HCPCS code J0177 — Inj, aflibercept hd, 1 mg. Status: Active. Effective Apr 1, 2024. Source: CMS HCPCS Level II.

J0177

Active

Inj, aflibercept hd, 1 mg

Injection, aflibercept hd, 1 mg

Category: Drugs
Section: J-codes: Drugs Administered Other Than Oral Method
Effective: Apr 1, 2024
Code type: alphanumeric
OPPS Status: G — Pass-through drugs and biologicals
OPPS APC: 0704

MUE — Medically Unlikely Edits

Maximum units of J0177 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 0
Outpatient Hospital 16
Practitioner Services 16

Source: CMS Medicare NCCI Medically Unlikely Edits

NDC Crosswalk

National Drug Codes (NDCs) mapped to this HCPCS code.

NDC Drug Name
61755-0050-01 Eylea HD

Change History

Quarterly changes published by CMS. Revisions may affect the code description, coverage, or rate — review each quarter's changes before submitting claims.

  • New Code 2024-Q2
    Inj, aflibercept hd, 1 mg