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Modifiers: j3

j3

j3 is a valid HCPCS code for 2023. It's used to specify:
Competitive acquisition program (cap), drug not available through cap as written, reimbursed under average sales price methodology

j3- HCPCS Details

HCPCS Code

j3

Description

Short Description
Cap drug unavail thru cap
Long Description
Competitive acquisition program (cap), drug not available through cap as written, reimbursed under average sales price methodology

A code denoting Medicare coverage status.

HCPCS Coverage Code ⓘ

C

A code denoting the change made to a procedure or modifier code within the HCPCS system.

HCPCS Action Code ⓘ
N =

Code used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.

HCPCS Pricing Indicator ⓘ
-

Code used to identify instances where a procedure could be priced under multiple methodologies.

HCPCS Multiple Pricing Indicator Code ⓘ
-

Berenson-Eggers Type of Service (BETOS) classification categories are used to analyze Medicare costs. All Health Care Financing Administration Common Procedure Coding System (HCPCS) procedure codes are assigned to a BETOS category.

BETOS Classification ⓘ

-

The carrier assigned CMS type of service which describes the particular kind(s) of service represented by the procedure code.

Type of Service ⓘ

-
( )

Effective date of action to a procedure or modifier code

Effective Date ⓘ

01/01/2006

The year the HCPCS code was added to the Healthcare Common Procedure Coding System.

Date Added ⓘ

01/01/2006
Termination Date
-

The HCPCS Code Section that this code belongs to. It's typically denoted by the first letter in the code.

Code Section ⓘ