Skip to Main Content

Print | Bookmark | Email | Font Size: + |

Revefenacin (Yupelri®) J7677 Calculator

Unit dose of HCPCS Code (1mcg = 1 Unit)

Strength of drug ordered (mcg):
Number of times taken per day:

Max # of mcg in 31 day period:
Max # of units in 31 day period:
Max # of mcg in 90 day period:
Max # of units in 90 day period:

Note: The system will only allow a maximum of 4 characters in line 24G (NOS). To bill a 3-month supply, suppliers must submit the total units of service split between two claim lines. Please see the June 27, 2019 article "New HCPCS Code - Revefenacin (Yupelri) – J7677" for more information.

spacer

26 Century Blvd Ste ST610, Nashville, TN 37214-3685 © CGS Administrators, LLC. All Rights Reserved