BRINEURA J Code: J0567
Injection, cerliponase alfa, 1 mg
Drug & Product Overview
About BRINEURA
Brineura is a medication aligned to the HCPCS J Code: J0567 for billing, pricing, and reimbursement purposes in the United States. This Enzyme Replacement Therapy medication is administered via the multiple routes route and manufactured by Biomarin Pharmaceuticals.
Manufacturers, reach out to us to add more information.
NDC Code Information
1 NDC package is crosswalked to J0567. Package detail is available to logged-in subscribers.
| NDC Code | Drug | Manufacturer | Billing Units / Pkg | Package Size |
|---|---|---|---|---|
| •••••-••••-•• Log in to view | BRINEURA | •••••••••••• Log in to view | •••• Log in to view | ••• •• / • •• Log in to view |
BRINEURA Pricing & Reimbursement
National median reimbursement across major commercial payers.
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BRINEURA 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 |
|---|---|
| 96413 | Chemotherapy administration, intravenous infusion technique; up to 1 hour, single or initial substance/drug |
| 96415 | Chemotherapy administration, intravenous infusion technique; each additional hour (List separately in addition to code for primary procedure) |
CMS does not include Brineura (J0567) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing J0567. Wastage billing guide →
BRINEURA Medically Unlikely Edits (MUE)
The most billing units of J0567 Medicare will pay for one patient in one day, as published by CMS. 1 unit = 1 mg.
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 →
BRINEURA Clinical Information
Indications and drug classification.
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.
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Frequently Asked Questions
Is there an available Brineura billing and coding guide?
Are there any available Brineura patient assistance programs?
Where can I find Brineura prescribing information?
Where can I find Brineura side effect information?
Does billing BRINEURA require JZ/JW wastage modifiers?
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