HCPCS code J3241 — Inj. teprotumumab-trbw 10 mg. Status: Active. Effective Oct 1, 2020. Source: CMS HCPCS Level II.

J3241

Active

Inj. teprotumumab-trbw 10 mg

Injection, teprotumumab-trbw, 10 mg

Category: Drugs
Section: J-codes: Drugs Administered Other Than Oral Method
Effective: Oct 1, 2020
Code type: alphanumeric
OPPS Status: K — Non-pass-through drugs and biologicals
OPPS APC: 9355

MUE — Medically Unlikely Edits

Maximum units of J3241 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 500
Outpatient Hospital 500
Practitioner Services 500

Source: CMS Medicare NCCI Medically Unlikely Edits

NDC Crosswalk

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

NDC Drug Name
75987-0130-15 Tepezza

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 2020-Q4
    Inj. teprotumumab-trbw 10 mg