HCPCS code J0178 — Aflibercept injection.
Status: Active.
Effective Jan 1, 2013.
Source: CMS HCPCS Level II.
J0178
ActiveAflibercept injection
Injection, aflibercept, 1 mg
Category:
Drugs
Section:
J-codes: Drugs Administered Other Than Oral Method
Effective:
Jan 1, 2013
Code type:
alphanumeric
OPPS Status:
K
— Non-pass-through drugs and biologicals
OPPS APC:
1420
Drug class:
VEGF Inhibitors
MUE — Medically Unlikely Edits
Maximum units of J0178 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 | 4 |
| Practitioner Services | 4 |
Source: CMS Medicare NCCI Medically Unlikely Edits
NDC Crosswalk
National Drug Codes (NDCs) mapped to this HCPCS code.
| NDC | Drug Name |
|---|---|
| 61755-0005-01 | Eylea |
| 61755-0005-02 | Eylea |