HCPCS code J9248 — Inj melphalan (hepzato) 1 mg. Status: Active. Effective Apr 1, 2024. Source: CMS HCPCS Level II.

J9248

Active

Inj melphalan (hepzato) 1 mg

Injection, melphalan (hepzato), 1 mg

Category: Drugs
Section: J-codes: Drugs Administered Other Than Oral Method
Effective: Apr 1, 2024
Code type: alphanumeric
OPPS Status: G — Pass-through drugs and biologicals
OPPS APC: 0730

MUE — Medically Unlikely Edits

Maximum units of J9248 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 250
Outpatient Hospital 250
Practitioner Services 250

Source: CMS Medicare NCCI Medically Unlikely Edits

NDC Crosswalk

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

NDC Drug Name
75833-0601-01 Hepzato Kit
75833-0601-02 Hepzato Kit

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-Q2
    Inj melphalan (hepzato) 1 mg