 1, 2020 - June 30, 2020 50 MG 38257.814 - - - - - -

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”