HCPCS code J9226 — Supprelin la implant. Status: Active. Effective Jan 1, 2024. Source: CMS HCPCS Level II.

J9226

Active

Supprelin la implant

Histrelin implant (supprelin la), 50 mg

Category: Drugs
Section: J-codes: Drugs Administered Other Than Oral Method
Effective: Jan 1, 2024
Code type: alphanumeric
OPPS Status: K — Non-pass-through drugs and biologicals
OPPS APC: 1142

MUE — Medically Unlikely Edits

Maximum units of J9226 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 1
Practitioner Services 1

Source: CMS Medicare NCCI Medically Unlikely Edits

NDC Crosswalk

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

NDC Drug Name
67979-0002-01 Supprelin LA implant

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 2024-Q1
    Supprelin la implant