HCPCS code J9293 — Mitoxantrone hydrochl / 5 mg. Status: Active. Effective Jan 1, 1997. Source: CMS HCPCS Level II.

J9293

Active

Mitoxantrone hydrochl / 5 mg

Injection, mitoxantrone hydrochloride, per 5 mg

Category: Drugs

Section: J-codes: Drugs Administered Other Than Oral Method

Effective: Jan 1, 1997

Code type: alphanumeric

OPPS Status: K — Non-pass-through drugs and biologicals

OPPS APC: 0864

Maximum units of J9293 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	Adjudication	Rationale
DME Supplier	0	3 — Date of Service Edit: Clinical	CMS Policy
Outpatient Hospital	8	3 — Date of Service Edit: Clinical	Clinical: Data
Practitioner Services	8	3 — Date of Service Edit: Clinical	Clinical: Data

Source: CMS Medicare NCCI Medically Unlikely Edits

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

NDC	Drug Name	Dosage / Unit
61703-0343-18	Mitoxantrone Hydrochloride	5 MG 4
61703-0343-65	Mitoxantrone Hydrochloride	5 MG 5
61703-0343-66	Mitoxantrone Hydrochloride	5 MG 6
63323-0132-10	Mitoxantrone Hydrochloride	5 MG 4
63323-0132-12	Mitoxantrone Hydrochloride	5 MG 5
71288-0178-10	Mitoxantrone Hydrochloride	5 MG 4
71288-0179-13	Mitoxantrone Hydrochloride	5 MG 5

Search Medicare's official policy database for Local (LCD) and National (NCD) Coverage Determinations covering this code.

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Data sourced from CMS. Updated quarterly.

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