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ASC Ancillary · CPT/HCPCS

HCPCS J0691

Inj lefamulin 1 mg

HCPCS J0691 at a glance

Code
J0691
Code type
CPT/HCPCS
Short descriptor
Inj lefamulin 1 mg
Category
ASC Ancillary
ASC payment status
Payable in an ASC (ancillary)
CMS addendum
BB (Ancillary)
Typical setting
Ambulatory surgery center (POS 24) or hospital outpatient department (POS 22).

What is HCPCS code J0691?

HCPCS J0691 is a CPT/HCPCS procedure code. Its official CMS short descriptor is "Inj lefamulin 1 mg". In the ASC context it is grouped under ASC Ancillary.

Is HCPCS J0691 payable in an ambulatory surgery center (ASC)?

HCPCS J0691 is a covered ancillary service (CMS Addendum BB). Medicare reimburses it in the ASC setting when it is integral to a covered ASC surgical procedure.

Where is HCPCS J0691 typically performed?

Ambulatory surgery center (POS 24) or hospital outpatient department (POS 22).

Reference information compiled from the CMS April 2026 ASC payment addenda (AA, BB, EE). Codes, descriptors, and ASC payment status change with each CMS update. This is a coding reference, not billing, coding, or legal advice. Always verify against the current CMS addenda and individual payer policy before billing. CPT is a registered trademark of the American Medical Association.

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