HCPCS code J3243 — Tigecycline injection.
Status: Active.
Effective Jan 1, 2022.
Source: CMS HCPCS Level II.
J3243
ActiveTigecycline injection
Injection, tigecycline, 1 mg
Category:
Drugs
Section:
J-codes: Drugs Administered Other Than Oral Method
Effective:
Jan 1, 2022
Code type:
alphanumeric
OPPS Status:
N
— Items / services packaged into APC rates
MUE — Medically Unlikely Edits
Maximum units of J3243 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 | 150 |
| Outpatient Hospital | 200 |
| Practitioner Services | 150 |
Source: CMS Medicare NCCI Medically Unlikely Edits
NDC Crosswalk
National Drug Codes (NDCs) mapped to this HCPCS code.
| NDC | Drug Name |
|---|---|
| 00008-4990-20 | Tigecycline |
| 00008-4994-20 | Tigecycline |
| 00781-3481-92 | Tigecycline |
| 55150-0228-10 | Tigecycline |
| 60505-6098-01 | Tigecycline |
| 63323-0960-10 | Tigecycline |
| 70121-1647-07 | Tigecycline |
| 71288-0019-11 | Tigecycline |
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 2022-Q1Tigecycline injection