HCPCS code J1327 — Eptifibatide injection. Status: Active. Effective Jan 1, 2024. Source: CMS HCPCS Level II.

J1327

Active

Eptifibatide injection

Injection, eptifibatide, 5 mg

Category: Drugs
Section: J-codes: Drugs Administered Other Than Oral Method
Effective: Jan 1, 2024
Code type: alphanumeric
OPPS Status: K — Non-pass-through drugs and biologicals
OPPS APC: 9420

MUE — Medically Unlikely Edits

Maximum units of J1327 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 99
Practitioner Services 1

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
    Eptifibatide injection