Q2009 HCPCS - INJECTION, FOSPHENYTOIN, 50 MG PHENYTOIN EQUIVALENT

Code Information

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
- P - Lump sum purchase of DME, prosthetics, orthotics

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
Coverage Code: D - Special coverage instructions apply
ASC Payment Group Effective Date: 1/1/2020

Field Name	Field Value
Healthcare Common Procedure Coding System Code	Q2009
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	Injection, fosphenytoin, 50 mg phenytoin equivalent
HCPCS Short Description	Fosphenytoin inj pe
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
HCPCS Statute Number	1861S2B
HCPCS Coverage Code	D - Special coverage instructions apply
HCPCS ASC Payment Group Code	YY
HCPCS ASC Payment Group Effective Date	1/1/2020
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	P - Lump sum purchase of DME, prosthetics, orthotics
HCPCS Anesthesia Base Unit Quantity	0
HCPCS Code Added Date	7/1/2000
HCPCS Action Effective Date	1/1/2020
HCPCS Action Code	N - No maintenance for this code