HCPCS code J0691 — Inj lefamulin 1 mg.
Status: Active.
Effective Jan 1, 2024.
Source: CMS HCPCS Level II.
J0691
ActiveInj lefamulin 1 mg
Injection, lefamulin, 1 mg
Category:
Drugs
Section:
J-codes: Drugs Administered Other Than Oral Method
Effective:
Jan 1, 2024
Code type:
alphanumeric
OPPS Status:
E2
— Items / services not covered by Medicare statute
MUE — Medically Unlikely Edits
Maximum units of J0691 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 | 300 |
| Practitioner Services | 300 |
Source: CMS Medicare NCCI Medically Unlikely Edits
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-Q1Inj lefamulin 1 mg