Table of content for "Pyridoxine hcl 100 mg" (HCPCS J3415)
General information on the “J3415” code
HCPCS Code: J3415
Long Description: Injection, pyridoxine hcl, 100 mg
Short Description: Pyridoxine hcl 100 mg
Original information is taken from J3415 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
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: 20040101
Code Effective Date: 20040101
Action Code: N – No maintenance for this code