HCPCS code J0585 — Injection,onabotulinumtoxina.
Status: Active.
Effective Jan 1, 2010.
Source: CMS HCPCS Level II.
J0585
ActiveInjection,onabotulinumtoxina
Injection, onabotulinumtoxina, 1 unit
Category:
Drugs
Section:
J-codes: Drugs Administered Other Than Oral Method
Effective:
Jan 1, 2010
Code type:
alphanumeric
OPPS Status:
K
— Non-pass-through drugs and biologicals
OPPS APC:
0902
Drug class:
Botulinum Toxins
MUE — Medically Unlikely Edits
Maximum units of J0585 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 | 800 |
| Practitioner Services | 800 |
Source: CMS Medicare NCCI Medically Unlikely Edits
NDC Crosswalk
National Drug Codes (NDCs) mapped to this HCPCS code.
| NDC | Drug Name |
|---|---|
| 00023-1145-01 | Botox |
| 00023-3919-50 | Botox Cosmetic |
| 00023-3921-02 | Botox |
| 00023-9232-01 | Botox Cosmetic |