HCPCS code J9056 — Inj, vivimusta, 1 mg. Status: Active. Effective Jan 1, 2025. Source: CMS HCPCS Level II.

J9056

Active

Inj, vivimusta, 1 mg

Injection, bendamustine hydrochloride (vivimusta), 1 mg

Category: Drugs
Section: J-codes: Drugs Administered Other Than Oral Method
Effective: Jan 1, 2025
Code type: alphanumeric
OPPS Status: G — Pass-through drugs and biologicals
OPPS APC: 9154

MUE — Medically Unlikely Edits

Maximum units of J9056 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 360
Practitioner Services 360

Source: CMS Medicare NCCI Medically Unlikely Edits

NDC Crosswalk

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

NDC Drug Name
24338-0270-01 Vivimusta
71225-0120-01 Vivimusta

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 2025-Q1
    Inj, bendamustine, 1 mg
    Inj, vivimusta, 1 mg
  • New Code 2025-Q1
    Inj, vivimusta, 1 mg