Home Drug Codes J Codes J1931 · ALDURAZYME
Updated July 1st, 2026

ALDURAZYME J Code: J1931

Injection, laronidase, 0.1 mg

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Q4 2026 Medicare Payment Limit for J1931, effective October 1, 2026: $41.498 per HCPCS billing unit, unchanged from Q3 2026. From CMS's final file.

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Medicare Payment Limit ?
$41.487
/ HCPCS billing unit · Q3 2026
APC Payment Limit ?
$41.487
/ HCPCS billing unit · APC 9209
ASP ?
$•••.••
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WAC · AWP ?
$•••.••
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NDCs Crosswalked ?
1
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Drug & Product Overview

HCPCS Descriptor Injection, laronidase, 0.1 mg
HCPCS Added Date January 1, 2005
Manufacturer Genzyme
Route of Administration Intravenous
Generic Status Single-Source; Branded
Dosage Type Single-Dose
Dosage Form Injection, Solution, Concentrate

About ALDURAZYME

Aldurazyme is a medication aligned to the HCPCS J Code: J1931 for billing, pricing, and reimbursement purposes in the United States. Classified under Enzyme Replacement Therapy, it is administered via the intravenous route and manufactured by Genzyme.

According to CMS Drug Use Information: Laronidase is used to treat a certain rare genetic problem (mucopolysaccharidosis-MPS I). It works by replacing a certain natural substance (lysosomal enzyme) that is missing in people with this genetic problem. This medication improves lung function and how far you can walk. Laronidase is not a cure and treatment must be continued for life.

Disclaimer: This is a summary and does not contain all possible information about this product. For complete information about this product or your specific health needs, ask your healthcare professional.

NDC Code Information

Based on publicly available CMS files. The list of NDCs below is not exhaustive.

NDC Code Drug Manufacturer Billing Units / Pkg Package Size
58468-0070-01 Aldurazyme Genzyme Corporation 29 2.9 MG / 5 ML
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ALDURAZYME Pricing & Reimbursement

J1931 Private Payer Reimbursement
$39.71 / HCPCS unit as of Jan 2026

National median reimbursement across major commercial payers.

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UnitedHealthcare, BlueCross BlueShield, Aetna, Cigna

Historical Graphing and Billing Calculator

per HCPCS unit
As of Q3 2026

ALDURAZYME 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)
JW / JZ modifiers apply

CMS has identified Aldurazyme (J1931) as a HCPCS code with single-dose containers. Therefore, the JW/JZ wastage modifiers could be required for billing purposes. Wastage billing guide →

ALDURAZYME Medically Unlikely Edits (MUE)

The most billing units of J1931 Medicare will pay for one patient in one day, as published by CMS. 1 unit = 0.1 mg.

Practitioner Office & Hospital Outpatient
609 units / day
= 60.9 mg per day

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 →

mg Enter a dose to see how many billing units it is and whether it is under the limit.

ALDURAZYME Clinical Information

Indications and drug classification.

Treated Diseases & Conditions

This list of indications is not exhaustive and may be subject to errors. The information on BuyandBill.com is intended for informational purposes only and should not be used for medical advice.

Mucopolysaccharidosis I (MPS I), Hurler and Hurler-Scheie forms Mucopolysaccharidosis I (MPS I), Scheie form
Drug Class
Hydrolytic Lysosomal Glycosaminoglycan-specific Enzyme [EPC]alpha-Glucosidases [CS]

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Frequently Asked Questions

Is there an available Aldurazyme billing and coding guide?
Billing and coding information for ALDURAZYME can be found through Genzyme. Visit Here →
Are there any available Aldurazyme patient assistance programs?
ALDURAZYME patient assistance information can be found through Genzyme. Visit Here →
Where can I find Aldurazyme prescribing information?
ALDURAZYME prescribing information can be found at the link below: Visit Here →
Where can I find Aldurazyme side effect information?
Our team has not yet identified a source of side effects information for ALDURAZYME. Please check back in a few weeks.
Does billing ALDURAZYME require JZ/JW wastage modifiers?
CMS has identified ALDURAZYME(J1931) as a HCPCS code with single-dose containers. Therefore, the JW/JZ wastage modifiers could be required for billing purposes. See CMS guidelines on use of the JZ and JW wastage modifiers below.

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