Table of content for "Histrelin acetate" (HCPCS J1675)
General information on the “J1675” code
HCPCS Code: J1675
Long Description: Injection, histrelin acetate, 10 micrograms
Short Description: Histrelin acetate
Original information is taken from J1675 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
Processing Note Number: 0095
Berenson-Eggers Type of Service (BETOS): O1E – Other drugs
Type Of Service 1: 1 – Medical care
Type Of Service 2: G – Immunosuppressive drugs
Misc information
Anesthesia Base Unit Quantity: 0
Code Added Date: 20060101
Code Effective Date: 20060101
Action Code: N – No maintenance for this code