HCPCS code J1105 — Dexmedetomidine film, 1 mcg.
Status: Active.
Effective Jan 1, 2024.
Source: CMS HCPCS Level II.
J1105
ActiveDexmedetomidine film, 1 mcg
Dexmedetomidine, oral, 1 mcg
Category:
Drugs
Section:
J-codes: Drugs Administered Other Than Oral Method
Effective:
Jan 1, 2024
Code type:
alphanumeric
OPPS Status:
E1
— Items / services not paid by Medicare
MUE — Medically Unlikely Edits
Maximum units of J1105 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 | 360 |
| Outpatient Hospital | 360 |
| Practitioner Services | 360 |
Source: CMS Medicare NCCI Medically Unlikely Edits
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 2024-Q1Dexmedetomidine film, 1 mcg