HCPCS code J9249 — Inj, melphalan (apotex) 1 mg. Status: Active. Effective Jul 1, 2025. Source: CMS HCPCS Level II.

J9249

Active

Inj, melphalan (apotex) 1 mg

Injection, melphalan (apotex), 1 mg

Category: Drugs
Section: J-codes: Drugs Administered Other Than Oral Method
Effective: Jul 1, 2025
Code type: alphanumeric
OPPS Status: G — Pass-through drugs and biologicals
OPPS APC: 0842

MUE — Medically Unlikely Edits

Maximum units of J9249 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 48
Outpatient Hospital 48
Practitioner Services 48

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 2025-Q3
    Inj, melphalan (apotex) 1 mg