HCPCS code J2472 — Inj, pantoprazole sodium chl. Status: Active. Effective Jan 1, 2025. Source: CMS HCPCS Level II.

J2472

Active

Inj, pantoprazole sodium chl

Injection, pantoprazole sodium in sodium chloride (baxter), 40 mg

Category: Drugs
Section: J-codes: Drugs Administered Other Than Oral Method
Effective: Jan 1, 2025
Code type: alphanumeric
OPPS Status: N — Items / services packaged into APC rates

MUE — Medically Unlikely Edits

Maximum units of J2472 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 2025-Q1
    Inj, pantoprazole sodium chl