HCPCS code J9185 — Fludarabine phosphate inj. Status: Active. Effective Jan 1, 2023. Source: CMS HCPCS Level II.

J9185

Active

Fludarabine phosphate inj

Injection, fludarabine phosphate, 50 mg

Category: Drugs
Section: J-codes: Drugs Administered Other Than Oral Method
Effective: Jan 1, 2023
Code type: alphanumeric
OPPS Status: N — Items / services packaged into APC rates

MUE — Medically Unlikely Edits

Maximum units of J9185 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 2
Practitioner Services 2

Source: CMS Medicare NCCI Medically Unlikely Edits

NDC Crosswalk

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

NDC Drug Name
24201-0237-01 Fludarabine Phosphate
25021-0242-02 Fludarabine Phosphate
45963-0609-55 Fludarabine Phosphate
59923-0604-02 Fludarabine Phosphate
63323-0192-02 Fludarabine Phosphate

Change History

Quarterly changes published by CMS. Revisions may affect the code description, coverage, or rate — review each quarter's changes before submitting claims.

  • New Code 2023-Q1
    Fludarabine phosphate inj