HCPCS code J3055 — Inj talquetamab-tgvs 0.25 mg. Status: Active. Effective Apr 1, 2024. Source: CMS HCPCS Level II.

J3055

Active

Inj talquetamab-tgvs 0.25 mg

Injection, talquetamab-tgvs, 0.25 mg

Category: Drugs
Section: J-codes: Drugs Administered Other Than Oral Method
Effective: Apr 1, 2024
Code type: alphanumeric
OPPS Status: G — Pass-through drugs and biologicals
OPPS APC: 0706

MUE — Medically Unlikely Edits

Maximum units of J3055 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 480
Outpatient Hospital 480
Practitioner Services 480

Source: CMS Medicare NCCI Medically Unlikely Edits

NDC Crosswalk

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

NDC Drug Name
57894-0469-01 Talvey
57894-0470-01 Talvey

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-Q2
    Inj talquetamab-tgvs 0.25 mg