HCPCS J3105

Injection, terbutaline sulfate, up to 1 mg

HCPCS Information

HCPCS Code: J3105
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 J3105 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
Terbutaline sulfate inj
Long Description
Injection, terbutaline sulfate, up to 1 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
$2.47
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
0143-9375Terbutaline Sulfate Terbutaline SulfateInjectionSubcutaneousHikma Pharmaceuticals Usa Inc.ACTIVE
0143-9746Terbutaline Sulfate Terbutaline SulfateInjectionSubcutaneousHikma Pharmaceuticals Usa Inc.ACTIVE
0404-9962Terbutaline Sulfate Terbutaline SulfateInjection, SolutionSubcutaneousHenry Schein, Inc.ACTIVE
59923-615Terbutaline Sulfate Areva Pharmaceuticals
63323-665Terbutaline Sulfate Terbutaline SulfateInjection, SolutionSubcutaneousFresenius Kabi Usa, LlcACTIVE
70860-801Terbutaline Sulfate Athenex Pharmaceutical Division, Llc.