HCPCS code J0223 — Inj givosiran 0.5 mg. Status: Active. Effective Jul 1, 2020. Source: CMS HCPCS Level II.

J0223

Active

Inj givosiran 0.5 mg

Injection, givosiran, 0.5 mg

Category: Drugs
Section: J-codes: Drugs Administered Other Than Oral Method
Effective: Jul 1, 2020
Code type: alphanumeric
OPPS Status: K — Non-pass-through drugs and biologicals
OPPS APC: 9343

MUE — Medically Unlikely Edits

Maximum units of J0223 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
Outpatient Hospital 756
Practitioner Services 756

Source: CMS Medicare NCCI Medically Unlikely Edits

NDC Crosswalk

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

NDC Drug Name
71336-1001-01 Givlaari

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 2020-Q3
    Inj givosiran 0.5 mg