FUZEON J Code: J1324
Injection, enfuvirtide, 1 mg
Drug & Product Overview
About FUZEON
Fuzeon is a medication aligned to the HCPCS J Code: J1324 for billing, pricing, and reimbursement purposes in the United States. It is an Anti-HIV drug administered via the subcutaneous route and manufactured by Genentech.
Manufacturers, reach out to us to add more information.
NDC Code Information
1 NDC package is crosswalked to J1324. Package detail is available to logged-in subscribers.
| NDC Code | Drug | Manufacturer | Billing Units / Pkg | Package Size |
|---|---|---|---|---|
| •••••-••••-•• Log in to view | FUZEON | •••••••••••• Log in to view | •••• Log in to view | ••• •• / • •• Log in to view |
FUZEON 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 |
|---|---|
| 96372 | Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); intramuscular |
CMS does not include Fuzeon (J1324) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing J1324. Wastage billing guide →
FUZEON Medically Unlikely Edits (MUE)
The most billing units of J1324 Medicare will pay for one patient in one day, as published by CMS. 1 unit = 1 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 →
FUZEON 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 Fuzeon billing and coding guide?
Are there any available Fuzeon patient assistance programs?
Where can I find Fuzeon prescribing information?
Where can I find Fuzeon side effect information?
Does billing FUZEON require JZ/JW wastage modifiers?
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