HCPCS code J7213 — Inj, ixinity, 1 i.u..
Status: Active.
Effective Jul 1, 2023.
Source: CMS HCPCS Level II.
J7213
ActiveInj, ixinity, 1 i.u.
Injection, coagulation factor ix (recombinant), ixinity, 1 i.u.
Category:
Drugs
Section:
J-codes: Drugs Administered Other Than Oral Method
Effective:
Jul 1, 2023
Code type:
alphanumeric
OPPS Status:
K
— Non-pass-through drugs and biologicals
OPPS APC:
9146
MUE — Medically Unlikely Edits
Maximum units of J7213 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 | 12000 |
| Practitioner Services | 12000 |
Source: CMS Medicare NCCI Medically Unlikely Edits
NDC Crosswalk
National Drug Codes (NDCs) mapped to this HCPCS code.
| NDC | Drug Name |
|---|---|
| 59137-0282-05 | Ixinity |
| 59137-0283-05 | Ixinity |
| 59137-0284-05 | Ixinity |
| 59137-0289-05 | Ixinity |
Change History
Quarterly changes published by CMS. Revisions may affect the code description, coverage, or rate — review each quarter's changes before submitting claims.
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New Code 2023-Q3Inj, ixinity, 1 i.u.