HCPCS code J2250 — Inj midazolam hydrochloride. Status: Active. Effective Jan 1, 1997. Source: CMS HCPCS Level II.

J2250

Active

Inj midazolam hydrochloride

Injection, midazolam hydrochloride, per 1 mg

Category: Drugs
Section: J-codes: Drugs Administered Other Than Oral Method
Effective: Jan 1, 1997
Code type: alphanumeric
OPPS Status: N — Items / services packaged into APC rates

MUE — Medically Unlikely Edits

Maximum units of J2250 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 30
Practitioner Services 22

Source: CMS Medicare NCCI Medically Unlikely Edits

NDC Crosswalk

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

NDC Drug Name
00404-9780-10 Midazolam HCl
00404-9801-10 Midazolam HCl
00404-9912-10 Midazolam HCl
00404-9913-05 Midazolam HCl
00404-9914-10 Midazolam HCl
00404-9915-05 Midazolam HCl
00404-9916-01 Midazolam HCl
00404-9916-02 Midazolam HCl
00409-0001-25 Midazolam
00409-2305-05 Midazolam HCl
00409-2305-17 Midazolam HCl
00409-2305-50 Midazolam HCl
00409-2308-01 Midazolam HCl
00409-2308-02 Midazolam HCl
00409-2308-49 Midazolam HCl
00409-2308-50 Midazolam HCl
00409-2587-05 Midazolam HCl
00409-2596-03 Midazolam HCl
00409-2596-05 Midazolam HCl
00641-6056-10 Midazolam HCl