HCPCS code J0801 — Inj. acthar gel to 40 units. Status: Active. Effective Oct 1, 2023. Source: CMS HCPCS Level II.

J0801

Active

Inj. acthar gel to 40 units

Injection, corticotropin (acthar gel), up to 40 units

Category: Drugs
Section: J-codes: Drugs Administered Other Than Oral Method
Effective: Oct 1, 2023
Code type: alphanumeric
OPPS Status: K — Non-pass-through drugs and biologicals
OPPS APC: 9268

MUE — Medically Unlikely Edits

Maximum units of J0801 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 3
Practitioner Services 3

Source: CMS Medicare NCCI Medically Unlikely Edits

NDC Crosswalk

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

NDC Drug Name
63004-8710-01 H.P. Acthar
63004-8711-04 Acthar Gel
63004-8712-04 Acthar Gel

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 2023-Q4
    Inj. acthar gel to 40 units