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J2510 - HCPCS Level II | Verity

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HCPCS Level IIdrugActive

J2510

Penicillin g procaine inj

BETOS: O1E

Effective: 2023-01-01

Referenced in 1 policies

Description

Injection, penicillin g procaine, aqueous, up to 600,000 units

Drug Products

FDA-registered drug products mapped to this HCPCS code

PENICILLIN G PROCAINE (21GX1&1/2,1MLX10) 600000 U/ML

NDC: 60793-0130-10IM

Billing: ML

PENICILLIN G PROCAINE (21GX1&1/4,2MLX10) 600000 U/ML

NDC: 60793-0131-10IM

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

ANTHEM-CG-MED-98PayerPolicycovered

CG-MED-98 Parenteral Antibiotics for the Treatment of Lyme Disease

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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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