HCPCS code J9376 — Inj pozelimab-bbfg, 1 mg. Status: Active. Effective Apr 1, 2024. Source: CMS HCPCS Level II.

J9376

Active

Inj pozelimab-bbfg, 1 mg

Injection, pozelimab-bbfg, 1 mg

Category: Drugs
Section: J-codes: Drugs Administered Other Than Oral Method
Effective: Apr 1, 2024
Code type: alphanumeric
OPPS Status: K — Non-pass-through drugs and biologicals
OPPS APC: 0911

MUE — Medically Unlikely Edits

Maximum units of J9376 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 4800
Outpatient Hospital 4800
Practitioner Services 4800

Source: CMS Medicare NCCI Medically Unlikely Edits

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 2024-Q2
    Inj pozelimab-bbfg, 1 mg