HCPCS code J0575 — Bupren/nal over 10mg bupreno. Status: Active. Effective Jan 1, 2016. Source: CMS HCPCS Level II.

J0575

Active

Bupren/nal over 10mg bupreno

Buprenorphine/naloxone, oral, greater than 10 mg buprenorphine

Category: Drugs
Section: J-codes: Drugs Administered Other Than Oral Method
Effective: Jan 1, 2016
Code type: alphanumeric
OPPS Status: E1 — Items / services not paid by Medicare
Drug class: Opioid Analgesics

MUE — Medically Unlikely Edits

Maximum units of J0575 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 0
Practitioner Services 0

Source: CMS Medicare NCCI Medically Unlikely Edits