HCPCS code J7520 — Sirolimus, oral. Status: Active. Effective Jan 1, 2001. Source: CMS HCPCS Level II.

J7520

Active

Sirolimus, oral

Sirolimus, oral, 1 mg

Category: Drugs
Section: J-codes: Drugs Administered Other Than Oral Method
Effective: Jan 1, 2001
Code type: alphanumeric
OPPS Status: N — Items / services packaged into APC rates

MUE — Medically Unlikely Edits

Maximum units of J7520 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 600
Outpatient Hospital 40
Practitioner Services 0

Source: CMS Medicare NCCI Medically Unlikely Edits

NDC Crosswalk

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

NDC Drug Name
00008-1030-06 Rapamune
00008-1040-10 Rapamune
00008-1041-05 Rapamune
00008-1042-05 Rapamune
16714-0187-01 Sirolimus
16714-0188-01 Sirolimus
16714-0189-01 Sirolimus
50268-0718-13 Sirolimus
55111-0653-01 Sirolimus
55111-0654-01 Sirolimus
59762-1001-01 Sirolimus
59762-1002-01 Sirolimus
59762-1003-01 Sirolimus
59762-1205-06 Sirolimus
60505-6197-02 Sirolimus
67877-0746-01 Sirolimus
67877-0747-01 Sirolimus
67877-0748-01 Sirolimus
68084-0915-25 Sirolimus
68462-0682-01 Sirolimus