HCPCS code J0578 — Inj brixadi, more than 7 day.
Status: Active.
Effective Apr 1, 2024.
Source: CMS HCPCS Level II.
J0578
ActiveInj brixadi, more than 7 day
Injection, buprenorphine extended release (brixadi), greater than 7 days and up to 28 days of therapy
Category:
Drugs
Section:
J-codes: Drugs Administered Other Than Oral Method
Effective:
Apr 1, 2024
Code type:
alphanumeric
OPPS Status:
G
— Pass-through drugs and biologicals
OPPS APC:
0733
MUE — Medically Unlikely Edits
Maximum units of J0578 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 | 1 |
| Outpatient Hospital | 1 |
| Practitioner Services | 1 |
Source: CMS Medicare NCCI Medically Unlikely Edits
NDC Crosswalk
National Drug Codes (NDCs) mapped to this HCPCS code.
| NDC | Drug Name |
|---|---|
| 58284-0228-01 | Brixadi (monthly dosing) |
| 58284-0264-01 | Brixadi (monthly dosing) |
| 58284-0296-01 | Brixadi (monthly dosing) |
Change History
Quarterly changes published by CMS. Revisions may affect the code description, coverage, or rate — review each quarter's changes before submitting claims.
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New Code 2024-Q2Inj brixadi, more than 7 day