HCPCS code J0220 — Alglucosidase alfa injection. Status: Active. Effective Jan 1, 2012. Source: CMS HCPCS Level II.

J0220

Active

Alglucosidase alfa injection

Injection, alglucosidase alfa, 10 mg, not otherwise specified

Category: Drugs
Section: J-codes: Drugs Administered Other Than Oral Method
Effective: Jan 1, 2012
Code type: alphanumeric
OPPS Status: E2 — Items / services not covered by Medicare statute

MUE — Medically Unlikely Edits

Maximum units of J0220 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 20
Practitioner Services 1

Source: CMS Medicare NCCI Medically Unlikely Edits