TB HCPCS Level II modifier: Drug or biological acquired with 340b drug pricing program discount, reported for informational purposes
TB is a HCPCS Level II modifier: “Drug or biological acquired with 340b drug pricing program discount, reported for informational purposes.” It adds this detail to the code it is reported with.
Official description
TBDrug or biological acquired with 340b drug pricing program discount, reported for informational purposes
Short description: 340b drug
HCPCS · United States
Medicare details
The indicators CMS publishes with TB in its October 2026 file. They describe Medicare’s handling, not another payer’s.
- Medicare coverage
- Carrier judgment
- Added
- Jan 1, 2018
Where TB sits
- 1GroupHCPCS modifiers
- 2Modifier TBDrug or biological acquired with 340b drug pricing program discount, reported for informational purposes
Source and release
- Data release
- HCPCS Level II · October 2026
- Effective date
- Oct 1, 2026
- Publisher
- CMS
This page is built from the HCPCS Level II catalog that Vero Codes reads when it suggests codes: Centers for Medicare & Medicaid Services’s October 2026 release, imported from the publisher’s file and checked against it. The description, notes and structured data come from the same record.
Frequently asked questions
What does HCPCS code TB mean?
TB is the HCPCS code for “Drug or biological acquired with 340b drug pricing program discount, reported for informational purposes” in CMS’s HCPCS Level II October 2026 release.
Where is TB in the HCPCS Level II list?
TB is listed under Modifiers.
Does Medicare cover TB?
CMS lists TB’s Medicare coverage as “Carrier judgment”. Coverage and payment still depend on the patient, the setting, the documentation and the payer.
Which HCPCS Level II release does this page use?
It uses CMS’s October 2026 release, in effect from Oct 1, 2026 to Dec 31, 2026. It is a reference: confirm the code against the current list and the payer’s rules before you submit it.
Codes beside TB
All modifiersT5Right foot, great toeT6Right foot, second digitT7Right foot, third digitT8Right foot, fourth digitT9Right foot, fifth digitTALeft foot, great toeTCTechnical component; under certain circumstances, a charge may be made for the technical component alone; under those circumstances the technical component charge is identified…TDRnTELpn/lvnTFIntermediate level of careTGComplex/high tech level of careTHObstetrical treatment/services, prenatal or postpartum