HCPCS code J2779 — Inj, susvimo 0.1 mg.
Status: Active.
Effective Jul 1, 2022.
Source: CMS HCPCS Level II.
J2779
ActiveInj, susvimo 0.1 mg
Injection, ranibizumab, via intravitreal implant (susvimo), 0.1 mg
Category:
Drugs
Section:
J-codes: Drugs Administered Other Than Oral Method
Effective:
Jul 1, 2022
Code type:
alphanumeric
OPPS Status:
K
— Non-pass-through drugs and biologicals
OPPS APC:
9439
MUE — Medically Unlikely Edits
Maximum units of J2779 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 | 200 |
| Practitioner Services | 200 |
Source: CMS Medicare NCCI Medically Unlikely Edits
NDC Crosswalk
National Drug Codes (NDCs) mapped to this HCPCS code.
| NDC | Drug Name |
|---|---|
| 50242-0078-12 | Susvimo |
| 50242-0078-55 | Susvimo |
Change History
Quarterly changes published by CMS. Revisions may affect the code description, coverage, or rate — review each quarter's changes before submitting claims.
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New Code 2022-Q3Inj, susvimo 0.1 mg