{
    "code": "J1823",
    "coding_system": "HCPCS",
    "canonical_url": "https://localishealth.com/hcpcs/J1823/2021/A",
    "release_specific_url": "https://localishealth.com/hcpcs/J1823/2021/B",
    "description": "Inj. inebilizumab-cdon, 1 mg",
    "answer": {
        "question": "Did Medicare pay separately for HCPCS J1823 in Q2 2021?",
        "text": "Not at a published national rate. HCPCS J1823 carries status E (excluded) in the Q2 2021 release. A regulation removes this code from the fee schedule. When covered, it is paid under reasonable charge procedures instead. Treat the blank amount as unpriced, not as $0."
    },
    "release": {
        "schedule": "pfs",
        "year": 2021,
        "quarter": "B",
        "label": "Q2 2021",
        "effective": "April 1 – June 30, 2021",
        "revision": 1
    },
    "status": {
        "code": "E",
        "non_facility_payable": false,
        "facility_payable": false
    },
    "national_rates_usd": {
        "office_non_facility": null,
        "facility": null,
        "sequestration_applied": false,
        "gpci": 1
    },
    "rvus": {
        "work": null,
        "practice_expense_non_facility": null,
        "practice_expense_facility": null,
        "malpractice": null
    },
    "formula": "(work_rvu × work_gpci + pe_rvu × pe_gpci + mp_rvu × mp_gpci) × conversion_factor",
    "conversion_factor": 34.8931,
    "source": {
        "label": "Physician relative value file (Q2 2021)",
        "cms_url": "https://www.cms.gov/files/zip/rvu21b-updated-03022021.zip",
        "local_source_url": "https://localishealth.com/sources/physician-fee-schedule/2021/B",
        "file": "PPRRVU21_APR.csv",
        "row": 3089,
        "sha256": "524bee7096166c9011a4ea02189783ef8c91f4d444585e5b2d561b879f9262de"
    },
    "modified_at": "2026-08-04T03:10:33+00:00"
}