HCPCS code J1558 — Inj. xembify, 100 mg. Status: Active. Effective Jul 1, 2020. Source: CMS HCPCS Level II.

J1558

Active

Inj. xembify, 100 mg

Injection, immune globulin (xembify), 100 mg

Category: Drugs
Section: J-codes: Drugs Administered Other Than Oral Method
Effective: Jul 1, 2020
Code type: alphanumeric
OPPS Status: K — Non-pass-through drugs and biologicals
OPPS APC: 9372

MUE — Medically Unlikely Edits

Maximum units of J1558 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 1500
Outpatient Hospital 480
Practitioner Services 480

Source: CMS Medicare NCCI Medically Unlikely Edits

NDC Crosswalk

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

NDC Drug Name
13533-0810-05 Xembify
13533-0810-10 Xembify
13533-0810-20 Xembify
13533-0810-50 Xembify

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 2020-Q3
    Inj. xembify, 100 mg