HCPCS code J0401 — Inj, abilify maintena, 1 mg. Status: Active. Effective Jul 1, 2024. Source: CMS HCPCS Level II.

J0401

Active

Inj, abilify maintena, 1 mg

Injection, aripiprazole (abilify maintena), 1 mg

Category: Drugs
Section: J-codes: Drugs Administered Other Than Oral Method
Effective: Jul 1, 2024
Code type: alphanumeric
OPPS Status: K — Non-pass-through drugs and biologicals
OPPS APC: 1468

MUE — Medically Unlikely Edits

Maximum units of J0401 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 400
Practitioner Services 400

Source: CMS Medicare NCCI Medically Unlikely Edits

NDC Crosswalk

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

NDC Drug Name
59148-0018-71 Abilify Maintena
59148-0019-71 Abilify Maintena
59148-0045-80 Abilify Maintena
59148-0072-80 Abilify Maintena
59148-0232-12 Abilify Maintena
59148-0245-12 Abilify Maintena

Change History

Quarterly changes published by CMS. Revisions may affect the code description, coverage, or rate — review each quarter's changes before submitting claims.

  • Revised 2024-Q3
    Inj aripiprazole ext rel 1mg
    Inj, abilify maintena, 1 mg
  • New Code 2024-Q3
    Inj, abilify maintena, 1 mg