IZERVAY J Code: J2782

Drug & Product Overview

HCPCS Descriptor Injection, avacincaptad pegol, 0.1 mg

HCPCS Added Date April 1, 2024

Manufacturer Astellas Pharma

Route of Administration Intravitreal

Generic Status Single-Source; Branded

Dosage Type Single-Dose

Dosage Form Injection

About IZERVAY

Izervay is a medication aligned to the HCPCS J Code: J2782 for billing, pricing, and reimbursement purposes in the United States. It is an Ophthalmology drug administered via the intravitreal route and manufactured by Astellas Pharma.

According to CMS Drug Use Information: Avacincaptad pegol is used to treat a certain serious eye condition (geographic atrophy). It may help delay vision loss. Avacincaptad pegol works by helping to block your immune system from destroying cells in your 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
82829-0002-01	Izervay	Astellas Pharma US, Inc.	20	7 MG / 0.35 ML

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IZERVAY Pricing & Reimbursement

J2782 Private Payer Reimbursement

$104.10 / HCPCS unit as of Jan 2026

National median reimbursement across major commercial payers.

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Historical Graphing and Billing Calculator

per HCPCS unit

As of Q4 2026

IZERVAY CPT Administration Codes

CPT Code	Description
67028	Intravitreal injection of a pharmacologic agent (separate procedure) 67028

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 →

IZERVAY Medically Unlikely Edits (MUE)

The most billing units of J2782 Medicare will pay for one patient in one day, as published by CMS. 1 unit = 0.1 mg.

Practitioner Office & Hospital Outpatient

40 units / day

= 4 mg per day

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 →

IZERVAY 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.

Geographic atrophy secondary to age-related macular degeneration

Drug Class

Complement Inhibitor [EPC]Complement Inhibitors [MoA]

Frequently Asked Questions

Is a Izervay billing and coding guide available?

Billing and coding information for IZERVAY can be found through Iveric Bio, Inc.. Visit Here →

Is Izervay patient assistance information available?

IZERVAY patient assistance information can be found through Iveric Bio, Inc.. Visit Here →

Where can I find Izervay prescribing information?

IZERVAY prescribing information can be found at the link below: Visit Here →

Where can I find Izervay side effect information?

Our team has not yet identified a source of side effect information for IZERVAY

Does billing IZERVAY require JZ/JW wastage modifiers?

CMS does not include IZERVAY (J2782) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing J2782. For more information, visit the link below.

About BuyandBill.com:

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