HCPCS J2760
Injection, phentolamine mesylate, up to 5 mg
HCPCS Information
- HCPCS Code: J2760
- 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 J2760 identifies the type of service or supply used while any of the 6 NDC codes below could be used to specify the exact drug used.
- Short Description
- Phentolaine mesylate inj
- Long Description
- Injection, phentolamine mesylate, up to 5 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
- $436.51
- 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 | |
|---|---|---|---|---|---|---|---|
| 0143-9564 | Phentolamine Mesylate | Phentolamine Mesylate | Injection, Powder, For Solution | Intramuscular; Intravenous | Hikma Pharmaceuticals Usa Inc. | ACTIVE | |
| 49452-5217 | Phentolamine Mesylate | Powder | Spectrum Laboratory Products, Inc. | ACTIVE | |||
| 51224-012 | Phentolamine Mesylate | Tagi Pharma, Inc. | |||||
| 51927-2669 | Phentolamine Mesylate | Powder | Professional Compounding Centers Of America Dba Pcca | ACTIVE | |||
| 62991-1108 | Phentolamine Mesylate | Powder | Letco Medical, Llc | ACTIVE | |||
| 68094-101 | Phentolamine Mesylate | Phentolamine Mesylate | Injection | Intramuscular; Intravenous | Precision Dose Inc. | ACTIVE |
