2019 HCPCS Code J0120

Injection, tetracycline, up to 250 mg
Short Description Tetracyclin 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 Medicare Carriers Manual Reference Section Number 2049
HCPCS Type Of Service Code 1 = Medical care
P = Lump sum purchase of DME, prosthetics, orthotics
HCPCS Anesthesia Base Unit Quantity 0