Table of content for "Diethylstilbestrol injection" (HCPCS J9165)
General information on the “J9165” code
HCPCS Code: J9165
Long Description: Injection, diethylstilbestrol diphosphate, 250 mg
Short Description: Diethylstilbestrol injection
Original information is taken from J9165 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): O1D – Chemotherapy
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: 19880101
Code Effective Date: 20090101
Action Code: N – No maintenance for this code