HCPCS code J2357 — Omalizumab injection.
Status: Active.
Effective Jan 1, 2005.
Source: CMS HCPCS Level II.
J2357
ActiveOmalizumab injection
Injection, omalizumab, 5 mg
Category:
Drugs
Section:
J-codes: Drugs Administered Other Than Oral Method
Effective:
Jan 1, 2005
Code type:
alphanumeric
OPPS Status:
K
— Non-pass-through drugs and biologicals
OPPS APC:
9300
MUE — Medically Unlikely Edits
Maximum units of J2357 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 | 120 |
| Practitioner Services | 120 |
Source: CMS Medicare NCCI Medically Unlikely Edits
NDC Crosswalk
National Drug Codes (NDCs) mapped to this HCPCS code.
| NDC | Drug Name |
|---|---|
| 50242-0040-62 | Xolair |
| 50242-0214-01 | Xolair |
| 50242-0214-03 | Xolair |
| 50242-0214-55 | Xolair |
| 50242-0215-01 | Xolair |
| 50242-0215-03 | Xolair |
| 50242-0215-55 | Xolair |
| 50242-0227-01 | Xolair |
| 50242-0227-55 | Xolair |