J7513 HCPCS - DACLIZUMAB, PARENTERAL, 25 MG

Code Information

HCPCS Code: J7513

Sequence Number: 0010

Short Description: Daclizumab, parenteral

Long Description: Daclizumab, parenteral, 25 mg

Code Added Date: 1/1/1999

Action Code: P - Payment change (MOG, pricing indicator codes, anesthesia base units,Ambulatory Surgical Centers)

Action Effective Date: 1/1/2018

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:
    N/A
    Medicare Carriers Manual Reference Section Number:
    • 2049.5
    Coverage Code: D - Special coverage instructions apply

    HCPCS Record

    Field Name Field Value
    Healthcare Common Procedure Coding System Code J7513
    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 Daclizumab, parenteral, 25 mg
    HCPCS Short Description Daclizumab, parenteral
    HCPCS Pricing Indicator Code 1 51 - Drugs
    HCPCS Multiple Pricing Indicator Code A - Not applicable as HCPCS priced under one methodology
    HCPCS Medicare Carriers Manual Reference Section Number 1 2049.5
    HCPCS Coverage Code D - Special coverage instructions apply
    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 1/1/1999
    HCPCS Action Effective Date 1/1/2018
    HCPCS Action Code P - Payment change (MOG, pricing indicator codes, anesthesia base units,Ambulatory Surgical Centers)

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