2024 HCPCS Code J0120

Injection, tetracycline, up to 250 mg

Short DescriptionTetracyclin injection
HCPCS Coverage Code D - Special coverage instructions apply
HCPCS Action Code N - No maintenance for this code
HCPCS Action Effective Date January 01, 2018
HCPCS Code Added Date January 01, 1986
HCPCS Pricing Indicator Code 51 - Drugs
HCPCS Multiple Pricing Indicator Code A - Not applicable as HCPCS priced under one methodology
HCPCS Coverage Issues Manual Reference Section Number
HCPCS Type Of Service Code 1 - Medical care
HCPCS Anesthesia Base Unit Quantity 0

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