APOKYN J Code: J0364

Self-Administered Drug Exclusion 6 Medicare Administrative Contractors list J0364 as usually self-administered and exclude it from Part B coverage in their jurisdictions. Check the article for your MAC before billing: CGS, First Coast, Noridian (A53032), Noridian (A53033), Novitas, Wellpoint Federal, WPS · All SAD lists →

Drug & Product Overview

HCPCS Descriptor Injection, apomorphine hydrochloride, 1 mg

HCPCS Added Date January 1, 2007

Manufacturer Multiple Manufacturers

Route of Administration Subcutaneous

Generic Status Multi-Source; Generic

Dosage Form Injection

About APOKYN

Apokyn is a medication aligned to the HCPCS J Code: J0364 for billing, pricing, and reimbursement purposes in the United States. It is a Neurology drug administered via the subcutaneous route and manufactured by multiple companies.

Manufacturers, reach out to us to add more information.

NDC Code Information

4 NDC packages are crosswalked to J0364. Package detail is available to logged-in subscribers.

NDC Code	Drug	Manufacturer	Billing Units / Pkg	Package Size
•••••-••••-•• Log in to view	APOKYN
	APOKYN
	APOKYN
	APOKYN

Login to view 4 NDC packages View pricing, complete NDC-to-HCPCS alignments, and package details.

APOKYN Pricing & Reimbursement

J0364 Private Payer Reimbursement

$34.89 / HCPCS unit as of Jan 2026

National median reimbursement across major commercial payers.

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APOKYN CPT Administration Codes

CPT Code	Description
96372	Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); intramuscular

Not on the CMS JW / JZ list

CMS does not include Apokyn (J0364) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing J0364. Wastage billing guide →

APOKYN Medically Unlikely Edits (MUE)

The most billing units of J0364 Medicare will pay for one patient in one day, as published by CMS. 1 unit = 1 mg.

Practitioner Office & Hospital Outpatient

6 units / day

= 6 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 →

APOKYN 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.

hypomobility, 'off' episodes in advanced Parkinson's disease

Drug Class

Dopamine Agonists [MoA]Dopaminergic Agonist [EPC]

Frequently Asked Questions

Is there an available Apokyn billing and coding guide?

We have not yet identified a manufacturer source of Apokyn billing and coding information.

Are there any available Apokyn patient assistance programs?

Our team did not identify a source for Apokyn patient assistance information. Please reach out to our team if you feel that this is a mistake.

Where can I find Apokyn prescribing information?

APOKYN prescribing information can be found at the link below. Please reach out to us if you believe this information to be innacurate or out of date. Visit Here →

Where can I find Apokyn side effect information?

Our team has not yet identified a source of side effects information for APOKYN. Please check back in a few weeks.

Does billing APOKYN require JZ/JW wastage modifiers?

CMS does not include APOKYN (J0364) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing J0364. For more information, visit the link below.

About BuyandBill.com:

The BuyandBill.com team is dedicated to delivering high-quality coding and billing information for office-administered drugs. We continuously research HCPCS-coded medications to expand our resources and ensure data accuracy. Manufacturers: click here to sponsor your medication, and we will ensure the most accurate and detailed information is displayed.