HCPCS code J9358 — Inj fam-trastu deru-nxki 1mg. Status: Active. Effective Jul 1, 2020. Source: CMS HCPCS Level II.

J9358

Active

Inj fam-trastu deru-nxki 1mg

Injection, fam-trastuzumab deruxtecan-nxki, 1 mg

Category: Drugs
Section: J-codes: Drugs Administered Other Than Oral Method
Effective: Jul 1, 2020
Code type: alphanumeric
OPPS Status: K — Non-pass-through drugs and biologicals
OPPS APC: 9353

MUE — Medically Unlikely Edits

Maximum units of J9358 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 1000
Outpatient Hospital 1000
Practitioner Services 1000

Source: CMS Medicare NCCI Medically Unlikely Edits

NDC Crosswalk

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

NDC Drug Name
65597-0406-01 Enhertu

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-Q3
    Inj fam-trastu deru-nxki 1mg