Table of content for "Dextran 40 infusion" (HCPCS J7100)
General information on the “J7100” code
HCPCS Code: J7100
Long Description: Infusion, dextran 40, 500 ml
Short Description: Dextran 40 infusion
Original information is taken from J7100 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
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: 19820101
Code Effective Date: 19970101
Action Code: N – No maintenance for this code