HCPCS code J9198 — Inj. infugem, 100 mg. Status: Active. Effective Jan 1, 2021. Source: CMS HCPCS Level II.

J9198

Active

Inj. infugem, 100 mg

Injection, gemcitabine hydrochloride, (infugem), 100 mg

Category: Drugs
Section: J-codes: Drugs Administered Other Than Oral Method
Effective: Jan 1, 2021
Code type: alphanumeric
OPPS Status: E1 — Items / services not paid by Medicare

MUE — Medically Unlikely Edits

Maximum units of J9198 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 38
Practitioner Services 38

Source: CMS Medicare NCCI Medically Unlikely Edits

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 2021-Q1
    Inj. infugem, 100 mg