J9160 was retired on Dec 31, 2023

CMS ended J9160 after Dec 31, 2023. Don’t report it for later dates of service. Current codes for the same drug:

Code

CMS HCPCS file
HCPCS codeJ9160
Billing unit300 micrograms
Descriptor
Injection, denileukin diftitox, 300 micrograms
Short descriptor
Denileukin diftitox inj
Code set
HCPCS Level II, maintained by CMS
Effective
Jan 1, 2024

The billing unit is read from the descriptor. Confirm it against the CMS file before billing.

Find the NDC

Med-Code hasn’t mapped J9160 to specific products yet. Search the FDA NDC Directory for the drug named in the descriptor, and check the route and strength match the code.

Search NDCs for denileukin diftitox

J9160: common questions

Is J9160 a CPT code?
No. J9160 is a HCPCS Level II code, maintained by CMS, that identifies the drug supplied. CPT codes are five-digit numbers from the AMA that describe services. Giving the drug, for example an injection or infusion, is usually reported with a separate CPT administration code. CPT codes for drug administration.
What is one billing unit of J9160?
One unit of J9160 is 300 micrograms, as stated in the code's descriptor. Units to report = dose given ÷ 300 micrograms. J-code billing units.

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