Home › Drug Codes › J Codes › J7351 · DURYSTA
Updated July 1st, 2026

DURYSTA J Code: J7351

Injection, bimatoprost, intracameral implant, 1 microgram

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Q4 2026 Medicare Payment Limit for J7351, effective October 1, 2026: $213.795 per HCPCS billing unit, unchanged from Q3 2026. From CMS's final file.

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Medicare Payment Limit ?
$213.756
/ HCPCS billing unit · Q3 2026
APC Payment Limit ?
$213.756
/ HCPCS billing unit · APC 9351
ASP ?
$•••.••
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WAC · AWP ?
$•••.••
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NDCs Crosswalked ?
1
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Drug & Product Overview

HCPCS Descriptor Injection, bimatoprost, intracameral implant, 1 microgram
HCPCS Added Date October 1, 2020
Manufacturer Allergan
Route of Administration Intracameral
Generic Status Single-Source; Branded
Dosage Type Single-Dose
Dosage Form Implant

About DURYSTA

Durysta is a medication aligned to the HCPCS J Code: J7351 for billing, pricing, and reimbursement purposes in the United States. It is an Orthopedic drug administered via the intracameral route and manufactured by Allergan.

According to CMS Drug Use Information: Bimatoprost is used to treat high pressure inside the eye due to glaucoma (open-angle type) or other eye diseases (such as ocular hypertension). Lowering high pressure inside the eye can help prevent blindness. This medication may work by helping fluid inside the eye to flow out, which lowers pressure inside the eye. This implant may be placed only one time in each eye.

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
00023-9652-01 Durysta Allergan, Inc. 10 10 UG
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DURYSTA Pricing & Reimbursement

J7351 Private Payer Reimbursement
$214.66 / 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

DURYSTA 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
66030 Injection, anterior chamber of eye (separate procedure); medication
JW / JZ modifiers apply

CMS has identified Durysta (J7351) as a HCPCS code with single-dose containers. Therefore, the JW/JZ wastage modifiers could be required for billing purposes. Wastage billing guide →

DURYSTA Medically Unlikely Edits (MUE)

The most billing units of J7351 Medicare will pay for one patient in one day, as published by CMS. 1 unit = 1 mcg.

Practitioner Office & Hospital Outpatient
20 units / day
= 20 mcg per day

MAI 2 · Date of Service Edit: Policy. Absolute per-day limit set by policy or regulation; units above it are not payable, and denials are not appealable on medical-necessity grounds. See all MUE limits →

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

DURYSTA 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.

Open angle glaucoma or ocular hypertension
Drug Class
Prostaglandin Analog [EPC]Prostaglandins [CS]

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Frequently Asked Questions

Is there an available Durysta billing and coding guide?
Billing and coding information for DURYSTA can be found through Allergan. Visit Here →
Are there any available Durysta patient assistance programs?
DURYSTA patient assistance information can be found through Allergan. Visit Here →
Where can I find Durysta prescribing information?
DURYSTA prescribing information can be found at the link below: Visit Here →
Where can I find Durysta side effect information?
Our team has not yet identified a source of side effects information for DURYSTA. Please check back in a few weeks.
Does billing DURYSTA require JZ/JW wastage modifiers?
CMS has identified DURYSTA(J7351) 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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