HCPCS Code Details - J9310

HCPCS Level II Code
Drugs administered other than oral method, chemotherapy drugs
HCPCS Code J9310
Description

Long description:
Injection, rituximab, 100 mg

Short description:
Rituximab injection

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 D - Discontinue procedure or modifier code
Type of service 1 - Medical care
Effective date Effective Jan 01, 2019
Date added Added Jan 01, 1999
Termination date Dec 31, 2018
HCPCS Coding Procedures
  HCPCS Code J9310 has been discontinued effective Jan 01, 2019.

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 - J9310

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 100 MG 919.854 - - - - - -
July 1, 2018 - September 30, 2018 100 MG 915.296 - - - - - -
April 1, 2018 - June 30, 2018 100 MG 883.683 - - - - - -
January 1, 2018 - March 31, 2018 100 MG 877.833 - - - - - -
100 MG 848.408 - - - - - -

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”