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    HCPCS Details

    HCPC J1440
    Short Description Fecal microbiota jslm 1 ml
    Long Description Fecal microbiota, live - jslm, 1 ml
    Pricing indicator 13
    Coverage code C
    ASC payment group code YY
    BETOS2 code T2D
    Action code N
    Type of service 1
    Effective date 2023-07-01
    Date Added 2023-07-01

    HCPCS/NDC Cross-Walk

    NDC HCPC Description Drug Name Labeler Name HCPCS Dosage PKG Size PKG QTY Bill Units Bill Units PKG
    55566980002 J1440 Fecal microbiota jslm 1 ml REBYOTA FERRING PHARMACEUTICALS, INC. 1 ML 1 1 150 150
    The ASP crosswalks are maintained by the Division of Data Analysis and Market Based Pricing to support ASP-based Medicare Part B payments only. The crosswalks are intended to help the public (including entities that submit manufacturer ASP data and providers who bill for drugs) understand which drug products (identified by NDCs) are assigned to which HCPCS billing codes. The crosswalks are not intended to be a comprehensive list of all drugs/NDCs available in the United States. The NDC to HCPCS Crosswalk also includes information on the NDC package size and the number of billable units (as defined by the HCPCS code descriptor). Comments on the file may be sent to [email protected].

    HCPCS Billing Calculator

    Dosage given to patient (per dose)
    HCPCS Dosage 1 ML
    HCPCS/CPT Billing Units 1
    Total doses ordered
    Billing Units 1