HCPCS code J2704 — Inj, propofol, 10 mg.
Status: Active.
Effective Jan 1, 2015.
Source: CMS HCPCS Level II.
J2704
ActiveInj, propofol, 10 mg
Injection, propofol, 10 mg
Category:
Drugs
Section:
J-codes: Drugs Administered Other Than Oral Method
Effective:
Jan 1, 2015
Code type:
alphanumeric
OPPS Status:
N
— Items / services packaged into APC rates
MUE — Medically Unlikely Edits
Maximum units of J2704 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 | 400 |
| Practitioner Services | 80 |
Source: CMS Medicare NCCI Medically Unlikely Edits
NDC Crosswalk
National Drug Codes (NDCs) mapped to this HCPCS code.
| NDC | Drug Name |
|---|---|
| 00069-0209-10 | Propofol |
| 00069-0234-20 | Propofol |
| 00069-0248-10 | Propofol |
| 00409-4699-24 | Propofol |
| 00409-4699-30 | Propofol |
| 00409-4699-33 | Propofol |
| 00409-6010-25 | Propofol |
| 00641-6194-10 | Propofol |
| 00641-6195-20 | Propofol |
| 00641-6196-10 | Propofol |
| 16714-0528-10 | Propofol |
| 16714-0528-20 | Propofol |
| 16714-0690-10 | Propofol |
| 16714-0977-20 | Propofol |
| 23155-0345-41 | Propofol |
| 23155-0345-42 | Propofol |
| 23155-0345-43 | Propofol |
| 23155-0345-44 | Propofol |
| 25021-0608-20 | Propofol |
| 25021-0608-50 | Propofol |