HCPCS code J1951 — Inj fensolvi 0.25 mg. Status: Active. Effective Jul 1, 2021. Source: CMS HCPCS Level II.

J1951

Active

Inj fensolvi 0.25 mg

Injection, leuprolide acetate for depot suspension (fensolvi), 0.25 mg

Category: Drugs
Section: J-codes: Drugs Administered Other Than Oral Method
Effective: Jul 1, 2021
Code type: alphanumeric
OPPS Status: K — Non-pass-through drugs and biologicals
OPPS APC: 9419

MUE — Medically Unlikely Edits

Maximum units of J1951 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
Outpatient Hospital 180
Practitioner Services 180

Source: CMS Medicare NCCI Medically Unlikely Edits

NDC Crosswalk

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

NDC Drug Name
62935-0153-50 Fensolvi
62935-0163-60 Fensolvi

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 2021-Q3
    Inj fensolvi 0.25 mg