HCPCS J0801
Injection, corticotropin (acthar gel), up to 40 units
HCPCS Information
- HCPCS Code: J0801
- 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 J0801 identifies the type of service or supply used while any of the 3 NDC codes below could be used to specify the exact drug used.
- Short Description
- Inj. acthar gel to 40 units
- Long Description
- Injection, corticotropin (acthar gel), up to 40 units
- 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
- $4,187.43
- 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 | |
|---|---|---|---|---|---|---|---|
| 63004-8710 | Acthar | Repository Corticotropin | Injection | Intramuscular; Subcutaneous | Mallinckrodt Ard Llc | ACTIVE | |
| 63004-8711 | Acthar | Repository Corticotropin | Injection | Subcutaneous | Mallinckrodt Ard Llc | ACTIVE | |
| 63004-8712 | Acthar | Repository Corticotropin | Injection | Subcutaneous | Mallinckrodt Ard Llc | ACTIVE |
