Search by Drug Name, NDC or Jcode
Internal Navigation
HCPCS Details
HCPC | Q9991 |
Short Description | Buprenorph xr 100 mg or less |
Long Description | Injection, buprenorphine extended-release (sublocade), less than or equal to 100 mg |
Pricing indicator | 51 |
Coverage code | C |
ASC payment group code | YY |
BETOS2 code | O1E |
Action code | N |
Type of service | 1 |
Effective date | 2018-07-01 |
Date Added | 2018-07-01 |
HCPCS/NDC Cross-Walk
NDC | HCPC | Description | Drug Name | Labeler Name | HCPCS Dosage | PKG Size | PKG QTY | Bill Units | Bill Units PKG |
---|---|---|---|---|---|---|---|---|---|
12496010001 | Q9991 | Buprenorph xr 100 mg or less | SUBLOCADE | INDIVIOR INC. | LESS THAN OR EQUAL TO 100 MG | 0.5 | 1 | 1 | 1 |
HCPCS Billing Calculator
Dosage given to patient (per dose) | |
---|---|
HCPCS Dosage | LESS THAN OR EQUAL TO 100 MG |
HCPCS/CPT Billing Units | 0.01 |
Total doses ordered | |
Billing Units | 0.01 |