HCPCS Code Details - J9259

HCPCS Level II Code
Drugs administered other than oral method, chemotherapy drugs
HCPCS Code J9259
Description

Long description:
Injection, paclitaxel protein-bound particles (american regent), not therapeutically equivalent to j9264, 1 mg

Short description:
Paclitaxel (american regent)

HCPCS Modifier1
HCPCS Pricing indicator 51 - Drugs
Multiple pricing indicator A - Not applicable as HCPCS priced under one methodology
Coverage code C - Carrier judgment
BETOS2 code O1E - Other drugs
HCPCS Action code D - Discontinue procedure or modifier code
Type of service 1 - Medical care
Effective date Effective Jan 01, 2025
Date added Added Jul 01, 2023
Termination date Dec 31, 2024
HCPCS Coding Procedures
  HCPCS Code J9259 has been discontinued effective Jan 01, 2025.

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 - J9259

Effective Code Dosage Payment
Limit
Vaccine AWP % Vaccine Limit Infusion AWP % DME infusion limit Blood AWP % Blood limit Clotting factor Note
Jul 1, 2024 - Sep 30, 2024 1 MG 15.398 - - - - - -
April 1, 2024 - June 30, 2024 1 MG 15.144 - - - - - -
January 1, 2024 - March 31, 2024 1 MG 15.453 - - - - - -
1 MG 16.226 20% - - - - -

See also

  • HCPCS J9258 · Injection, paclitaxel protein-bound particles (teva), not therapeutically equivalent to j9264, 1 mg

  • HCPCS J9264 · Injection, paclitaxel protein-bound particles, 1 mg

  • HCPCS J9260 · Injection, methotrexate sodium, 50 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”