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J0122 HCPCS Level II Code: Injection, eravacycline, 1 mg

Medicare Coverage & Payment

  • CMS short descriptor: Inj., eravacycline, 1 mg
  • Medicare coverage: Carrier judgment (CMS coverage code C)
  • Payment category: Drugs (pricing indicator 51)
  • BETOS: O1E — Other drugs
  • Last CMS action effective: October 1, 2019

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, eravacycline, 1 mg is a HCPCS Level II code (J0122). CMS assigns coverage code C — Carrier judgment. Short description: Inj., eravacycline, 1 mg.

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

Change history

  • October 1, 2019
    Added to the code set
    Injection, eravacycline, 1 mg

Drug products (NDC)

CMS ASP NDC-HCPCS Crosswalk · 2026 Q3

Medicare Part B payment limit (ASP + 6%): $1.38

71773-0050-12 — Xerava — Tetraphase Pharmaceuticals, Inc. (size 1 × qty 12 (1 MG per billing unit))

71773-0100-12 — Xerava — Tetraphase Pharmaceuticals, Inc. (size 1 × qty 12 (1 MG per billing unit))

From the CMS ASP NDC-HCPCS Crosswalk and Part B Payment Limit File. Payment limits apply per HCPCS billing code, not per package.

Contextual Map

Every relationship of J0122 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)

  • J0120 — Injection, tetracycline, up to 250 mg [Sibling]
  • J0121 — Injection, omadacycline, 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

  • October 1, 2019 — Added to the code set [Change history]

Nearest Codes in This Family

Official HCPCS Level II classifications closest to J0122 in its code family, with their registry titles.

  • J0120 — Injection, tetracycline, up to 250 mg
  • J0121 — Injection, omadacycline, 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