Table of content for "Dexmedetomidine film, 1 mcg" (HCPCS J1105)
General information on the “J1105” code
HCPCS Code: J1105
Long Description: Dexmedetomidine, oral, 1 mcg
Short Description: Dexmedetomidine film, 1 mcg
Original information is taken from J1105 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: I – Not payable by Medicare
ASC Payment Group: YY
ASC Payment Group Effective Date: 20240101
Type of service
Berenson-Eggers Type of Service (BETOS): O1E – Other drugs
Type Of Service 1: 1 – Medical care
Misc information
Anesthesia Base Unit Quantity: 0
Code Added Date: 20240101
Code Effective Date: 20240101
Action Code: N – No maintenance for this code