HCPCS code J1460 — Gamma globulin 1 cc inj.
Status: Active.
Effective Jan 1, 2017.
Source: CMS HCPCS Level II.
J1460
ActiveGamma globulin 1 cc inj
Injection, gamma globulin, intramuscular, 1 cc
Category:
Drugs
Section:
J-codes: Drugs Administered Other Than Oral Method
Effective:
Jan 1, 2017
Code type:
alphanumeric
OPPS Status:
K
— Non-pass-through drugs and biologicals
OPPS APC:
1850
MUE — Medically Unlikely Edits
Maximum units of J1460 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 | 10 |
| Practitioner Services | 10 |
Source: CMS Medicare NCCI Medically Unlikely Edits
NCCI Edits — Reverse Direction
J1460 cannot be billed together with the following column 1 codes without appropriate documentation.
| Column 1 Code | Modifier |
|---|---|
| J1560 | Modifier cannot bypass edit |
Source: CMS National Correct Coding Initiative (NCCI)
NDC Crosswalk
National Drug Codes (NDCs) mapped to this HCPCS code.
| NDC | Drug Name |
|---|---|
| 13533-0335-04 | Gamastan |
| 13533-0335-12 | Gamastan |