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HCPCS Details
HCPC | J0289 |
Short Description | Amphotericin b liposome inj |
Long Description | Injection, amphotericin b liposome, 10 mg |
Pricing indicator | 51 |
Coverage code | D |
ASC payment group code | YY |
BETOS2 code | O1E |
Action code | N |
Type of service | 1 |
Effective date | 2003-01-01 |
Date Added | 2003-01-01 |
HCPCS/NDC Cross-Walk
NDC | HCPC | Description | Drug Name | Labeler Name | HCPCS Dosage | PKG Size | PKG QTY | Bill Units | Bill Units PKG |
---|---|---|---|---|---|---|---|---|---|
00469305130 | J0289 | Amphotericin b liposome inj | Ambisome | ASTELLAS PHARMA US INC. | 10 MG | 1 | 1 | 5 | 5 |
55150036501 | J0289 | Amphotericin b liposome inj | AMPHOTERICIN B LIPOSOME | EUGIA US LLC | 10 MG | 1 | 1 | 5 | 5 |
HCPCS Billing Calculator
Dosage given to patient (per dose) | |
---|---|
HCPCS Dosage | 10 MG |
HCPCS/CPT Billing Units | 0.1 |
Total doses ordered | |
Billing Units | 0.1 |