HCPCS code J2247 — Inj, micafungin (par pharm). Status: Active. Effective Jan 1, 2024. Source: CMS HCPCS Level II.

J2247

Active

Inj, micafungin (par pharm)

Injection, micafungin sodium (par pharm) not thereapeutically equivalent to j2248, 1 mg

Category: Drugs
Section: J-codes: Drugs Administered Other Than Oral Method
Effective: Jan 1, 2024
Code type: alphanumeric
OPPS Status: N — Items / services packaged into APC rates

MUE — Medically Unlikely Edits

Maximum units of J2247 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 150
Practitioner Services 150

Source: CMS Medicare NCCI Medically Unlikely Edits

NDC Crosswalk

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

NDC Drug Name
42023-0229-10 Micafungin
42023-0230-10 Micafungin

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 2024-Q1
    Inj, micafungin (par pharm)