HCPCS code J2471 — Inj pantoprazole(hikma) 40mg. Status: Active. Effective Jul 1, 2024. Source: CMS HCPCS Level II.

J2471

Active

Inj pantoprazole(hikma) 40mg

Injection, pantoprazole (hikma), not therapeutically equivalent to j2470, 40 mg

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

MUE — Medically Unlikely Edits

Maximum units of J2471 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 6
Outpatient Hospital 6
Practitioner Services 6

Source: CMS Medicare NCCI Medically Unlikely Edits

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-Q3
    Inj pantoprazole(hikma) 40mg