HCPCS Level II drug code
J1574 — Injection, ganciclovir sodium (exela), not therapeutically equivalent to j1570, 500 mg
In short
J1574 is the HCPCS Level II code for injection, ganciclovir sodium (exela), not therapeutically equivalent to j1570, 500 mg. One billing unit is 500 mg.
Code
CMS HCPCS fileHCPCS codeJ1574
Billing unit500 mg
- Descriptor
- Injection, ganciclovir sodium (exela), not therapeutically equivalent to j1570, 500 mg
- Short descriptor
- Inj, ganciclovir (exela)
- Code set
- HCPCS Level II, maintained by CMS
- Effective
- Jul 1, 2024
The billing unit is read from the descriptor. Confirm it against the CMS file before billing.
Units and claim line
Units = dose given ÷ 500 mg. For example, 50000 mg is 100 units. Enter the dose to get the units and the NDC line for the CMS-1500 and the 837P.
Enter the dose given to build the claim line.
Find the NDC
Med-Code hasn’t mapped J1574 to specific products yet. Search the FDA NDC Directory for the drug named in the descriptor, and check the route and strength match the code.
J1574: common questions
- Is J1574 a CPT code?
- No. J1574 is a HCPCS Level II code, maintained by CMS, that identifies the drug supplied. CPT codes are five-digit numbers from the AMA that describe services. Giving the drug, for example an injection or infusion, is usually reported with a separate CPT administration code. CPT codes for drug administration.
- What is one billing unit of J1574?
- One unit of J1574 is 500 mg, as stated in the code's descriptor. Units to report = dose given ÷ 500 mg. J-code billing units.