HCPCS Code Details - J9245

HCPCS Level II Code
Drugs administered other than oral method, chemotherapy drugs
HCPCS Code J9245
Description

Long description:
Injection, melphalan hydrochloride, not otherwise specified, 50 mg

Short description:
Inj melpha hydroch nos 50 mg

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 Jul 01, 2020
Date added Added Jan 01, 1995
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 - J9245

Effective Code Dosage Payment
Limit
Vaccine AWP % Vaccine Limit Infusion AWP % DME infusion limit Blood AWP % Blood limit Clotting factor Note
October 1, 2024 - December 31, 2024 50 MG 153.536 - - - - - -
Jul 1, 2024 - Sep 30, 2024 50 MG 155.331 - - - - - -
April 1, 2024 - June 30, 2024 50 MG 167.76 - - - - - -
January 1, 2024 - March 31, 2024 50 MG 148.021 - - - - - -
October 1, 2023 - December 31, 2023 50 MG 176.252223484365 20% - - - - -

See also

  • HCPCS J9230 · Injection, mechlorethamine hydrochloride, (nitrogen mustard), 10 mg

  • HCPCS J9246 · Injection, melphalan (evomela), 1 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”