Table of content for "Vyjuvek 5x10^9pfu/ml, 0.1 ml" (HCPCS J3401)
General information on the “J3401” code
HCPCS Code: J3401
Long Description: Beremagene geperpavec-svdt for topical administration, containing nominal 5 x 10^9 pfu/ml vector genomes, per 0.1 ml
Short Description: Vyjuvek 5x10^9pfu/ml, 0.1 ml
Original information is taken from J3401 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