HCPCS code J0874 — Inj, daptomycin (baxter).
Status: Active.
Effective Oct 1, 2023.
Source: CMS HCPCS Level II.
J0874
ActiveInj, daptomycin (baxter)
Injection, daptomycin (baxter), not therapeutically equivalent to j0878, 1 mg
Category:
Drugs
Section:
J-codes: Drugs Administered Other Than Oral Method
Effective:
Oct 1, 2023
Code type:
alphanumeric
OPPS Status:
N
— Items / services packaged into APC rates
MUE — Medically Unlikely Edits
Maximum units of J0874 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 |
|---|---|
| 00338-0712-24 | Daptomycin in NaCl (Baxter) |
| 00338-0714-24 | Daptomycin in NaCl (Baxter) |
| 00338-0716-12 | Daptomycin in NaCl (Baxter) |
| 00338-0718-12 | Daptomycin in NaCl (Baxter) |
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 2023-Q4Inj, daptomycin (baxter)