Table of content for "Hydroxyprogesterone caproate" (HCPCS J1725)
General information on the “J1725” code
HCPCS Code: J1725
Long Description: Injection, hydroxyprogesterone caproate, 1 mg
Short Description: Hydroxyprogesterone caproate
Original information is taken from J1725 page
Pricing indicators
Pricing Indicator Code 1: 00 – Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)
Multiple Pricing Indicator Code 9 : Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99')
Certification and additional reference information
Coverage
Coverage: I – Not payable by Medicare
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: 20120101
Code Effective Date: 20180101
Termination Date: 20171231
Action Code: N – No maintenance for this code