HCPCS code J3315 — Triptorelin pamoate. Status: Active. Effective Jan 1, 2003. Source: CMS HCPCS Level II.

J3315

Active

Triptorelin pamoate

Injection, triptorelin pamoate, 3.75 mg

Category: Drugs
Section: J-codes: Drugs Administered Other Than Oral Method
Effective: Jan 1, 2003
Code type: alphanumeric
OPPS Status: K — Non-pass-through drugs and biologicals
OPPS APC: 9122

MUE — Medically Unlikely Edits

Maximum units of J3315 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 6
Practitioner Services 6

Source: CMS Medicare NCCI Medically Unlikely Edits

NDC Crosswalk

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

NDC Drug Name
74676-5902-01 Trelstar
74676-5904-01 Trelstar
74676-5906-01 Trelstar