HCPCS code J3375 — Inj vancomycin (xellia) 10mg. Status: Active. Effective Jul 1, 2025. Source: CMS HCPCS Level II.

J3375

Active

Inj vancomycin (xellia) 10mg

Injection, vancomycin hydrochloride (xellia), not therapeutically equivalent to j3373, 10 mg

Category: Drugs
Section: J-codes: Drugs Administered Other Than Oral Method
Effective: Jul 1, 2025
Code type: alphanumeric
OPPS Status: N — Items / services packaged into APC rates

MUE — Medically Unlikely Edits

Maximum units of J3375 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 600
Outpatient Hospital 600
Practitioner Services 600

Source: CMS Medicare NCCI Medically Unlikely Edits

NDC Crosswalk

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

NDC Drug Name
70594-0041-03 Vancomycin HCl
70594-0042-03 Vancomycin HCl
70594-0043-02 Vancomycin HCl
70594-0044-02 Vancomycin HCl
70594-0056-03 Vancomycin HCl
70594-0057-02 Vancomycin HCl
70594-0058-02 Vancomycin HCl

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 2025-Q3
    Inj vancomycin (xellia) 10mg