HCPCS code J7519 — Inj. mycophenolate mofetil.
Status: Active.
Effective Oct 1, 2023.
Source: CMS HCPCS Level II.
J7519
ActiveInj. mycophenolate mofetil
Injection, mycophenolate mofetil, 10 mg
Category:
Drugs
Section:
J-codes: Drugs Administered Other Than Oral Method
Effective:
Oct 1, 2023
Code type:
alphanumeric
OPPS Status:
N
— Items / services packaged into APC rates
MUE — Medically Unlikely Edits
Maximum units of J7519 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 |
|---|---|
| DME Supplier | 500 |
| Outpatient Hospital | 500 |
| Practitioner Services | 500 |
Source: CMS Medicare NCCI Medically Unlikely Edits
NDC Crosswalk
National Drug Codes (NDCs) mapped to this HCPCS code.
| NDC | Drug Name |
|---|---|
| 00004-0298-09 | Cellcept - IV |
| 42023-0172-04 | Mycophenolate Mofetil IV |
| 67457-0386-81 | Mycophenolate Mofetil IV |
| 71288-0803-21 | Mycophenolate Mofetil IV |
| 71288-0803-92 | Mycophenolate Mofetil IV |
| 72485-0415-04 | Mycophenolate Mofetil IV |
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 2023-Q4Inj. mycophenolate mofetil