HCPCS code J0517 — Inj., benralizumab, 1 mg.
Status: Active.
Effective Jan 1, 2019.
Source: CMS HCPCS Level II.
J0517
ActiveInj., benralizumab, 1 mg
Injection, benralizumab, 1 mg
Category:
Drugs
Section:
J-codes: Drugs Administered Other Than Oral Method
Effective:
Jan 1, 2019
Code type:
alphanumeric
OPPS Status:
K
— Non-pass-through drugs and biologicals
OPPS APC:
9466
MUE — Medically Unlikely Edits
Maximum units of J0517 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 | 30 |
| Practitioner Services | 30 |
Source: CMS Medicare NCCI Medically Unlikely Edits
NDC Crosswalk
National Drug Codes (NDCs) mapped to this HCPCS code.
| NDC | Drug Name |
|---|---|
| 00310-1730-30 | Fasenra |
| 00310-1745-01 | Fasenra |
| 00310-1830-30 | Fasenra |