LUCENTIS J Code: J2778
Injection, ranibizumab, 0.1 mg
Q4 2026 Medicare Payment Limit for J2778, effective October 1, 2026: $26.384 per HCPCS billing unit, down 48.4% from $51.09. From CMS's final file.
Drug & Product Overview
About LUCENTIS
Lucentis is a medication aligned to the HCPCS J Code: J2778 for billing, pricing, and reimbursement purposes in the United States. This Ophthalmology medication is administered via the intravitreal route and manufactured by Genentech.
According to CMS Drug Use Information: This medication is used to treat certain serious eye conditions (such as age-related macular degeneration, macular edema, diabetic retinopathy). It is used to help prevent decreased vision and blindness. Ranibizumab works by slowing the growth of abnormal new blood vessels in the eye and decreasing leakage from these blood vessels. This monograph is about the following ranibizumab products: ranibizumab, ranibizumab-eqrn, ranibizumab-leyk, and ranibizumab-nuna.
Disclaimer: This is a summary and does not contain all possible information about this product. For complete information about this product or your specific health needs, ask your healthcare professional.
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 |
|---|---|---|---|---|
| 50242-0080-03 | Lucentis | Genentech, Inc. | 5 | 0.5 MG / 0.05 ML |
| 50242-0082-03 | Lucentis | Genentech, Inc. | 3 | 0.3 MG / 0.05 ML |
LUCENTIS Pricing & Reimbursement
National median reimbursement across major commercial payers.
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Login to use the calculator →Ranibizumab Biosimilar Information:
LUCENTIS Approval Date: June 30, 2006
LUCENTIS 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 |
|---|---|
| 67028 | Intravitreal injection of a pharmacologic agent (separate procedure) 67028 |
CMS has identified Lucentis (J2778) as a HCPCS code with single-dose containers. Therefore, the JW/JZ wastage modifiers could be required for billing purposes. Wastage billing guide →
LUCENTIS Medically Unlikely Edits (MUE)
The most billing units of J2778 Medicare will pay for one patient in one day, as published by CMS. 1 unit = 0.1 mg.
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 →
LUCENTIS 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
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