HCPCS code J0584 — Injection, burosumab-twza 1m. Status: Active. Effective Jan 1, 2019. Source: CMS HCPCS Level II.

J0584

Active

Injection, burosumab-twza 1m

Injection, burosumab-twza 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: 9187

MUE — Medically Unlikely Edits

Maximum units of J0584 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 90
Practitioner Services 90

Source: CMS Medicare NCCI Medically Unlikely Edits

NDC Crosswalk

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

NDC Drug Name
42747-0102-01 Crysvita
42747-0203-01 Crysvita
42747-0304-01 Crysvita