HCPCS code J9331 — Inj sirolimus prot part 1 mg. Status: Active. Effective Jul 1, 2022. Source: CMS HCPCS Level II.

J9331

Active

Inj sirolimus prot part 1 mg

Injection, sirolimus protein-bound particles, 1 mg

Category: Drugs
Section: J-codes: Drugs Administered Other Than Oral Method
Effective: Jul 1, 2022
Code type: alphanumeric
OPPS Status: K — Non-pass-through drugs and biologicals
OPPS APC: 9241

MUE — Medically Unlikely Edits

Maximum units of J9331 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 300
Practitioner Services 300

Source: CMS Medicare NCCI Medically Unlikely Edits

NDC Crosswalk

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

NDC Drug Name
80803-0153-50 Fyarro

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 2022-Q3
    Inj sirolimus prot part 1 mg