HCPCS code J0256 — Alpha 1 proteinase inhibitor.
Status: Active.
Effective Jan 1, 2012.
Source: CMS HCPCS Level II.
J0256
ActiveAlpha 1 proteinase inhibitor
Injection, alpha 1 proteinase inhibitor (human), not otherwise specified, 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:
0901
MUE — Medically Unlikely Edits
Maximum units of J0256 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 | 1600 |
| Practitioner Services | 1600 |
Source: CMS Medicare NCCI Medically Unlikely Edits
NDC Crosswalk
National Drug Codes (NDCs) mapped to this HCPCS code.
| NDC | Drug Name |
|---|---|
| 00053-7201-02 | Zemaira |
| 00053-7202-02 | Zemaira |
| 00053-7203-02 | Zemaira |
| 00944-2814-01 | Aralast NP |
| 00944-2815-01 | Aralast NP |
| 13533-0705-01 | Prolastin-C |