Skip to main content

J0180 HCPCS Level II Code: Injection, agalsidase beta, 1 mg

Medicare Coverage & Payment

  • CMS short descriptor: Agalsidase beta injection
  • Medicare coverage: Carrier judgment (CMS coverage code C)
  • Payment category: Drugs (pricing indicator 51)
  • BETOS: O1E — Other drugs
  • Last CMS action effective: January 1, 2005

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.

Change history

  • January 1, 2005
    Added to the code set
    Injection, agalsidase beta, 1 mg

Drug products (NDC)

CMS ASP NDC-HCPCS Crosswalk · 2026 Q3

Medicare Part B payment limit (ASP + 6%): $232.72

58468-0040-01 — Fabrazyme — Genzyme Corporation (size 1 × qty 1 (1 MG per billing unit))

58468-0041-01 — Fabrazyme — Genzyme Corporation (size 1 × qty 1 (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 J0180 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)

Change history

  • January 1, 2005 — Added to the code set [Change history]

Nearest Codes in This Family

Official HCPCS Level II classifications closest to J0180 in its code family, with their registry titles.