Home Drug Codes J Codes J3403 · ENCELTO
Updated July 1st, 2026

ENCELTO J Code: J3403

Revakinagene taroretcel-lwey, per implant

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Medicare Payment Limit ?
Not published
CMS publishes none for Q3 2026
APC Payment Limit ?
$261,579.651
/ HCPCS billing unit · APC 0897
ASP ?
No current ASP
Not available for Q3 2026
WAC · AWP ?
$•••.••
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NDCs Crosswalked ?
1
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Drug & Product Overview

HCPCS Descriptor Revakinagene taroretcel-lwey, per implant
HCPCS Added Date October 1, 2025
Manufacturer Neurotech Pharmaceuticals Inc
Route of Administration Intravitreal
Generic Status Single-Source; Branded
Dosage Form Implant

About ENCELTO

Encelto is a medication aligned to the HCPCS J Code: J3403 for billing, pricing, and reimbursement purposes in the United States. It is an Ophthalmology drug administered via the intravitreal route and manufactured by Neurotech Pharmaceuticals Inc.

Manufacturers, reach out to us to add more information.

NDC Code Information

1 NDC package is crosswalked to J3403. Package detail is available to logged-in subscribers.

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ENCELTO Pricing & Reimbursement

J3403 Private Payer Reimbursement
$281,000.00 / HCPCS unit as of Jan 2026

National median reimbursement across major commercial payers.

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UnitedHealthcare, BlueCross BlueShield, Aetna, Cigna

ENCELTO 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
67027 Implantation of intravitreal drug delivery system, includes concomitant removal of vitreous
Not on the CMS JW / JZ list

This product is new and does not yet appear on the CMS list of HCPCS pertaining to single-dose containers. Wastage billing guide →

ENCELTO 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.

Idiopathic macular telangiectasia type 2 (MacTel)

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Frequently Asked Questions

Is there an available Encelto billing and coding guide?
Billing and coding information for ENCELTO can be found through Neurotech Pharmaceuticals Inc. Visit Here →
Are there any available Encelto patient assistance programs?
ENCELTO patient assistance information can be found through Neurotech Pharmaceuticals Inc. Visit Here →
Where can I find Encelto prescribing information?
Encelto prescribing information can be found through the link below. Visit Here →
Where can I find Encelto side effect information?
Encelto side effect information can be found at the link below. Visit Here →
Does billing Encelto require wastage modifiers?
CMS does not include ENCELTO (J3403) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing J3403. For more information, visit the link below.

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