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J3490 - HCPCS Level II | Verity

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HCPCS Level IIdrugActive

J3490

Drugs unclassified injection

BETOS: O1E

Effective: 1997-01-01

Referenced in 31 policies

Description

Unclassified drugs

Drug Products

FDA-registered drug products mapped to this HCPCS code

PEGASYS (S.D.V.) 180 MCG/ML

NDC: 00004-0350-09MR

Billing: EA

RECOMBIVAX HB5

Hepatitis B Vaccine (Recombinant)

NDC: 00006-4981-00INJECTION, SUSPENSIONIM

Merck Sharp & Dohme LLC

Billing: ML

RECOMBIVAX HB40

Hepatitis B Vaccine (Recombinant)

NDC: 00006-4992-00INJECTION, SUSPENSIONIM

Merck Sharp & Dohme LLC

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 31 Medicare coverage policies

Sample Policies

A57184Articlecovered

Billing and Coding: Cardiovascular Stress Testing, Including Exercise and/or Pharmacological Stress and Stress Echocardiography

HUMANA-AMTAGVI-LIFILEUCEL-MAPayerPolicycovered

Amtagvi (lifileucel) - Medicare Advantage

+ 29 more policies

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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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