HCPCS code J1364 — Erythro lactobionate /500 mg. Status: Active. Effective Jan 1, 2023. Source: CMS HCPCS Level II.

J1364

Active

Erythro lactobionate /500 mg

Injection, erythromycin lactobionate, per 500 mg

Category: Drugs
Section: J-codes: Drugs Administered Other Than Oral Method
Effective: Jan 1, 2023
Code type: alphanumeric
OPPS Status: N — Items / services packaged into APC rates

MUE — Medically Unlikely Edits

Maximum units of J1364 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 2

Source: CMS Medicare NCCI Medically Unlikely Edits

NDC Crosswalk

National Drug Codes (NDCs) mapped to this HCPCS code.

NDC Drug Name
00409-6476-44 Erythromycin Lactobionate
00409-6482-01 Erythromycin Lactobionate
14789-0116-05 Erythromycin Lactobionate

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 2023-Q1
    Erythro lactobionate /500 mg