J2502 HCPCS code: Injection, pasireotide long acting, 1 mg

J2502 is the HCPCS Level II code for injection, pasireotide long acting, 1 mg. Its Medicare coverage code is C (Carrier judgment): Coverage is decided by the Medicare contractor (MAC) case by case. The NCCI unit limit is 60 per day on outpatient hospital claims.

Code details

FieldValue
SectionJ codes — Drugs administered other than oral method
Coverage codeC — Carrier judgment
Pricing indicator51 — Drug or biological (priced per ASP/average sales price rules)
BETOS categoryO1E — Other drugs
Added2016-01-01
Last action effective2016-01-01

NCCI unit limits (MUE)

Claim typeMax units per dayRationale
outpatient hospital claims60Prescribing Information
practitioner claims60Prescribing Information

What changed for J2502

Frequently asked questions

What is HCPCS code J2502?

J2502 is the HCPCS Level II code for injection, pasireotide long acting, 1 mg. Short descriptor: "Inj, pasireotide long acting".

Does Medicare cover J2502?

Coverage code C — Carrier judgment. Coverage is decided by the Medicare contractor (MAC) case by case.

How many units of J2502 can be billed per day?

60 on outpatient hospital claims; 60 on practitioner claims (NCCI medically unlikely edits).

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Sources: CMS HCPCS Level II release October 2025; CMS DMEPOS fee schedule; CMS NCCI MUE tables; CMS Medicare utilization (physician and DME supplier files); CMS Medicare Coverage Database articles. Fees are Medicare allowables, not commercial rates. Not billing or legal advice.

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