HCPCS code J1105 — Dexmedetomidine film, 1 mcg. Status: Active. Effective Jan 1, 2024. Source: CMS HCPCS Level II.

J1105

Active

Dexmedetomidine 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.

  • New Code 2024-Q1
    Dexmedetomidine film, 1 mcg