HCPCS code J9355 — Inj trastuzumab excl biosimi.
Status: Active.
Effective Jul 1, 2019.
Source: CMS HCPCS Level II.
J9355
ActiveInj trastuzumab excl biosimi
Injection, trastuzumab, excludes biosimilar, 10 mg
Category:
Drugs
Section:
J-codes: Drugs Administered Other Than Oral Method
Effective:
Jul 1, 2019
Code type:
alphanumeric
OPPS Status:
K
— Non-pass-through drugs and biologicals
OPPS APC:
1613
MUE — Medically Unlikely Edits
Maximum units of J9355 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 | 120 |
| Practitioner Services | 120 |
Source: CMS Medicare NCCI Medically Unlikely Edits
NDC Crosswalk
National Drug Codes (NDCs) mapped to this HCPCS code.
| NDC | Drug Name |
|---|---|
| 50242-0132-01 | Herceptin |