HCPCS code J9309 — Inj, polatuzumab vedotin 1mg. Status: Active. Effective Jan 1, 2020. Source: CMS HCPCS Level II.

J9309

Active

Inj, polatuzumab vedotin 1mg

Injection, polatuzumab vedotin-piiq, 1 mg

Category: Drugs
Section: J-codes: Drugs Administered Other Than Oral Method
Effective: Jan 1, 2020
Code type: alphanumeric
OPPS Status: K — Non-pass-through drugs and biologicals
OPPS APC: 9331

MUE — Medically Unlikely Edits

Maximum units of J9309 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 280
Practitioner Services 280

Source: CMS Medicare NCCI Medically Unlikely Edits

NDC Crosswalk

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

NDC Drug Name
50242-0103-01 Polivy
50242-0105-01 Polivy

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 2020-Q1
    Inj, polatuzumab vedotin 1mg