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Injection Fee Schedule (J Codes)
Entire United States


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Product Number: INE02

Description

The Injections Fee Schedule contains the complete listing for injectable drug fees effective January 1, 2004. The Injections Fee Schedule contains the carrier assigned values for HCPCS "J" codes and CPT© immunization injections, if assigned, on a per carrier basis. Each unique injections schedule provides HCPCS "J" code values missing from RBRVS fee schedules. This data is provided for the entire United States.

Record Layout - Fixed Field

Fields Columns         Description
1 1 - 2   State
2 3 - 7   Carrier Number
3 8 - 12   CPT©/HCPCS Code Number
4 13 - 14   Modifier
5 15 - 49   Short Description (up to 35 characters)
6 50 - 56   Participating Charge
7 57 - 63   Non-Participating Charge
8 64 - 70   Limiting Charge
9 71 - 72   Locality (If applicable)

NOTE:    All charges are listed in currency dollars. Charges designated as IC (Individual Consideration) are listed as (-2.00). Non-covered services are listed as (-3.00). Non-Participating Allowables and Limiting charges that do not apply are listed as (-6.00).

Formats Available

    *    ASCII Diskette: 3.5" (Fixed Field or Comma-Delimited)
    *    CD-ROM (Fixed Field or Comma-Delimited)

CPT Copyright 2007, American Medical Association (AMA). All Rights Reserved. Click here for AMA disclaimer.

 


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Last modified:
April 11, 2007