HCPCS code J0872 — Daptomycin (xellia) unrefrig. Status: Active. Effective Jul 1, 2024. Source: CMS HCPCS Level II.

J0872

Active

Daptomycin (xellia) unrefrig

Injection, daptomycin (xellia), unrefrigerated, not therapeutically equivalent to j0878 or j0873, 1 mg

Category: Drugs
Section: J-codes: Drugs Administered Other Than Oral Method
Effective: Jul 1, 2024
Code type: alphanumeric
OPPS Status: N — Items / services packaged into APC rates

MUE — Medically Unlikely Edits

Maximum units of J0872 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 1050
Outpatient Hospital 1050
Practitioner Services 1050

Source: CMS Medicare NCCI Medically Unlikely Edits

NDC Crosswalk

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

NDC Drug Name
70594-0060-01 Daptomycin
70594-0066-01 Daptomycin

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 2024-Q3
    Daptomycin (xellia) unrefrig