HCPCS code J1554 — Inj. asceniv. Status: Active. Effective Apr 1, 2021. Source: CMS HCPCS Level II.

J1554

Active

Inj. asceniv

Injection, immune globulin (asceniv), 500 mg

Category: Drugs
Section: J-codes: Drugs Administered Other Than Oral Method
Effective: Apr 1, 2021
Code type: alphanumeric
OPPS Status: K — Non-pass-through drugs and biologicals
OPPS APC: 9392
Drug class: IVIG (Intravenous Immune Globulin)

MUE — Medically Unlikely Edits

Maximum units of J1554 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 240
Outpatient Hospital 240
Practitioner Services 240

Source: CMS Medicare NCCI Medically Unlikely Edits

NDC Crosswalk

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

NDC Drug Name
69800-0250-01 Asceniv

Change History

Quarterly changes published by CMS. Revisions may affect the code description, coverage, or rate — review each quarter's changes before submitting claims.