Cap drug unavail thru cap
Full descriptor
Competitive acquisition program (cap), drug not available through cap as written, reimbursed under average sales price methodology
Details
- Code
- J3
- Short descriptor
- Cap drug unavail thru cap
- Code set
- HCPCS Modifiers
- Release
- July 2026
- Status
- Active
- Added
- Jan 1 2006
Nearby codes
Code sets are published in blocks, so neighbours are usually related.
Cap restock of emerg drugs
Dmepos comp bid furn by hosp
Cap no-pay for prescript num
Dmepos comp bid fur by pt/ot
Administered intravenously
Administered subcutaneously
Skin substitute graft
Skin sub not used as a graft
Sources
- CMS HCPCS Modifiers — July 2026, public domain
Reference information only. Not billing advice. Verify against the payer before you file.