Products billed under this code include Ameluz Gel, Aminolevulinic Acid Hydrochloride.
Payment limit per 10 MG, by effective quarter, 1Q21 to 4Q26. Gaps mean the code was not in that quarter’s file, or CMS gave no payment limit.From the 4Q26 NDC–HCPCS crosswalk. “Limit / pkg” is the 4Q26 payment limit times the billing units in one package.
| Product | Labeler | NDC | Units / pkg | Limit / pkg |
|---|---|---|---|---|
| Ameluz Gel | Biofrontera Inc. | 70621-0101-10 | 200 | $369.60 |
| Aminolevulinic Acid Hydrochloride | Biofrontera Inc. | 70621-0101-20 | 2000 | $3,696.00 |
| Quarter | Payment limit | Change | Billing unit | Description | Source file |
|---|---|---|---|---|---|
| 4Q26 | $1.848 | $0.00 | 10 MG | Aminolevulinic acid, 10% gel | v1, posted September 17, 2026 |
| 3Q26 | $1.848 | +$0.074 | 10 MG | Aminolevulinic acid, 10% gel | v1, posted September 15, 2026 |
| 2Q26 | $1.774 | −$0.012 | 10 MG | Aminolevulinic acid, 10% gel | v1, posted September 15, 2026 |
| 1Q26 | $1.786 | −$0.007 | 10 MG | Aminolevulinic acid, 10% gel | v1, posted September 15, 2026 |
| 4Q25 | $1.793 | −$0.018 | 10 MG | Aminolevulinic acid, 10% gel | v1, posted September 8, 2026 |
| 3Q25 | $1.811 | +$0.028 | 10 MG | Aminolevulinic acid, 10% gel | v1, posted March 10, 2026 |
| 2Q25 | $1.783 | +$0.061 | 10 MG | Aminolevulinic acid, 10% gel | v1, posted March 10, 2026 |
| 1Q25 | $1.722 | −$0.002 | 10 MG | Aminolevulinic acid, 10% gel | v1, posted December 19, 2025 |
| 4Q24 | $1.724 | −$0.018 | 10 MG | Aminolevulinic acid, 10% gel | v1, posted June 11, 2025 |
| 3Q24 | $1.742 | +$0.044 | 10 MG | Aminolevulinic acid, 10% gel | v1, posted June 11, 2025 |
| 2Q24 | $1.698 | +$0.051 | 10 MG | Aminolevulinic acid, 10% gel | v1, posted March 11, 2025 |
| 1Q24 | $1.647 | −$0.013 | 10 MG | Aminolevulinic acid, 10% gel | v1, posted December 19, 2024 |
| 4Q23 | $1.66 | +$0.011 | 10 MG | Aminolevulinic acid, 10% gel | v1, posted October 10, 2024 |
| 3Q23 | $1.649 | −$0.001 | 10 MG | Aminolevulinic acid, 10% gel | v1, posted June 5, 2024 |
| 2Q23 | $1.65 | −$0.007 | 10 MG | Aminolevulinic acid, 10% gel | v1, posted February 23, 2024 |
| 1Q23 | $1.657 | +$0.04 | 10 MG | Aminolevulinic acid, 10% gel | v1, posted December 6, 2023 |
| 4Q22 | $1.617 | +$0.038 | 10 MG | Aminolevulinic acid, 10% gel | v1, posted June 22, 2023 |
| 3Q22 | $1.579 | −$0.006 | 10 MG | Aminolevulinic acid, 10% gel | v1, posted June 9, 2023 |
| 2Q22 | $1.585 | −$0.003 | 10 MG | Aminolevulinic acid, 10% gel | v1, posted December 14, 2022 |
| 1Q22 | $1.588 | $0.00 | 10 MG | Aminolevulinic acid, 10% gel | v1, posted June 8, 2022 |
| 4Q21 | $1.588 | −$0.02 | 10 MG | Aminolevulinic acid, 10% gel | v1, posted June 2, 2022 |
| 3Q21 | $1.608 | +$0.102 | 10 MG | Aminolevulinic acid, 10% gel | v1, posted June 2, 2022 |
| 2Q21 | $1.506 | −$0.015 | 10 MG | Aminolevulinic acid, 10% gel | v1, posted March 1, 2022 |
| 1Q21 | $1.521 | – | 10 MG | Aminolevulinic acid, 10% gel | v1, posted December 10, 2021 |
“Change” is the difference from the previous quarter, shown only when both quarters have a payment limit and the billing unit is the same. “vs. last quarter” and “vs. a year ago” follow the same rule.
