Table of content for "Phentolaine mesylate inj" (HCPCS J2760)
General information on the “J2760” code
HCPCS Code: J2760
Long Description: Injection, phentolamine mesylate, up to 5 mg
Short Description: Phentolaine mesylate inj
Original information is taken from J2760 page
Pricing indicators
Pricing Indicator Code 1: 51 – Drugs
Multiple Pricing Indicator Code A : Not applicable as HCPCS priced under one methodology
Certification and additional reference information
Coverage
Coverage: D – Special coverage instructions apply
ASC Payment Group: YY
ASC Payment Group Effective Date: 20140101
Type of service
Berenson-Eggers Type of Service (BETOS): O1E – Other drugs
Type Of Service 1: 1 – Medical care
Type Of Service 2: P – Lump sum purchase of DME, prosthetics, orthotics
Misc information
Anesthesia Base Unit Quantity: 0
Code Added Date: 19820101
Code Effective Date: 19970101
Action Code: N – No maintenance for this code