Browse HCPCS Level II 2020 Edition

HCPCS Level II Table of Contents

J8501 - J8999  Oral Anti-Cancer Drugs

J8501
Aprepitant, oral, 5 mg
shortOral aprepitant
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
MUE
LocationValueAjudication IndicatorRationale
PRA0.03 Date of Service Edit: ClinicalOral Medication; Not Payable
OPH57.03 Date of Service Edit: ClinicalCMS Policy
DME57.03 Date of Service Edit: ClinicalCMS Policy
J8510
Busulfan; oral, 2 mg
shortOral busulfan
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
MUE
LocationValueAjudication IndicatorRationale
PRA0.03 Date of Service Edit: ClinicalOral Medication; Not Payable
OPH5.03 Date of Service Edit: ClinicalPrescribing Information
J8515
Cabergoline, oral, 0.25 mg
shortCabergoline, oral 0.25mg
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
MUE
LocationValueAjudication IndicatorRationale
PRA0.03 Date of Service Edit: ClinicalCMS Policy
OPH0.03 Date of Service Edit: ClinicalCMS Policy
DME0.03 Date of Service Edit: ClinicalCMS Policy
J8520
Capecitabine, oral, 150 mg
shortCapecitabine, oral, 150 mg
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
MUE
LocationValueAjudication IndicatorRationale
PRA0.03 Date of Service Edit: ClinicalOral Medication; Not Payable
OPH50.03 Date of Service Edit: ClinicalPrescribing Information
J8521
Capecitabine, oral, 500 mg
shortCapecitabine, oral, 500 mg
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
MUE
LocationValueAjudication IndicatorRationale
PRA0.03 Date of Service Edit: ClinicalOral Medication; Not Payable
OPH15.03 Date of Service Edit: ClinicalPrescribing Information
J8530
Cyclophosphamide; oral, 25 mg
shortCyclophosphamide oral 25 mg
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
MUE
LocationValueAjudication IndicatorRationale
PRA0.03 Date of Service Edit: ClinicalOral Medication; Not Payable
OPH60.03 Date of Service Edit: ClinicalClinical: Data
DME180.03 Date of Service Edit: ClinicalClinical: Data
J8540
Dexamethasone, oral, 0.25 mg
shortOral dexamethasone
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
MUE
LocationValueAjudication IndicatorRationale
PRA0.03 Date of Service Edit: ClinicalOral Medication; Not Payable
OPH48.03 Date of Service Edit: ClinicalPrescribing Information
DME216.03 Date of Service Edit: ClinicalClinical: Society Comment
J8560
Etoposide; oral, 50 mg
shortEtoposide oral 50 mg
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
MUE
LocationValueAjudication IndicatorRationale
PRA0.03 Date of Service Edit: ClinicalOral Medication; Not Payable
OPH6.03 Date of Service Edit: ClinicalPrescribing Information
J8562
Fludarabine phosphate, oral, 10 mg
shortOral fludarabine phosphate
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
MUE
LocationValueAjudication IndicatorRationale
PRA0.03 Date of Service Edit: ClinicalOral Medication; Not Payable
OPH12.03 Date of Service Edit: ClinicalPrescribing Information
J8565
Gefitinib, oral, 250 mg
shortGefitinib oral
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
MUE
LocationValueAjudication IndicatorRationale
PRA0.03 Date of Service Edit: ClinicalCMS Policy
OPH0.03 Date of Service Edit: ClinicalCMS Policy
DME0.03 Date of Service Edit: ClinicalCMS Policy
J8597
Antiemetic drug, oral, not otherwise specified
shortAntiemetic drug oral nos
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
MUE
LocationValueAjudication IndicatorRationale
PRA0.03 Date of Service Edit: ClinicalCMS Policy
OPH4.03 Date of Service Edit: ClinicalClinical: Data
J8600
Melphalan; oral, 2 mg
shortMelphalan oral 2 mg
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
MUE
LocationValueAjudication IndicatorRationale
PRA0.03 Date of Service Edit: ClinicalOral Medication; Not Payable
OPH40.03 Date of Service Edit: ClinicalPrescribing Information
J8610
Methotrexate; oral, 2.5 mg
shortMethotrexate oral 2.5 mg
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
MUE
LocationValueAjudication IndicatorRationale
PRA0.03 Date of Service Edit: ClinicalOral Medication; Not Payable
OPH20.03 Date of Service Edit: ClinicalPrescribing Information
DME12.03 Date of Service Edit: ClinicalClinical: Data
J8650
Nabilone, oral, 1 mg
shortNabilone oral
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
MUE
LocationValueAjudication IndicatorRationale
PRA0.03 Date of Service Edit: ClinicalOral Medication; Not Payable
OPH0.03 Date of Service Edit: ClinicalCMS Policy
DME14.03 Date of Service Edit: ClinicalCMS Policy
J8655
Netupitant 300 mg and palonosetron 0.5 mg, oral
shortOral netupitant, palonosetro
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
MUE
LocationValueAjudication IndicatorRationale
PRA1.03 Date of Service Edit: ClinicalPrescribing Information
OPH1.03 Date of Service Edit: ClinicalPrescribing Information
DME1.03 Date of Service Edit: ClinicalPrescribing Information
J8670
Rolapitant, oral, 1 mg
shortRolapitant, oral, 1mg
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
MUE
LocationValueAjudication IndicatorRationale
PRA0.03 Date of Service Edit: ClinicalOral Medication; Not Payable
OPH180.03 Date of Service Edit: ClinicalPrescribing Information
DME180.03 Date of Service Edit: ClinicalCMS Policy
J8700
Temozolomide, oral, 5 mg
shortTemozolomide
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
MUE
LocationValueAjudication IndicatorRationale
PRA0.03 Date of Service Edit: ClinicalOral Medication; Not Payable
OPH120.03 Date of Service Edit: ClinicalPrescribing Information
J8705
Topotecan, oral, 0.25 mg
shortTopotecan oral
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
MUE
LocationValueAjudication IndicatorRationale
PRA0.03 Date of Service Edit: ClinicalOral Medication; Not Payable
OPH22.03 Date of Service Edit: ClinicalPrescribing Information
J8999
Prescription drug, oral, chemotherapeutic, nos
shortOral prescription drug chemo
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
MUE
LocationValueAjudication IndicatorRationale
PRA0.03 Date of Service Edit: ClinicalCMS Policy
OPH2.03 Date of Service Edit: ClinicalClinical: Data