HCPCS J0256

Injection, alpha 1 proteinase inhibitor (human), not otherwise specified, 10 mg

HCPCS Information

HCPCS Code: J0256
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 J0256 identifies the type of service or supply used while any of the 9 NDC codes below could be used to specify the exact drug used.
Short Description
Alpha 1 proteinase inhibitor
Long Description
Injection, alpha 1 proteinase inhibitor (human), not otherwise specified, 10 mg
Pricing Indicator
Drugs
Multiple Pricing Indicator
Not applicable as HCPCS priced under one methodology
Coverage Description
Special coverage instructions apply
BETOS Type of Service
Other drugs
Medicare Payment Limit
$5.19
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
0053-7201Zemaira Alpha-1-proteinase Inhibitor HumanKitCsl Behring LlcACTIVE
0053-7202Zemaira .alpha.1-proteinase Inhibitor HumanKitCsl Behring LlcACTIVE
0053-7203Zemaira .alpha.1-proteinase Inhibitor HumanKitCsl Behring LlcACTIVE
0944-2814Aralast NPAlpha-1-proteinase Inhibitor (human)KitTakeda Pharmaceuticals America, Inc.ACTIVE
0944-2815Aralast NPAlpha-1-proteinase Inhibitor (human)KitTakeda Pharmaceuticals America, Inc.ACTIVE
13533-700Prolastin-c Alpha-1-proteinase Inhibitor (human)KitGrifols Usa, LlcACTIVE
13533-701Prolastin-c Grifols Usa, Llc
13533-703Prolastin-c Alpha-1-proteinase Inhibitor (human)KitGrifols Usa, LlcACTIVE
13533-705Prolastin-c Liquid Alpha1-proteinase Inhibitor (human)Injection, SolutionIntravenousGrifols Usa, LlcACTIVE