Overview
On the Explore page you will see a filter and a column
that have the name, "Code Sets." (see image)
This article will help you help you to understand code sets in Marketscape for HME/INF.
- What is a code set?
- Which code sets will I see?
- How do I use code sets?
What is a code set?
A code set is a collection of related HCPCS codes or J-codes. The codes are organized into sets to provide a complete view of a specific product market in the metrics.
Each company using Marketscape for HME/INF can customize their contract with Trella Health which HCPCS codes are included in each code set to generate the desired market view.
Example:
The following table shows you the HCPCS codes for the code set - Allergy_Immunology_17CA
Trella Health Code Set | HCPCS codes included | CMS Description |
Allergy_Immunology_17CA | J1744 | Injection, icatibant, 1 mg |
J1569 | Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg | |
J1566 | Injection, immune globulin, intravenous, lyophilized (e.g., powder), not otherwise specified, 500 mg | |
J1561 | Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g., liquid), 500 mg | |
J1557 | Injection, immune globulin, (gammaplex), intravenous, non-lyophilized (e.g., liquid), 500 mg | |
J1559 | Injection, immune globulin (hizentra), 100 mg | |
J1568 | Injection, immune globulin, (octagam), intravenous, non-lyophilized (e.g., liquid), 500 mg | |
J1459 | Injection, immune globulin (privigen), intravenous, non-lyophilized (e.g., liquid), 500 mg | |
J1599 | Injection, immune globulin, intravenous, non-lyophilized (e.g., liquid), not otherwise specified, 500 mg | |
J1558 | Injection, immune globulin (xembify), 100 mg | |
J1555 | Injection, immune globulin (cuvitru), 100 mg | |
J1575 | Injection, immune globulin/hyaluronidase, (hyqvia), 100 mg immuneglobulin | |
J3590 | Unclassified biologics | |
J3490 | Unclassified drugs | |
J0517 | Injection, benralizumab, 1 mg | |
J2182 | Injection, mepolizumab, 1 mg | |
J2357 | Injection, omalizumab, 5 mg |
What code sets are available?
Wow! There are a LOT of potential code sets and since the sets are customizable we can't provide a list. But never fear, we can give you a sample of some code sets to provide a general idea.
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Which Code sets will I see?
As mentioned, code sets are customized, so what you have available when you use the filter or look in the table will depend on what your company has contracted to have available. It is likely that you will see code sets that align with products or services that your company specializes in.
How do I use code sets?
Open the Code Sets filter and choose one code set at a time. This will limit the content in the table to providers who utilize products or services connected to that code set.