HCPCS Level IIdrugActive
J0207
Amifostine
BETOS: O1D
Effective: 2023-01-01
Description
Injection, amifostine, 500 mg
Drug Products
FDA-registered drug products mapped to this HCPCS code
ETHYOL 500 MG
NDC: 76310-0017-50IVAmifostine
Injection, amifostine, 500 mg
NDC: 76310-0017-50IVSign up to see all NDC products and conversion factors for this code.
This drug code is paid under Medicare Part B using the Average Sales Price (ASP) + 6% methodology.
ASP pricing data not currently available for this code.
This code is not currently listed in any LCD or NCD coverage policies in our database.
Healthcare Common Procedure Coding System Level II codes for supplies, equipment, and non-physician services