HCPCS code J9029 — Instill adstiladrin, tx dose. Status: Active. Effective Jan 1, 2024. Source: CMS HCPCS Level II.

J9029

Active

Instill adstiladrin, tx dose

Intravesical instillation, nadofaragene firadenovec-vncg, per therapeutic dose

Category: Drugs
Section: J-codes: Drugs Administered Other Than Oral Method
Effective: Jan 1, 2024
Code type: alphanumeric
OPPS Status: G — Pass-through drugs and biologicals
OPPS APC: 0717

MUE — Medically Unlikely Edits

Maximum units of J9029 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 1
Practitioner Services 1

Source: CMS Medicare NCCI Medically Unlikely Edits

NDC Crosswalk

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

NDC Drug Name
55566-1050-01 Adstiladrin

Change History

Quarterly changes published by CMS. Revisions may affect the code description, coverage, or rate — review each quarter's changes before submitting claims.

  • Revised 2024-Q2
    Inj, adstiladrin, per tx dos
    Instill adstiladrin, tx dose
  • New Code 2024-Q1
    Instill adstiladrin, tx dose