HCPCS code J1427 — Inj. viltolarsen.
Status: Active.
Effective Apr 1, 2021.
Source: CMS HCPCS Level II.
J1427
ActiveInj. viltolarsen
Injection, viltolarsen, 10 mg
Category:
Drugs
Section:
J-codes: Drugs Administered Other Than Oral Method
Effective:
Apr 1, 2021
Code type:
alphanumeric
OPPS Status:
E2
— Items / services not covered by Medicare statute
MUE — Medically Unlikely Edits
Maximum units of J1427 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 |
|---|---|
| Outpatient Hospital | 1200 |
| Practitioner Services | 1200 |
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 2021-Q2Inj. viltolarsen