HCPCS code J1451 — Fomepizole, 15 mg. Status: Active. Effective Jan 1, 2006. Source: CMS HCPCS Level II.

J1451

Active

Fomepizole, 15 mg

Injection, fomepizole, 15 mg

Category: Drugs
Section: J-codes: Drugs Administered Other Than Oral Method
Effective: Jan 1, 2006
Code type: alphanumeric
OPPS Status: K — Non-pass-through drugs and biologicals
OPPS APC: 1689

MUE — Medically Unlikely Edits

Maximum units of J1451 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 200
Practitioner Services 1

Source: CMS Medicare NCCI Medically Unlikely Edits