HCPCS J0129

Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)

HCPCS Information

HCPCS Code: J0129
The Healthcare Common Procedure Coding System (HCPCS) is a set of unique alphanumeric codes used to report medical procedures and services to healthcare programs like Medicare and Medicaid. HCPCS codes are used in conjunction with NDC codes for billing and medical documentation puporses. For instance, HCPCS J0129 identifies the type of service or supply used while any of the 4 NDC codes below could be used to specify the exact drug used.
Short Description
Abatacept injection
Long Description
Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)
Pricing Indicator
Drugs
Multiple Pricing Indicator
Not applicable as HCPCS priced under one methodology
Coverage Description
Carrier judgment
BETOS Type of Service
Other drugs
Medicare Payment Limit
$44.49
Medicare Co-Insurance Percentage
20.000%
Medicare Pricing Notes
lesser of methodology applied
HCPCS Classification
List of HCPCS codes for: Drugs Administered Other Than Oral Method, Chemotherapy Drugs (J-codes)

HCPCS Crossover to NDC Codes

The NDC codes below allow precise billing based on the specific manufacturer and medication used:

NDC Proprietary Name Non-Proprietary Name Dosage Form Route Name Company Name Status
0003-2187Orencia AbataceptInjection, Powder, Lyophilized, For SolutionIntravenousE.r. Squibb & Sons, L.l.c.ACTIVE
0003-2188Orencia AbataceptInjection, SolutionSubcutaneousE.r. Squibb & Sons, L.l.c.ACTIVE
0003-2814Orencia AbataceptInjection, SolutionSubcutaneousE.r. Squibb & Sons, L.l.c.ACTIVE
0003-2818Orencia AbataceptInjection, SolutionSubcutaneousE.r. Squibb & Sons, L.l.c.ACTIVE