HCPCS code J9065 — Inj cladribine per 1 mg.
Status: Active.
Effective Jan 1, 1997.
Source: CMS HCPCS Level II.
J9065
ActiveInj cladribine per 1 mg
Injection, cladribine, per 1 mg
Category:
Drugs
Section:
J-codes: Drugs Administered Other Than Oral Method
Effective:
Jan 1, 1997
Code type:
alphanumeric
OPPS Status:
K
— Non-pass-through drugs and biologicals
OPPS APC:
0858
MUE — Medically Unlikely Edits
Maximum units of J9065 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 | 100 |
| Outpatient Hospital | 100 |
| Practitioner Services | 100 |
Source: CMS Medicare NCCI Medically Unlikely Edits
NDC Crosswalk
National Drug Codes (NDCs) mapped to this HCPCS code.
| NDC | Drug Name |
|---|---|
| 00143-9871-01 | Cladribine |
| 42658-0010-01 | Cladribine |
| 42658-0010-91 | Cladribine |
| 63323-0140-10 | Cladribine |