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J0706 - HCPCS Level II | Verity

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HCPCS Level IIdrugActive

J0706

Caffeine citrate injection

BETOS: O1E

Effective: 2002-01-01

Referenced in 1 policies

Description

Injection, caffeine citrate, 5 mg

Drug Products

FDA-registered drug products mapped to this HCPCS code

CAFFEINE CITRATED (PURIFIED)

NDC: 00406-0646-02

Billing: GM

CAFFEINE CITRATE (USP,10X3ML,SINGLE-DOSE) 20 MG/ML

NDC: 00517-0020-10

IV

Billing: ML

CAFCIT20

caffeine citrate

NDC: 00641-6164-10INJECTIONIV

Hikma Pharmaceuticals USA Inc.

Billing: ML

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Medicare Part B Drug Pricing

ASP-Based Payment

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.

Coverage Policies

This code is referenced in 1 Medicare coverage policy

Sample Policies

AETNA-CPB-0462PayerPolicycovered

Headaches: Nonsurgical Management

AETNA-CPB-0462PayerPolicycovered

Headaches: Nonsurgical Management

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About HCPCS Level II

Healthcare Common Procedure Coding System Level II codes for supplies, equipment, and non-physician services

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