Table of content for "Dimethyl sulfoxide 50% 50 ml" (HCPCS J1212)
General information on the “J1212” code
HCPCS Code: J1212
Long Description: Injection, dmso, dimethyl sulfoxide, 50%, 50 ml
Short Description: Dimethyl sulfoxide 50% 50 ml
Original information is taken from J1212 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: 45-23
Coverage
Coverage: D – Special coverage instructions apply
ASC Payment Group: YY
ASC Payment Group Effective Date: 20170101
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: 19860101
Code Effective Date: 20170101
Action Code: N – No maintenance for this code