HCPCS J0289 Code. Amphotericin b liposome inj

Table of content for "Amphotericin b liposome inj" (HCPCS J0289)

General information on the “J0289” code

HCPCS Code: J0289
Long Description: Injection, amphotericin b liposome, 10 mg
Short Description: Amphotericin b liposome inj

Original information is taken from J0289 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: D – Special coverage instructions apply
ASC Payment Group: YY
ASC Payment Group Effective Date: 20080101

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: 20030101
Code Effective Date: 20030101
Action Code: N – No maintenance for this code