HCPCS code J0221 — Lumizyme injection.
Status: Active.
Effective Jan 1, 2012.
Source: CMS HCPCS Level II.
J0221
ActiveLumizyme injection
Injection, alglucosidase alfa, (lumizyme), 10 mg
Category:
Drugs
Section:
J-codes: Drugs Administered Other Than Oral Method
Effective:
Jan 1, 2012
Code type:
alphanumeric
OPPS Status:
K
— Non-pass-through drugs and biologicals
OPPS APC:
1413
MUE — Medically Unlikely Edits
Maximum units of J0221 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 | 300 |
| Practitioner Services | 250 |
Source: CMS Medicare NCCI Medically Unlikely Edits
NDC Crosswalk
National Drug Codes (NDCs) mapped to this HCPCS code.
| NDC | Drug Name |
|---|---|
| 58468-0160-01 | Lumizyme |