HCPCS code J3095 — Telavancin injection.
Status: Active.
Effective Jan 1, 2011.
Source: CMS HCPCS Level II.
J3095
ActiveTelavancin injection
Injection, telavancin, 10 mg
Category:
Drugs
Section:
J-codes: Drugs Administered Other Than Oral Method
Effective:
Jan 1, 2011
Code type:
alphanumeric
OPPS Status:
K
— Non-pass-through drugs and biologicals
OPPS APC:
9258
MUE — Medically Unlikely Edits
Maximum units of J3095 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 | 150 |
| Practitioner Services | 150 |
Source: CMS Medicare NCCI Medically Unlikely Edits
NDC Crosswalk
National Drug Codes (NDCs) mapped to this HCPCS code.
| NDC | Drug Name |
|---|---|
| 66220-0315-22 | Vibativ |
| 66220-0315-44 | Vibativ |