HCPCS J0133

Injection, acyclovir, 5 mg

HCPCS Information

HCPCS Code: J0133
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 J0133 identifies the type of service or supply used while any of the 18 NDC codes below could be used to specify the exact drug used.
Short Description
Acyclovir injection
Long Description
Injection, acyclovir, 5 mg
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
$0.03
Medicare Co-Insurance Percentage
20.000%
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
38779-0173 AcyclovirPowderMedisca Inc.ACTIVE
49452-0001 AcyclovirPowderSpectrum Laboratory Products, Inc.ACTIVE
51927-2994 AcyclovirPowderProfessional Compounding Centers Of America Dba PccaACTIVE
55150-154Acyclovir Sodium Acyclovir SodiumInjection, SolutionIntravenousEugia Us LlcACTIVE
55150-154Acyclovir Sodium Acyclovir SodiumInjection, SolutionIntravenousAuromedics Pharma LlcACTIVE
55150-155Acyclovir Sodium Acyclovir SodiumInjection, SolutionIntravenousEugia Us LlcACTIVE
55150-155Acyclovir Sodium Acyclovir SodiumInjection, SolutionIntravenousAuromedics Pharma LlcACTIVE
55390-612Acyclovir Bedford Laboratories
55390-613Acyclovir Bedford Laboratories
62991-1004 AcyclovirPowderLetco Medical, LlcACTIVE
63323-105Acyclovir Fresenius Kabi Usa, Llc
63323-325Acyclovir AcyclovirInjection, SolutionIntravenousFresenius Kabi Usa, LlcACTIVE
63323-325Acyclovir AcyclovirInjection, SolutionIntravenousFresenius Kabi Usa, LlcACTIVE
65219-622Acyclovir AcyclovirInjection, SolutionIntravenousFresenius Kabi Usa, LlcACTIVE
65219-624Acyclovir AcyclovirInjection, SolutionIntravenousFresenius Kabi Usa, LlcACTIVE
68382-048Acyclovir AcyclovirInjection, SolutionIntravenousZydus Pharmaceuticals (usa) Inc.ACTIVE
68382-049Acyclovir AcyclovirInjection, SolutionIntravenousZydus Pharmaceuticals (usa) Inc.ACTIVE
70436-030Acyclovir AcyclovirInjection, SolutionIntravenousSlate Run Pharmaceuticals, LlcACTIVE