HCPCS code J1455 — Foscarnet sodium injection.
Status: Active.
Effective Jan 1, 2017.
Source: CMS HCPCS Level II.
J1455
ActiveFoscarnet sodium injection
Injection, foscarnet sodium, per 1000 mg
Category:
Drugs
Section:
J-codes: Drugs Administered Other Than Oral Method
Effective:
Jan 1, 2017
Code type:
alphanumeric
OPPS Status:
N
— Items / services packaged into APC rates
MUE — Medically Unlikely Edits
Maximum units of J1455 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 | 90 |
| Outpatient Hospital | 18 |
| Practitioner Services | 18 |
Source: CMS Medicare NCCI Medically Unlikely Edits
NDC Crosswalk
National Drug Codes (NDCs) mapped to this HCPCS code.
| NDC | Drug Name |
|---|---|
| 00143-9192-01 | Foscarnet Sodium |
| 25021-0189-84 | Foscarnet Sodium |
| 43066-0089-10 | Foscarnet Sodium |
| 63323-0875-50 | Foscarnet Sodium |
| 70121-1744-02 | Foscarnet Sodium |