Home Drug Codes J Codes J1290 · KALBITOR
Updated July 1st, 2026

KALBITOR J Code: J1290

Injection, ecallantide, 1 mg

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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.

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Medicare Payment Limit ?
$595.944
/ HCPCS billing unit · Q3 2026
APC Payment Limit ?
$595.944
/ HCPCS billing unit · APC 9263
ASP ?
$•••.••
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WAC · AWP ?
$•••.••
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NDCs Crosswalked ?
1
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Drug & Product Overview

HCPCS Descriptor Injection, ecallantide, 1 mg
HCPCS Added Date January 1, 2011
Manufacturer Takeda Pharmaceuticals
Route of Administration Subcutaneous
Generic Status Single-Source; Branded
Dosage Type Single-Dose
Dosage Form Injection, Solution

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
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KALBITOR Pricing & Reimbursement

J1290 Private Payer Reimbursement
$581.11 / HCPCS unit as of Jan 2026

National median reimbursement across major commercial payers.

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UnitedHealthcare, BlueCross BlueShield, Aetna, Cigna

Historical Graphing and Billing Calculator

per HCPCS unit
As of Q3 2026

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
Not on the CMS JW / JZ list

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.

Practitioner Office
30 units / day
= 30 mg per day
Hospital Outpatient
60 units / day
= 60 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 →

mg Enter a dose to see how many billing units it is and whether it is under the limit.

KALBITOR 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.

Hereditary Angioedema (HAE), acute attacks
Drug Class
Kallikrein Inhibitors [MoA]Plasma Kallikrein Inhibitor [EPC]

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Frequently Asked Questions

Is there an available Kalbitor billing and coding guide?
Our team has not identified a manufacturer-published source of billing and coding information for KALBITOR.
Are there any available Kalbitor patient assistance programs?
KALBITOR patient assistance information can be found through Takeda. Visit Here →
Where can I find Kalbitor prescribing information?
KALBITOR prescribing information can be found at the link below: Visit Here →
Where can I find Kalbitor side effect information?
Our team has not yet identified a source of side effects information for KALBITOR. Please check back in a few weeks.
Does billing KALBITOR require JZ/JW wastage modifiers?
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. For more information, visit the link below.

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