HCPCS code J7351 — Inj bimatoprost itc imp1mcg. Status: Active. Effective Oct 1, 2020. Source: CMS HCPCS Level II.

J7351

Active

Inj bimatoprost itc imp1mcg

Injection, bimatoprost, intracameral implant, 1 microgram

Category: Drugs
Section: J-codes: Drugs Administered Other Than Oral Method
Effective: Oct 1, 2020
Code type: alphanumeric
OPPS Status: K — Non-pass-through drugs and biologicals
OPPS APC: 9351

MUE — Medically Unlikely Edits

Maximum units of J7351 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 20
Practitioner Services 20

Source: CMS Medicare NCCI Medically Unlikely Edits

NDC Crosswalk

National Drug Codes (NDCs) mapped to this HCPCS code.

NDC Drug Name
00023-9652-01 Durysta

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 2020-Q4
    Inj bimatoprost itc imp1mcg