hcpcs data

J0206

Injection, allopurinol sodium, 1 mg

Medicare: Carrier judgmentJ seriesAdded July 01, 2023

What J0206 means

J0206 (Inj allopurinol sodium 1 mg) belongs to the HCPCS Level II J series (Drugs Administered Other than Oral Method; Chemotherapy Drugs). Its Medicare coverage status is Carrier judgment. Medicare coverage is left to the judgment of the local Medicare Administrative Contractor (MAC), so check your MAC's local coverage determinations.

Part B pricing: Drugs.

Code details

Short description
Inj allopurinol sodium 1 mg
Coverage code
C = Carrier judgment
Pricing indicator
51 = Drugs
Multiple pricing indicator
A = Not applicable as HCPCS priced under one methodology
Type of service
1 = Medical care P = Lump sum purchase of DME, prosthetics, orthotics
Action code
N = No maintenance for this code
Action effective date
January 01, 2024
Code added date
July 01, 2023
Data year
2026

Questions about J0206

What is HCPCS code J0206?

HCPCS code J0206 is a Level II code in the J series (Drugs Administered Other than Oral Method; Chemotherapy Drugs). Its full description is: "Injection, allopurinol sodium, 1 mg"

Is J0206 a CPT code?

No. J0206 is a HCPCS Level II code maintained by CMS, not a CPT (Level I) code from the American Medical Association. People often search for it as a CPT code because both code sets are reported on the same claims.

Does Medicare cover HCPCS code J0206?

The Medicare coverage code for J0206 is "Carrier judgment". Medicare coverage is left to the judgment of the local Medicare Administrative Contractor (MAC), so check your MAC's local coverage determinations.

When was HCPCS code J0206 added?

J0206 was added to the HCPCS code set on July 01, 2023. The most recent action on it (No maintenance for this code) took effect on January 01, 2024.

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