HCPCS code J1202 — Miglustat oral 65 mg.
Status: Active.
Effective Apr 1, 2024.
Source: CMS HCPCS Level II.
J1202
ActiveMiglustat oral 65 mg
Miglustat, oral, 65 mg
Category:
Drugs
Section:
J-codes: Drugs Administered Other Than Oral Method
Effective:
Apr 1, 2024
Code type:
alphanumeric
OPPS Status:
E1
— Items / services not paid by Medicare
MUE — Medically Unlikely Edits
Maximum units of J1202 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 | 4 |
| Outpatient Hospital | 4 |
| Practitioner Services | 4 |
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-Q2Miglustat oral 65 mg