Table of content for "Hydroxyzine hcl injection" (HCPCS J3410)
General information on the “J3410” code
HCPCS Code: J3410
Long Description: Injection, hydroxyzine hcl, up to 25 mg
Short Description: Hydroxyzine hcl injection
Original information is taken from J3410 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: 19820101
Code Effective Date: 19970101
Action Code: N – No maintenance for this code