Table of content for "Inj, lecanemab-irmb, 1 mg" (HCPCS J0174)
General information on the “J0174” code
HCPCS Code: J0174
Long Description: Injection, lecanemab-irmb, 1 mg
Short Description: Inj, lecanemab-irmb, 1 mg
Original information is taken from J0174 page
Pricing indicators
Pricing Indicator Code 1: 00 – Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)
Multiple Pricing Indicator Code 9 : Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99')
Certification and additional reference information
Coverage
Coverage: C – Carrier judgment
ASC Payment Group: YY
ASC Payment Group Effective Date: 20230706
Type of service
Berenson-Eggers Type of Service (BETOS): O1E – Other drugs
Type Of Service 1: 1 – Medical care
Type Of Service 2: P – Lump sum purchase of DME, prosthetics, orthotics
Misc information
Anesthesia Base Unit Quantity: 0
Code Added Date: 20230706
Code Effective Date: 20230706
Action Code: N – No maintenance for this code