HCPCS code J7172 — Inj marstacim-hncq, 0.5 mg. Status: Active. Effective Jul 1, 2025. Source: CMS HCPCS Level II.

J7172

Active

Inj marstacim-hncq, 0.5 mg

Injection, marstacimab-hncq, 0.5 mg

Category: Drugs
Section: J-codes: Drugs Administered Other Than Oral Method
Effective: Jul 1, 2025
Code type: alphanumeric
OPPS Status: G — Pass-through drugs and biologicals
OPPS APC: 2064

MUE — Medically Unlikely Edits

Maximum units of J7172 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 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
00069-2151-01 Hympavzi

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 marstacim-hncq, 0.5 mg