2025 HCPCS code J1457
Effective Date: N/A Drugs Administered Other than Oral Method - Drugs, Administered by Injection Feed
Gallium nitrate, 1 mg
Modifiers may be applicable. Check payer guidelines.
Medical necessity for J1457 is established by the diagnosis of symptomatic hypercalcemia related to cancer, requiring treatment with gallium nitrate.
In simple words: This code represents the drug gallium nitrate, used to lower high calcium levels in the blood caused by cancer. Each unit of the code equals 1 mg of the medication.
Gallium nitrate is used to treat hypercalcemia (high blood calcium levels) related to cancer. One unit of this code represents 1 milligram (mg) of gallium nitrate.
Example 1: A patient with lung cancer develops hypercalcemia. J1457 is billed for the gallium nitrate administered to lower the calcium levels., A patient receiving chemotherapy for breast cancer experiences severe hypercalcemia as a side effect. J1457 is used to report the gallium nitrate treatment., A patient with multiple myeloma has symptomatic hypercalcemia. J1457 is billed for each milligram of gallium nitrate administered during their hospital stay.
Documentation should include the diagnosis of hypercalcemia, the dosage of gallium nitrate administered, and the route of administration (intravenous).
** This is a generic drug. Brand names include Ganite®. This is a J-code, typically used for drugs that are not self-administered, chemotherapy drugs, and other specific drug categories.
- Specialties:Oncology, Hematology, Internal Medicine
- Place of Service:Inpatient Hospital, Outpatient Hospital, Office, and other places of service where the drug is administered intravenously.