{"code":"J1558","short_description":"Inj. xembify, 100 mg","long_description":"Injection, immune globulin (xembify), 100 mg","status":"active","section":"J-codes: Drugs Administered Other Than Oral Method","category":"Drugs","effective_date":"2020-07-01","termination_date":null,"replacement_code":"","opps_status_indicator":"K","opps_status_label":"Non-pass-through drugs and biologicals","opps_apc":"9372","fee_schedules":[],"mue":[{"service_type":"practitioner","mue_value":480,"adjudication_indicator":"3","adjudication_description":"Date of Service Edit: Clinical","edit_rationale":"Prescribing Information"},{"service_type":"outpatient","mue_value":480,"adjudication_indicator":"3","adjudication_description":"Date of Service Edit: Clinical","edit_rationale":"Prescribing Information"},{"service_type":"dme","mue_value":1500,"adjudication_indicator":"3","adjudication_description":"Date of Service Edit: Clinical","edit_rationale":"Clinical: CMS Workgroup"}],"drug_classes":[],"ndc_crosswalk":[{"ndc":"13533-0810-05","drug_name":"Xembify","dosage":"100 MG","unit":"10","labeler_name":"Grifols USA, LLC"},{"ndc":"13533-0810-10","drug_name":"Xembify","dosage":"100 MG","unit":"20","labeler_name":"Grifols USA, LLC"},{"ndc":"13533-0810-20","drug_name":"Xembify","dosage":"100 MG","unit":"40","labeler_name":"Grifols USA, LLC"},{"ndc":"13533-0810-50","drug_name":"Xembify","dosage":"100 MG","unit":"100","labeler_name":"Grifols USA, LLC"}],"utilization":[],"urls":{"self_html":"https:\/\/hcpcslookup.com\/codes\/j1558","self_json":"https:\/\/hcpcslookup.com\/api\/codes\/J1558.json"}}