Table of content for "Inj lenacapavir (hiv tx) 1mg" (HCPCS J1961)
General information on the “J1961” code
HCPCS Code: J1961
Long Description: Injection, lenacapavir (only for use as hiv treatment), 1 mg
Short Description: Inj lenacapavir (hiv tx) 1mg
Original information is taken from J1961 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: C – Carrier judgment
ASC Payment Group: YY
ASC Payment Group Effective Date: 20230701
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: 20230701
Code Effective Date: 20250618
Action Code: C – Change in long description of procedure or modifier code