Table of content for "Inj, vancomycin (mylan) 10mg" (HCPCS J3374)
General information on the “J3374” code
HCPCS Code: J3374
Long Description: Injection, vancomycin hydrochloride (mylan) not therapeutically equivalent to j3373, 10 mg
Short Description: Inj, vancomycin (mylan) 10mg
Original information is taken from J3374 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 Issues Manual Reference Section Number 1: 60-14
Coverage
Coverage: D – Special coverage instructions apply
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: 20250701
Code Effective Date: 20250701
Action Code: A – Add procedure or modifier code