J3 - Cap drug unavail thru cap
Navigation: HCPCS Codes > Modifiers with Prefix: J| Field | Value |
|---|---|
| HCPCS Code: | J3 |
| Long Description: | Competitive acquisition program (cap), drug not available through cap as written, reimbursed under average sales price methodology |
| Short Description: | Cap drug unavail thru cap |
| Statute Number: | |
| Coverage Code: | C (Carrier judgment) |
| ASC Payment Group Code: | |
| Processing Note Number: | |
| Anesthesia Base Unit Quality: | |
| Code Added: | 01-01-2006 |
| Action Effective Date: | 01-01-2006 |
| Action Code: | N (No maintenance for this code) |