J7504 HCPCS - LYMPHOCYTE IMMUNE GLOBULIN, ANTITHYMOCYTE GLOBULIN, EQUINE, PARENTERAL, 250 MG

Code Information

HCPCS Code: J7504

Sequence Number: 0010

Short Description: Lymphocyte immune globulin

Long Description: Lymphocyte immune globulin, antithymocyte globulin, equine, parenteral, 250 mg

Code Added Date: 1/1/1988

Action Code: N - No maintenance for this code

Action Effective Date: 1/1/2002

Classification: Drugs Administered Other Than Oral Method, Chemotherapy Drugs

Coding System: HCPCS

Code Type

Berenson-Eggers Type Of Service Code: O1E - Other drugs
Type Of Service Code:
  • 1 - Whole blood only eff 01/96, whole blood or packed red cells before 01/96
  • G - Immunosuppressive drugs

Billing Information

Pricing Indicator Code:
  • 51 - Drugs
Multiple Pricing Indicator Code: A - Not applicable as HCPCS priced under one methodology
Coverage Issues Manual Reference Section Number:
  • 45-22
Medicare Carriers Manual Reference Section Number:
  • 2049
Coverage Code: D - Special coverage instructions apply
ASC Payment Group Effective Date:1/1/2008

HCPCS Record

Field Name Field Value
Healthcare Common Procedure Coding System Code J7504
HCPCS Sequence Number 0010
HCPCS Record Identification Code 3 - First line of procedure record also contains detail information in positions 92-275
HCPCS Long Description Lymphocyte immune globulin, antithymocyte globulin, equine, parenteral, 250 mg
HCPCS Short Description Lymphocyte immune globulin
HCPCS Pricing Indicator Code 1 51 - Drugs
HCPCS Multiple Pricing Indicator Code A - Not applicable as HCPCS priced under one methodology
HCPCS Coverage Issues Manual Reference Section Number 1 45-22
HCPCS Medicare Carriers Manual Reference Section Number 1 2049
HCPCS Coverage Code D - Special coverage instructions apply
HCPCS ASC Payment Group Code YY
HCPCS ASC Payment Group Effective Date 1/1/2008
HCPCS Berenson-Eggers Type Of Service Code O1E - Other drugs
HCPCS Type Of Service Code 1 1 - Whole blood only eff 01/96, whole blood or packed red cells before 01/96
HCPCS Type Of Service Code 2 G - Immunosuppressive drugs
HCPCS Anesthesia Base Unit Quantity 0
HCPCS Code Added Date 1/1/1988
HCPCS Action Effective Date 1/1/2002
HCPCS Action Code N - No maintenance for this code

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This page was last updated on: 1/1/2018