Table of content for "Lymphocyte immune globulin" (HCPCS J7504)
General information on the “J7504” code
HCPCS Code: J7504
Long Description: Lymphocyte immune globulin, antithymocyte globulin, equine, parenteral, 250 mg
Short Description: Lymphocyte immune globulin
Original information is taken from J7504 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 Issues Manual Reference Section Number 1: 45-22
Coverage
Coverage: D – Special coverage instructions apply
ASC Payment Group: YY
ASC Payment Group Effective Date: 20080101
Type of service
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: 19880101
Code Effective Date: 20020101
Action Code: N – No maintenance for this code