HCPCS code J1190 — Dexrazoxane hcl injection.
Status: Active.
Effective Jan 1, 1997.
Source: CMS HCPCS Level II.
J1190
ActiveDexrazoxane hcl injection
Injection, dexrazoxane hydrochloride, per 250 mg
Category:
Drugs
Section:
J-codes: Drugs Administered Other Than Oral Method
Effective:
Jan 1, 1997
Code type:
alphanumeric
OPPS Status:
K
— Non-pass-through drugs and biologicals
OPPS APC:
0726
MUE — Medically Unlikely Edits
Maximum units of J1190 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 | 0 |
| Outpatient Hospital | 8 |
| Practitioner Services | 8 |
Source: CMS Medicare NCCI Medically Unlikely Edits
NDC Crosswalk
National Drug Codes (NDCs) mapped to this HCPCS code.
| NDC | Drug Name |
|---|---|
| 00143-9247-01 | Dexrazoxane |
| 00143-9248-01 | Dexrazoxane |
| 51991-0942-98 | Dexrazoxane |
| 55150-0434-01 | Dexrazoxane |
| 55150-0434-02 | Dexrazoxane |
| 55150-0437-01 | Dexrazoxane |
| 72205-0247-01 | Dexrazoxane |
| 72205-0248-01 | Dexrazoxane |
| 72266-0101-01 | Dexrazoxane |
| 72266-0235-01 | Dexrazoxane |
| 72611-0716-01 | Dexrazoxane |
| 72611-0716-72 | Dexrazoxane |