HCPCS code J3398 — Inj luxturna 1 billion vec g. Status: Active. Effective Jan 1, 2019. Source: CMS HCPCS Level II.

J3398

Active

Inj luxturna 1 billion vec g

Injection, voretigene neparvovec-rzyl, 1 billion vector genomes

Category: Drugs
Section: J-codes: Drugs Administered Other Than Oral Method
Effective: Jan 1, 2019
Code type: alphanumeric
OPPS Status: K — Non-pass-through drugs and biologicals
OPPS APC: 9070

MUE — Medically Unlikely Edits

Maximum units of J3398 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
Outpatient Hospital 150
Practitioner Services 150

Source: CMS Medicare NCCI Medically Unlikely Edits