Table of content for "Inj delandistrogene mox rokl" (HCPCS J1413)
General information on the “J1413” code
HCPCS Code: J1413
Long Description: Injection, delandistrogene moxeparvovec-rokl, per therapeutic dose
Short Description: Inj delandistrogene mox rokl
Original information is taken from J1413 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: C – Carrier judgment
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