Showing codes J9376 (Injection, pozelimab-bbfg, 1 mg) — K0009 (Other manual wheelchair/base)
J9376 - Inj pozelimab-bbfg, 1 mg
Long description: Injection, pozelimab-bbfg, 1 mg
Code added date: 20240401.
Code effective date: 20240401.
Pricing Indicator Code(s):
51
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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J9380 - Inj teclistamab cqyv 0.5 mg
Long description: Injection, teclistamab-cqyv, 0.5 mg
Code added date: 20230701.
Code effective date: 20230701.
Pricing Indicator Code(s):
51
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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J9381 - Inj teplizumab mzwv 5 mcg
Long description: Injection, teplizumab-mzwv, 5 mcg
Code added date: 20230701.
Code effective date: 20230701.
Pricing Indicator Code(s):
51
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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J9390 - Vinorelbine tartrate inj
Long description: Injection, vinorelbine tartrate, 10 mg
Code added date: 19960101.
Code effective date: 20090101.
Pricing Indicator Code(s):
51
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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J9393 - Inj, fulvestrant (teva)
Long description: Injection, fulvestrant (teva), not therapeutically equivalent to j9395, 25 mg
Code added date: 20230101.
Code effective date: 20240701.
Pricing Indicator Code(s):
51
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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J9394 - Inj, fulvestrant (fresenius)
Long description: Injection, fulvestrant (fresenius kabi) not therapeutically equivalent to j9395, 25 mg
Code added date: 20230101.
Code effective date: 20230101.
Pricing Indicator Code(s):
51
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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J9395 - Injection, fulvestrant
Long description: Injection, fulvestrant, 25 mg
Code added date: 20040101.
Code effective date: 20040101.
Pricing Indicator Code(s):
51
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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J9400 - Inj, ziv-aflibercept, 1mg
Long description: Injection, ziv-aflibercept, 1 mg
Code added date: 20140101.
Code effective date: 20140101.
Pricing Indicator Code(s):
51
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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J9600 - Porfimer sodium injection
Long description: Injection, porfimer sodium, 75 mg
Code added date: 19980101.
Code effective date: 20090101.
Pricing Indicator Code(s):
51
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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J9999 - Chemotherapy drug
Long description: Not otherwise classified, antineoplastic drugs
Code added date: 19860101.
Code effective date: 19970101.
Pricing Indicator Code(s):
51
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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JA - Administered intravenously
Long description: Administered intravenously
Code added date: 20070101.
Code effective date: 20070101.
Coverage Code: C (A code denoting Medicare coverage status).
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JB - Administered subcutaneously
Long description: Administered subcutaneously
Code added date: 20070101.
Code effective date: 20070101.
Coverage Code: C (A code denoting Medicare coverage status).
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JC - Skin substitute graft
Long description: Skin substitute used as a graft
Code added date: 20090101.
Code effective date: 20090101.
Coverage Code: C (A code denoting Medicare coverage status).
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JD - Skin sub not used as a graft
Long description: Skin substitute not used as a graft
Code added date: 20090101.
Code effective date: 20090101.
Coverage Code: C (A code denoting Medicare coverage status).
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JE - Administered via dialysate
Long description: Administered via dialysate
Code added date: 20130701.
Code effective date: 20130701.
Coverage Code: C (A code denoting Medicare coverage status).
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JF - Compounded drug
Long description: Compounded drug
Code added date: 20150401.
Code effective date: 20150701.
Coverage Code: C (A code denoting Medicare coverage status).
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JG - 340b acquired drug
Long description: Drug or biological acquired with 340b drug pricing program discount, reported for informational purposes
Code added date: 20180101.
Code effective date: 20250101.
Coverage Code: C (A code denoting Medicare coverage status).
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JK - Drug supply 1 month or less
Long description: One month supply or less of drug or biological
Code added date: 20230401.
Code effective date: 20230401.
Coverage Code: C (A code denoting Medicare coverage status).
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JL - Drug 3 month supply
Long description: Three month supply of drug or biological
Code added date: 20230401.
Code effective date: 20230401.
Coverage Code: C (A code denoting Medicare coverage status).
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JW - Discarded drug not administe
Long description: Drug amount discarded/not administered to any patient
Code added date: 20030101.
Code effective date: 20030101.
Coverage Code: C (A code denoting Medicare coverage status).
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JZ - Zero drug wasted
Long description: Zero drug amount discarded/not administered to any patient
Code added date: 20230101.
Code effective date: 20230101.
Coverage Code: C (A code denoting Medicare coverage status).
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K0 - Lwr ext prost functnl lvl 0
Long description: Lower extremity prosthesis functional level 0 - does not have the ability or potential to ambulate or transfer safely with or without assistance and a prosthesis does not enhance their quality of life or mobility.
Code added date: 19930101.
Code effective date: 20030101.
Coverage Code: C (A code denoting Medicare coverage status).
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K0001 - Standard wheelchair
Long description: Standard wheelchair
Code added date: 19940101.
Code effective date: 19940101.
Pricing Indicator Code(s):
36
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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K0002 - Stnd hemi (low seat) whlchr
Long description: Standard hemi (low seat) wheelchair
Code added date: 19940101.
Code effective date: 19940101.
Pricing Indicator Code(s):
36
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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K0003 - Lightweight wheelchair
Long description: Lightweight wheelchair
Code added date: 19940101.
Code effective date: 19940101.
Pricing Indicator Code(s):
36
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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K0004 - High strength ltwt whlchr
Long description: High strength, lightweight wheelchair
Code added date: 19940101.
Code effective date: 19940101.
Pricing Indicator Code(s):
36
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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K0005 - Ultralightweight wheelchair
Long description: Ultralightweight wheelchair
Code added date: 19940101.
Code effective date: 19940101.
Pricing Indicator Code(s):
32
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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K0006 - Heavy duty wheelchair
Long description: Heavy duty wheelchair
Code added date: 19940101.
Code effective date: 19940101.
Pricing Indicator Code(s):
36
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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K0007 - Extra heavy duty wheelchair
Long description: Extra heavy duty wheelchair
Code added date: 19940101.
Code effective date: 19940101.
Pricing Indicator Code(s):
36
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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K0008 - Cstm manual wheelchair/base
Long description: Custom manual wheelchair/base
Code added date: 20130701.
Code effective date: 20130701.
Pricing Indicator Code(s):
45
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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K0009 - Other manual wheelchair/base
Long description: Other manual wheelchair/base
Code added date: 19940101.
Code effective date: 20130701.
Pricing Indicator Code(s):
36
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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PDF