HCPCS code J2506 — Inj pegfilgrast ex bio 0.5mg. Status: Active. Effective Apr 1, 2023. Source: CMS HCPCS Level II.

J2506

Active

Inj pegfilgrast ex bio 0.5mg

Injection, pegfilgrastim, excludes biosimilar, 0.5 mg

Category: Drugs
Section: J-codes: Drugs Administered Other Than Oral Method
Effective: Apr 1, 2023
Code type: alphanumeric
OPPS Status: K — Non-pass-through drugs and biologicals
OPPS APC: 9436

MUE — Medically Unlikely Edits

Maximum units of J2506 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 12
Practitioner Services 12

Source: CMS Medicare NCCI Medically Unlikely Edits

NDC Crosswalk

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

NDC Drug Name
55513-0190-01 Neulasta
55513-0192-01 Neulasta

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 2023-Q2
    Inj pegfilgrast ex bio 0.5mg