HCPCS code J0225 — Inj, vutrisiran, 1 mg. Status: Active. Effective Jan 1, 2023. Source: CMS HCPCS Level II.

J0225

Active

Inj, vutrisiran, 1 mg

Injection, vutrisiran, 1 mg

Category: Drugs
Section: J-codes: Drugs Administered Other Than Oral Method
Effective: Jan 1, 2023
Code type: alphanumeric
OPPS Status: K — Non-pass-through drugs and biologicals
OPPS APC: 9009

MUE — Medically Unlikely Edits

Maximum units of J0225 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 25
Outpatient Hospital 25
Practitioner Services 25

Source: CMS Medicare NCCI Medically Unlikely Edits

NDC Crosswalk

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

NDC Drug Name
71336-1003-01 Amvuttra

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 2023-Q1
    Inj, vutrisiran, 1 mg