HCPCS code J7316 — Inj, ocriplasmin, 0.125 mg. Status: Active. Effective Jan 1, 2024. Source: CMS HCPCS Level II.

J7316

Active

Inj, ocriplasmin, 0.125 mg

Injection, ocriplasmin, 0.125 mg

Category: Drugs
Section: J-codes: Drugs Administered Other Than Oral Method
Effective: Jan 1, 2024
Code type: alphanumeric
OPPS Status: E1 — Items / services not paid by Medicare

MUE — Medically Unlikely Edits

Maximum units of J7316 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 3
Practitioner Services 3

Source: CMS Medicare NCCI Medically Unlikely Edits

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 2024-Q1
    Inj, ocriplasmin, 0.125 mg