HCPCS code J0741 — Inj, cabote rilpivir 2mg 3mg. Status: Active. Effective Oct 1, 2021. Source: CMS HCPCS Level II.

J0741

Active

Inj, cabote rilpivir 2mg 3mg

Injection, cabotegravir and rilpivirine, 2mg/3mg

Category: Drugs
Section: J-codes: Drugs Administered Other Than Oral Method
Effective: Oct 1, 2021
Code type: alphanumeric
OPPS Status: K — Non-pass-through drugs and biologicals
OPPS APC: 9414

MUE — Medically Unlikely Edits

Maximum units of J0741 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

NDC Crosswalk

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

NDC Drug Name
49702-0240-15 Cabenuva
49702-0253-15 Cabenuva

Change History

Quarterly changes published by CMS. Revisions may affect the code description, coverage, or rate — review each quarter's changes before submitting claims.

  • New Code 2021-Q4
    Inj, cabote rilpivir 2mg 3mg