EPTIFIBATIDE J Code: J1327
Injection, eptifibatide, 5 mg
Drug & Product Overview
About EPTIFIBATIDE
Eptifibatide is a medication aligned to the HCPCS J Code: J1327 for billing, pricing, and reimbursement purposes in the United States. It is a Hematology drug administered via the intravenous route and manufactured by multiple companies.
Manufacturers, reach out to us to add more information.
NDC Code Information
21 NDC packages are crosswalked to J1327. Package detail is available to logged-in subscribers.
| NDC Code | Drug | Manufacturer | Billing Units / Pkg | Package Size |
|---|---|---|---|---|
| •••••-••••-•• Log in to view | EPTIFIBATIDE | •••••••••••• Log in to view | •••• Log in to view | ••• •• / • •• Log in to view |
| •••••-••••-•• Log in to view | EPTIFIBATIDE | •••••••••••• Log in to view | •••• Log in to view | ••• •• / • •• Log in to view |
| •••••-••••-•• Log in to view | EPTIFIBATIDE | •••••••••••• Log in to view | •••• Log in to view | ••• •• / • •• Log in to view |
| •••••-••••-•• Log in to view | EPTIFIBATIDE | •••••••••••• Log in to view | •••• Log in to view | ••• •• / • •• Log in to view |
EPTIFIBATIDE Pricing & Reimbursement
National median reimbursement across major commercial payers.
Create an account on PayerPrice for more information →
EPTIFIBATIDE 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) |
CMS has identified Eptifibatide (J1327) as a HCPCS code with single-dose containers. Therefore, the JW/JZ wastage modifiers could be required for billing purposes. Wastage billing guide →
EPTIFIBATIDE Medically Unlikely Edits (MUE)
The most billing units of J1327 Medicare will pay for one patient in one day, as published by CMS. 1 unit = 5 mg. The limit is different in the office and the hospital. Use the one for your setting.
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 →
EPTIFIBATIDE 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 Eptifibatide billing and coding guide?
Are there any available Eptifibatide patient assistance programs?
Where can I find Eptifibatide prescribing information?
Where can I find Eptifibatide side effect information?
Does billing EPTIFIBATIDE require JZ/JW wastage modifiers?
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