HCPCS code J9325 — Inj talimogene laherparepvec.
Status: Active.
Effective Jan 1, 2017.
Source: CMS HCPCS Level II.
J9325
ActiveInj talimogene laherparepvec
Injection, talimogene laherparepvec, per 1 million plaque forming units
Category:
Drugs
Section:
J-codes: Drugs Administered Other Than Oral Method
Effective:
Jan 1, 2017
Code type:
alphanumeric
OPPS Status:
K
— Non-pass-through drugs and biologicals
OPPS APC:
9472
MUE — Medically Unlikely Edits
Maximum units of J9325 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 | 0 |
| Outpatient Hospital | 400 |
| Practitioner Services | 400 |
Source: CMS Medicare NCCI Medically Unlikely Edits
NDC Crosswalk
National Drug Codes (NDCs) mapped to this HCPCS code.
| NDC | Drug Name |
|---|---|
| 55513-0078-01 | Imlygic |
| 55513-0079-01 | Imlygic |