HCPCS code J0133 — Acyclovir injection.
Status: Active.
Effective Jan 1, 2006.
Source: CMS HCPCS Level II.
J0133
ActiveAcyclovir injection
Injection, acyclovir, 5 mg
Category:
Drugs
Section:
J-codes: Drugs Administered Other Than Oral Method
Effective:
Jan 1, 2006
Code type:
alphanumeric
OPPS Status:
N
— Items / services packaged into APC rates
MUE — Medically Unlikely Edits
Maximum units of J0133 Medicare will pay for one beneficiary on one date of service. Claims exceeding the MUE are denied or returned for review.
| Service Type | Max Units / Day |
|---|---|
| DME Supplier | 3600 |
| Outpatient Hospital | 1200 |
| Practitioner Services | 1200 |
Source: CMS Medicare NCCI Medically Unlikely Edits
NDC Crosswalk
National Drug Codes (NDCs) mapped to this HCPCS code.
| NDC | Drug Name |
|---|---|
| 55150-0154-10 | Acyclovir Sodium |
| 55150-0155-20 | Acyclovir Sodium |
| 63323-0325-10 | Acyclovir Sodium |
| 63323-0325-14 | Acyclovir Sodium |
| 63323-0325-20 | Acyclovir Sodium |
| 63323-0325-24 | Acyclovir Sodium |
| 65219-0622-10 | Acyclovir Sodium |
| 65219-0624-20 | Acyclovir Sodium |
| 70436-0030-82 | Acyclovir Sodium |