Table of content for "Inj, ganciclovir (exela)" (HCPCS J1574)
General information on the “J1574” code
HCPCS Code: J1574
Long Description: Injection, ganciclovir sodium (exela), not therapeutically equivalent to j1570, 500 mg
Short Description: Inj, ganciclovir (exela)
Original information is taken from J1574 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: 20230101
Code Effective Date: 20240701
Action Code: N – No maintenance for this code