HCPCS code J9172 — Docetaxel (docivyx), 1 mg.
Status: Active.
Effective Oct 1, 2024.
Source: CMS HCPCS Level II.
J9172
ActiveDocetaxel (docivyx), 1 mg
Injection, docetaxel (docivyx), 1 mg
Category:
Drugs
Section:
J-codes: Drugs Administered Other Than Oral Method
Effective:
Oct 1, 2024
Code type:
alphanumeric
OPPS Status:
G
— Pass-through drugs and biologicals
OPPS APC:
0757
MUE — Medically Unlikely Edits
Maximum units of J9172 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 | 300 |
| Outpatient Hospital | 300 |
| Practitioner Services | 300 |
Source: CMS Medicare NCCI Medically Unlikely Edits
NDC Crosswalk
National Drug Codes (NDCs) mapped to this HCPCS code.
| NDC | Drug Name |
|---|---|
| 83831-0101-02 | Docivyx |
| 83831-0102-08 | Docivyx |
| 83831-0103-16 | Docivyx |
Change History
Quarterly changes published by CMS. Revisions may affect the code description, coverage, or rate — review each quarter's changes before submitting claims.