Competitive acquisition program (cap), drug not available through cap as written, reimbursed under average sales price methodology

J3
HCPCS Modifier Code

2023 HCPCS Modifiers
Billable/Valid Code

J3 is a valid 2023 HCPCS Modifier that could be used to indicate Competitive acquisition program (cap), drug not available through cap as written, reimbursed under average sales price methodology.

J3 Modifier has been in effect since Jan 01, 2006.

Short description for J3 HCPCS Modifier code:

Cap drug unavail thru cap

HCPCS J3 MODIFIER

J3 Modifier information

Modifier:	J3
Description:	COMPETITIVE ACQUISITION PROGRAM (CAP), DRUG NOT AVAILABLE THROUGH CAP AS WRITTEN, REIMBURSED UNDER AVERAGE SALES PRICE METHODOLOGY
Effective Date:	Jan 01, 2006
Added Date:	Jan 01, 2006
Coverage code:	`C` - CARRIER JUDGMENT
Action code:	`N` - NO MAINTENANCE FOR THIS CODE