HCPCS code J0873 — Inj daptomycin (xellia).
Status: Active.
Effective Jan 1, 2025.
Source: CMS HCPCS Level II.
J0873
ActiveInj daptomycin (xellia)
Injection, daptomycin (xellia), not therapeutically equivalent to j0878 or j0872, 1 mg
Category:
Drugs
Section:
J-codes: Drugs Administered Other Than Oral Method
Effective:
Jan 1, 2025
Code type:
alphanumeric
OPPS Status:
N
— Items / services packaged into APC rates
MUE — Medically Unlikely Edits
Maximum units of J0873 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 | 1000 |
| Outpatient Hospital | 1000 |
| Practitioner Services | 1000 |
Source: CMS Medicare NCCI Medically Unlikely Edits
NDC Crosswalk
National Drug Codes (NDCs) mapped to this HCPCS code.
| NDC | Drug Name |
|---|---|
| 70594-0053-01 | Daptomycin |
| 72572-0100-01 | 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.