HCPCS Code Details - J3371

HCPCS Level II Code
Drugs administered other than oral method, chemotherapy drugs
HCPCS Code J3371
Description

Long description:
Injection, vancomycin hcl (mylan), not therapeutically equivalent to j3370, 500 mg

Short description:
Inj, vancomycin hcl (mylan)

HCPCS Modifier1
HCPCS Pricing indicator 51 - Drugs
Multiple pricing indicator A - Not applicable as HCPCS priced under one methodology
Coverage code D - Special coverage instructions apply
BETOS2 code O1E - Other drugs
HCPCS Action code N - No maintenance for this code
Type of service 1 - Medical care
Effective date Effective Jul 01, 2025
Date added Added Jan 01, 2023
Termination date Jun 30, 2025
HCPCS Coding Procedures

HCPCS Modifiers

In HCPCS Level II, modifiers are composed of two alpha or alphanumeric characters.

Example: E0260-NU - Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress
NU” identifies the hospital bed as new equipment

ASP Drug pricing - J3371

Effective Code Dosage Payment
Limit
Vaccine AWP % Vaccine Limit Infusion AWP % DME infusion limit Blood AWP % Blood limit Clotting factor Note
April 1, 2025 - June 30, 2025 500 MG 6.309 - - - - - -
500 MG 6.433 - - - - - -
500 MG 5.672 - - - - - -
500 MG 5.938 - - - - - -
500 MG 5.865 - - - - - -

See also

  • HCPCS J3370 · Injection, vancomycin hcl, 500 mg

  • HCPCS J3372 · Injection, vancomycin hcl (xellia), not therapeutically equivalent to j3370, 500 mg

  • HCPCS J3376 · Injection, vancomycin hcl (hikma), not therapeutically equivalent to j3373, 10 mg


1 Two-digit numeric codes are Level I code modifiers copyrighted© by the American Medical Association's Current Procedural Terminology (CPT).

2 BETOS stands for “Berenson-Eggers Type Of Service”