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J3 HCPCS - COMPETITIVE ACQUISITION PROGRAM (CAP), DRUG NOT AVAILABLE THROUGH CAP AS WRITTEN, REIMBURSED UNDER AVERAGE SALES PRICE METHODOLOGY

Code Information

HCPCS Code: J3

Sequence Number: 0010

Short Description: Cap drug unavail thru cap

Long Description: Competitive acquisition program (cap), drug not available through cap as written, reimbursed under average sales price methodology

Code Added Date: 1/1/2006

Action Code: N - No maintenance for this code

Action Effective Date: 1/1/2006

Classification: Drugs Administered Other Than Oral Method, Chemotherapy Drugs

Coding System: HCPCS

Code Type

Berenson-Eggers Type Of Service Code: N/A
Type Of Service Code:
    N/A

    Billing Information

    Pricing Indicator Code:
      N/A
      Multiple Pricing Indicator Code: N/A
      Coverage Issues Manual Reference Section Number:
        N/A
        Medicare Carriers Manual Reference Section Number:
          N/A
          Coverage Code: C - Carrier judgment

          HCPCS Record

          Field Name Field Value
          Healthcare Common Procedure Coding System Code J3
          HCPCS Sequence Number 0010
          HCPCS Record Identification Code 7 - First line of modifier record also contains detail information in positions 92-275
          HCPCS Long Description Competitive acquisition program (cap), drug not available through cap as written, reimbursed under average sales price methodology
          HCPCS Short Description Cap drug unavail thru cap
          HCPCS Coverage Code C - Carrier judgment
          HCPCS Code Added Date 1/1/2006
          HCPCS Action Effective Date 1/1/2006
          HCPCS Action Code N - No maintenance for this code

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