KANUMA J Code: J2840
Injection, sebelipase alfa, 1 mg
Drug & Product Overview
About KANUMA
Kanuma is a medication aligned to the HCPCS J Code: J2840 for billing, pricing, and reimbursement purposes in the United States. Classified under Enzyme Replacement Therapy, it is administered via the intravenous route and manufactured by Alexion Pharmaceuticals.
Manufacturers, reach out to us to add more information.
NDC Code Information
1 NDC package is crosswalked to J2840. Package detail is available to logged-in subscribers.
| NDC Code | Drug | Manufacturer | Billing Units / Pkg | Package Size |
|---|---|---|---|---|
| •••••-••••-•• Log in to view | KANUMA | •••••••••••• Log in to view | •••• Log in to view | ••• •• / • •• Log in to view |
KANUMA Pricing & Reimbursement
National median reimbursement across major commercial payers.
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KANUMA 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 does not include Kanuma (J2840) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing J2840. Wastage billing guide →
KANUMA Medically Unlikely Edits (MUE)
The most billing units of J2840 Medicare will pay for one patient in one day, as published by CMS. 1 unit = 1 mg.
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 →
KANUMA 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 Kanuma billing and coding guide?
Are there any available Kanuma patient assistance programs?
Where can I find Kanuma prescribing information?
Where can I find Kanuma side effect information?
Does billing KANUMA require JZ/JW wastage modifiers?
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