Table of content for "Hydroxocobalamin im 10mcg" (HCPCS J3425)
General information on the “J3425” code
HCPCS Code: J3425
Long Description: Injection, hydroxocobalamin, intramuscular, 10 mcg
Short Description: Hydroxocobalamin im 10mcg
Original information is taken from J3425 page
Pricing indicators
Pricing Indicator Code 1: 51 – Drugs
Multiple Pricing Indicator Code A : Not applicable as HCPCS priced under one methodology
Certification and additional reference information
Coverage Issues Manual Reference Section Number 1: 45-4
Coverage
Coverage: D – Special coverage instructions apply
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: 20240101
Code Effective Date: 20240401
Action Code: N – No maintenance for this code