HCPCS code J7170 — Inj., emicizumab-kxwh 0.5 mg.
Status: Active.
Effective Jan 1, 2019.
Source: CMS HCPCS Level II.
J7170
ActiveInj., emicizumab-kxwh 0.5 mg
Injection, emicizumab-kxwh, 0.5 mg
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:
9257
MUE — Medically Unlikely Edits
Maximum units of J7170 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 | 1800 |
| Practitioner Services | 1800 |
Source: CMS Medicare NCCI Medically Unlikely Edits
NDC Crosswalk
National Drug Codes (NDCs) mapped to this HCPCS code.
| NDC | Drug Name |
|---|---|
| 50242-0920-01 | Hemlibra |
| 50242-0921-01 | Hemlibra |
| 50242-0922-01 | Hemlibra |
| 50242-0923-01 | Hemlibra |
| 50242-0927-01 | Hemlibra |
| 50242-0930-01 | Hemlibra |