{"code":"J0875","short_description":"Injection, dalbavancin","long_description":"Injection, dalbavancin, 5 mg","status":"active","section":"J-codes: Drugs Administered Other Than Oral Method","category":"Drugs","effective_date":"2016-01-01","termination_date":null,"replacement_code":"","opps_status_indicator":"K","opps_status_label":"Non-pass-through drugs and biologicals","opps_apc":"1823","fee_schedules":[],"mue":[{"service_type":"practitioner","mue_value":300,"adjudication_indicator":"3","adjudication_description":"Date of Service Edit: Clinical","edit_rationale":"Prescribing Information"},{"service_type":"outpatient","mue_value":300,"adjudication_indicator":"3","adjudication_description":"Date of Service Edit: Clinical","edit_rationale":"Prescribing Information"},{"service_type":"dme","mue_value":0,"adjudication_indicator":"3","adjudication_description":"Date of Service Edit: Clinical","edit_rationale":"CMS Policy"}],"drug_classes":[],"ndc_crosswalk":[{"ndc":"57970-0100-01","drug_name":"Dalvance","dosage":"5 MG","unit":"100","labeler_name":"Allergan, Inc."}],"utilization":[],"urls":{"self_html":"https:\/\/hcpcslookup.com\/codes\/j0875","self_json":"https:\/\/hcpcslookup.com\/api\/codes\/J0875.json"}}