KALBITOR J Code: J1290
Injection, ecallantide, 1 mg
Q4 2026 Medicare Payment Limit for J1290, effective October 1, 2026: $599.616 per HCPCS billing unit, up 0.6% from $595.944. From CMS's final file.
Drug & Product Overview
About KALBITOR
Kalbitor is a medication aligned to the HCPCS J Code: J1290 for billing, pricing, and reimbursement purposes in the United States. This Immunology medication is administered via the subcutaneous route and manufactured by Takeda Pharmaceuticals.
Manufacturers, reach out to us to add more information.
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 |
|---|---|---|---|---|
| 47783-0101-01 | Kalbitor | Takeda Pharmaceuticals America, Inc. | 30 | 10 MG / 1 ML |
KALBITOR Pricing & Reimbursement
National median reimbursement across major commercial payers.
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Login to use the calculator →KALBITOR 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 Kalbitor (J1290) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing J1290. Wastage billing guide →
KALBITOR Medically Unlikely Edits (MUE)
The most billing units of J1290 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 →
KALBITOR 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 Kalbitor billing and coding guide?
Are there any available Kalbitor patient assistance programs?
Where can I find Kalbitor prescribing information?
Where can I find Kalbitor side effect information?
Does billing KALBITOR require JZ/JW wastage modifiers?
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