HCPCS code J9040 — Bleomycin sulfate injection. Status: Active. Effective Jan 1, 2009. Source: CMS HCPCS Level II.

J9040

Active

Bleomycin sulfate injection

Injection, bleomycin sulfate, 15 units

Category: Drugs
Section: J-codes: Drugs Administered Other Than Oral Method
Effective: Jan 1, 2009
Code type: alphanumeric
OPPS Status: N — Items / services packaged into APC rates

MUE — Medically Unlikely Edits

Maximum units of J9040 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 4
Outpatient Hospital 4
Practitioner Services 4

Source: CMS Medicare NCCI Medically Unlikely Edits

NDC Crosswalk

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

NDC Drug Name
00143-9240-01 Bleomycin Sulfate
00143-9241-01 Bleomycin Sulfate
00409-0323-20 Bleomycin Sulfate
00409-0332-20 Bleomycin Sulfate
16714-0886-01 Bleomycin Sulfate
16714-0908-01 Bleomycin Sulfate
61703-0323-22 Bleomycin Sulfate
61703-0332-18 Bleomycin Sulfate
63323-0136-10 Bleomycin Sulfate
63323-0137-20 Bleomycin Sulfate
71288-0106-10 Bleomycin Sulfate
71288-0107-20 Bleomycin Sulfate