HCPCS code J9323 — Inj pemetrexed ditromethamin.
Status: Active.
Effective Jul 1, 2023.
Source: CMS HCPCS Level II.
J9323
ActiveInj pemetrexed ditromethamin
Injection, pemetrexed ditromethamine, 10 mg
Category:
Drugs
Section:
J-codes: Drugs Administered Other Than Oral Method
Effective:
Jul 1, 2023
Code type:
alphanumeric
OPPS Status:
E1
— Items / services not paid by Medicare
MUE — Medically Unlikely Edits
Maximum units of J9323 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 | 150 |
| Practitioner Services | 150 |
Source: CMS Medicare NCCI Medically Unlikely Edits
NDC Crosswalk
National Drug Codes (NDCs) mapped to this HCPCS code.
| NDC | Drug Name |
|---|---|
| 00409-1060-01 | Pemetrexed ditromethamine |
| 00409-1061-01 | Pemetrexed ditromethamine |
Change History
Quarterly changes published by CMS. Revisions may affect the code description, coverage, or rate — review each quarter's changes before submitting claims.
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New Code 2023-Q3Inj pemetrexed ditromethamin