KYLEENA J Code: J7296
Levonorgestrel-releasing intrauterine contraceptive system, (kyleena), 19.5 mg
Drug & Product Overview
About KYLEENA
Kyleena is a medication aligned to the HCPCS J Code: J7296 for billing, pricing, and reimbursement purposes in the United States. This Contraceptive medication is administered via the intrauterine route and manufactured by Bayer Pharmaceutical.
Manufacturers, reach out to us to add more information.
NDC Code Information
1 NDC package is crosswalked to J7296. Package detail is available to logged-in subscribers.
| NDC Code | Drug | Manufacturer | Billing Units / Pkg | Package Size |
|---|---|---|---|---|
| •••••-••••-•• Log in to view | KYLEENA | •••••••••••• Log in to view | •••• Log in to view | ••• •• / • •• Log in to view |
KYLEENA Pricing & Reimbursement
National median reimbursement across major commercial payers.
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KYLEENA 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 |
|---|---|
| 58300 | Insertion, intrauterine device |
CMS does not include Kyleena (J7296) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing J7296. Wastage billing guide →
KYLEENA Medically Unlikely Edits (MUE)
The most billing units of J7296 Medicare will pay for one patient in one day, as published by CMS. 1 unit = 19.5 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 →
KYLEENA 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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Compare KYLEENA with same-ingredient drugs
- KYLEENA J7296
- SKYLA J7301
- LILETTA J7297
- MIRENA J7298
ASP, the Medicare payment limit, WAC and AWP for all 4 drugs on one timeline, with 10+ years of monthly history.
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Frequently Asked Questions
Is there an available Kyleena billing and coding guide?
Are there any available Kyleena patient assistance programs?
Where can I find Kyleena prescribing information?
Where can I find Kyleena side effect information?
Does billing KYLEENA require JZ/JW wastage modifiers?
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