HCPCS code J7352 — Afamelanotide implant, 1 mg. Status: Active. Effective Jan 1, 2021. Source: CMS HCPCS Level II.

J7352

Active

Afamelanotide implant, 1 mg

Category: Drugs
Section: J-codes: Drugs Administered Other Than Oral Method
Effective: Jan 1, 2021
Code type: alphanumeric
OPPS Status: K — Non-pass-through drugs and biologicals
OPPS APC: 9396

MUE — Medically Unlikely Edits

Maximum units of J7352 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 16
Practitioner Services 16

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 2021-Q1
    Afamelanotide implant, 1 mg