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HCPCS Details
HCPC | J1304 |
Short Description | Inj tofersen intrathec 1 mg |
Long Description | Injection, tofersen, 1 mg |
Pricing indicator | 51 |
Coverage code | C |
ASC payment group code | YY |
BETOS2 code | O1E |
Action code | A |
Type of service | 1 |
Effective date | 2024-01-01 |
Date Added | 2024-01-01 |
HCPCS/NDC Cross-Walk
NDC | HCPC | Description | Drug Name | Labeler Name | HCPCS Dosage | PKG Size | PKG QTY | Bill Units | Bill Units PKG |
---|---|---|---|---|---|---|---|---|---|
64406010901 | J1304 | Inj tofersen intrathec 1 mg | QALSODY | BIOGEN MA INC. | 1 MG | 15 | 1 | 100 | 100 |
HCPCS Billing Calculator
Dosage given to patient (per dose) | |
---|---|
HCPCS Dosage | 1 MG |
HCPCS/CPT Billing Units | 1 |
Total doses ordered | |
Billing Units | 1 |