ABCIXIMAB J Code: J0130
Injection abciximab, 10 mg
Drug & Product Overview
About ABCIXIMAB
Abciximab is a medication aligned to the HCPCS J Code: J0130 for billing, pricing, and reimbursement purposes in the United States. It is a Cardiology drug administered via the intravenous route.
Manufacturers, reach out to us to add more information.
NDC Code Information
No NDC packages are aligned to J0130 in publicly available CMS files.
| NDC Code | Drug | Manufacturer | Billing Units / Pkg | Package Size |
|---|---|---|---|---|
| No public NDC alignments | ||||
ABCIXIMAB Pricing & Reimbursement
National median reimbursement across major commercial payers.
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ABCIXIMAB CPT Administration Codes
The below list of CPT codes is intended for informational purposes only and may not be exhaustive. CPT® codes and descriptions are copyright American Medical Association (AMA). All rights reserved.
| CPT Code | Description |
|---|---|
| 96365 | Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); initial, up to 1 hour |
| 96366 | Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); each additional hour (List separately in addition to code for primary procedure) |
CMS does not include Abciximab (J0130) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing J0130. Wastage billing guide →
ABCIXIMAB Medically Unlikely Edits (MUE)
The most billing units of J0130 Medicare will pay for one patient in one day, as published by CMS. 1 unit = 10 mg. The limit is different in the office and the hospital. Use the one for your setting.
MAI 3 · Date of Service Edit: Clinical. Per-day limit based on clinical expectations; excess units are denied but may be appealed with documentation of medical necessity. See all MUE limits →
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Frequently Asked Questions
Is there an available abciximab billing and coding guide?
Are there any available abciximab patient assistance programs?
Where can I find abciximab prescribing information?
Where can I find abciximab side effect information?
Does billing abciximab require JZ/JW wastage modifiers?
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