HCPCS code J1324 — Enfuvirtide injection.
Status: Active.
Effective Jan 1, 2018.
Source: CMS HCPCS Level II.
J1324
ActiveEnfuvirtide injection
Injection, enfuvirtide, 1 mg
Category:
Drugs
Section:
J-codes: Drugs Administered Other Than Oral Method
Effective:
Jan 1, 2018
Code type:
alphanumeric
OPPS Status:
E1
— Items / services not paid by Medicare
MUE — Medically Unlikely Edits
Maximum units of J1324 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 | 0 |
| Practitioner Services | 108 |
Source: CMS Medicare NCCI Medically Unlikely Edits