Home Drug Codes J Codes J3391 · LENMELDY
Updated July 1st, 2026

LENMELDY J Code: J3391

Injection, atidarsagene autotemcel, per treatment

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Medicare Payment Limit ?
Not published
CMS publishes none for Q3 2026
APC Payment Limit ?
$4,505,000.00
/ HCPCS billing unit · APC 0845
ASP ?
No current ASP
Not available for Q3 2026
WAC · AWP ?
$•••.••
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NDCs Crosswalked ?
1
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Drug & Product Overview

HCPCS Descriptor Injection, atidarsagene autotemcel, per treatment
HCPCS Added Date July 1, 2025
Manufacturer Orchard Therapeutics Ltd
Route of Administration Intravenous
Generic Status Single-Source; Branded
Dosage Form Suspension

About LENMELDY

Lenmeldy is a medication aligned to the HCPCS J Code: J3391 for billing, pricing, and reimbursement purposes in the United States. It is a Genetic Disorder drug administered via the intravenous route and manufactured by Orchard Therapeutics Ltd.

Manufacturers, reach out to us to add more information.

NDC Code Information

1 NDC package is crosswalked to J3391. Package detail is available to logged-in subscribers.

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LENMELDY Pricing & Reimbursement

J3391 Private Payer Reimbursement
$11,683.34 / HCPCS unit as of Jan 2026

National median reimbursement across major commercial payers.

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UnitedHealthcare, BlueCross BlueShield, Aetna, Cigna

LENMELDY 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
96413 Chemotherapy administration, intravenous infusion technique; up to 1 hour, single or initial substance/drug
96415 Chemotherapy administration, intravenous infusion technique; each additional hour (List separately in addition to code for primary procedure)
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 →

LENMELDY Medically Unlikely Edits (MUE)

The most billing units of J3391 Medicare will pay for one patient in one day, as published by CMS. 1 unit = per treatment dose.

Practitioner Office & Hospital Outpatient
1 unit / day
Same limit in both settings

MAI 2 · Date of Service Edit: Policy. Absolute per-day limit set by policy or regulation; units above it are not payable, and denials are not appealable on medical-necessity grounds. See all MUE limits →

LENMELDY 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.

Metachromatic leukodystrophy

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Frequently Asked Questions

Is there an available LENMELDY billing and coding guide?
Billing and coding information for LENMELDY can be found through Orchard Therapeutics Ltd. Visit Here →
Are there any available LENMELDY patient assistance programs?
LENMELDY patient assistance information can be found through Orchard Therapeutics Ltd. Visit Here →
Where can I find LENMELDY prescribing information?
LENMELDY prescribing information can be found at the link below. Visit Here →
Where can I find LENMELDY side effect information?
Side effect information for LENMELDY can be found through MedlinePlus. Visit Here →
Does billing LENMELDY require JZ/JW wastage modifiers?
CMS does not include LENMELDY (J3391) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing J3391. For more information, visit the link below.

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