HCPCS code J1449 — Inj eflapegrastim-xnst 0.1mg. Status: Active. Effective Apr 1, 2023. Source: CMS HCPCS Level II.

J1449

Active

Inj eflapegrastim-xnst 0.1mg

Injection, eflapegrastim-xnst, 0.1 mg

Category: Drugs
Section: J-codes: Drugs Administered Other Than Oral Method
Effective: Apr 1, 2023
Code type: alphanumeric
OPPS Status: K — Non-pass-through drugs and biologicals
OPPS APC: 9114

MUE — Medically Unlikely Edits

Maximum units of J1449 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 132
Practitioner Services 132

Source: CMS Medicare NCCI Medically Unlikely Edits

NDC Crosswalk

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

NDC Drug Name
76961-0101-01 Rolvedon

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-Q2
    Inj eflapegrastim-xnst 0.1mg