HCPCS code J9130 — Dacarbazine 100 mg inj. Status: Active. Effective Jan 1, 2004. Source: CMS HCPCS Level II.

J9130

Active

Dacarbazine 100 mg inj

Dacarbazine, 100 mg

Category: Drugs
Section: J-codes: Drugs Administered Other Than Oral Method
Effective: Jan 1, 2004
Code type: alphanumeric
OPPS Status: N — Items / services packaged into APC rates

MUE — Medically Unlikely Edits

Maximum units of J9130 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 0
Outpatient Hospital 24
Practitioner Services 24

Source: CMS Medicare NCCI Medically Unlikely Edits

NDC Crosswalk

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

NDC Drug Name
00143-9245-10 Dacarbazine
63323-0127-10 Dacarbazine
63323-0128-20 Dacarbazine
71288-0174-21 Dacarbazine