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    HCPCS Details

    HCPC J9165
    Short Description Diethylstilbestrol injection
    Long Description Injection, diethylstilbestrol diphosphate, 250 mg
    Pricing indicator 51
    Coverage code D
    ASC payment group code
    BETOS2 code O1D
    Action code N
    Type of service 1
    Effective date 2009-01-01
    Date Added 1988-01-01