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J0120 HCPCS Level II Code: Injection, tetracycline, up to 250 mg

Medicare Coverage & Payment

  • CMS short descriptor: Tetracyclin injection
  • Medicare coverage: Special coverage instructions apply (CMS coverage code D)
  • Payment category: Drugs (pricing indicator 51)
  • BETOS: O1E — Other drugs
  • Last CMS action effective: January 1, 2018

Source: CMS HCPCS Level II release. Coverage codes indicate how Medicare treats the code, not whether a specific claim will be paid; payer policy and documentation still govern.

Code Overview

Injection, tetracycline, up to 250 mg is a HCPCS Level II code (J0120). CMS assigns coverage code D — Special coverage instructions apply. Short description: Tetracyclin injection.

Summary composed by MedCoder from this code's official HCPCS Level II record. The tabular instructional notes themselves appear verbatim below.

Change history

  • 1986-01-01
    Added to the code set
    Injection, tetracycline, up to 250 mg

Contextual Map

Every relationship of J0120 in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.

Nearest codes (36)

  • J0121 — Injection, omadacycline, 1 mg [Sibling]
  • J0122 — Injection, eravacycline, 1 mg [Sibling]
  • J0129 — Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) [Sibling]
  • J0130 — Injection abciximab, 10 mg [Sibling]
  • J0131 — Injection, acetaminophen, not otherwise specified,10 mg [Sibling]
  • J0132 — Injection, acetylcysteine, 100 mg [Sibling]
  • J0133 — Injection, acyclovir, 5 mg [Sibling]
  • J0134 — Injection, acetaminophen (fresenius kabi), not therapeutically equivalent to j0131, 10 mg [Sibling]
  • and 28 more

Change history

  • 1986-01-01 — Added to the code set [Change history]

Nearest Codes in This Family

Official HCPCS Level II classifications closest to J0120 in its code family, with their registry titles.

  • J0121 — Injection, omadacycline, 1 mg
  • J0122 — Injection, eravacycline, 1 mg
  • J0129 — Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)
  • J0130 — Injection abciximab, 10 mg
  • J0131 — Injection, acetaminophen, not otherwise specified,10 mg
  • J0132 — Injection, acetylcysteine, 100 mg
  • J0133 — Injection, acyclovir, 5 mg
  • J0134 — Injection, acetaminophen (fresenius kabi), not therapeutically equivalent to j0131, 10 mg
  • J0135 — Injection, adalimumab, 20 mg
  • J0136 — Injection, acetaminophen (b braun), not therapeutically equivalent to j0131, 10 mg