LUMVOA
veligrotug-vvze · Viridian Therapeutics
Drug & Product Overview
How to Bill LUMVOA Now
Through December 31, 2026, bill LUMVOA with J3590, the code for unclassified biologics, and identify the product by its NDC. From January 1, 2027, bill J3242.
| Setting | Claim Form | Billing Code | Notes |
|---|---|---|---|
| Physician office / Part B | CMS-1500 / 837P | J3590 | Enter the drug name, dose and NDC in Item 19 (or the 837P equivalent). The MAC prices the claim manually. |
| Hospital outpatient (OPPS) | UB-04 / 837I | C9399 | Unclassified drug or biological. Separately payable and priced manually by the MAC. |
About LUMVOA
LUMVOA (veligrotug-vvze) is an intravenous infusion from Viridian Therapeutics for thyroid eye disease regardless of thyroid eye disease activity or duration. It was approved by the FDA on June 26, 2026.
LUMVOA Pricing & NDCs
Package WAC and AWP for each NDC, updated monthly. There's no ASP payment limit until a permanent code takes effect.
| NDC Code | Package | WAC | AWP |
|---|---|---|---|
| •••••-••••-•• | ••• MG single-dose vial | $•••.•• | $•••.•• |
1 NDC on file. Subscribe to see its package, WAC and AWP, with monthly history.
HCPCS Code Status
As of Nov 5, 2026J3590 claims for LUMVOA with dates of service on or after January 1, 2027 will be denied. Confirm coding with your payer before billing.
LUMVOA Clinical Information
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Frequently Asked Questions
What HCPCS code is used for LUMVOA?
J3590 (unclassified biologics) for dates of service through December 31, 2026, and its permanent code J3242 from January 1, 2027. Hospital outpatient claims use C9399 until the permanent code takes effect.
What NDC goes on a LUMVOA claim?
The NDC of the package you administered. Subscribers can see LUMVOA’s NDCs with package, WAC and AWP.
Is there an ASP-based Medicare payment limit for LUMVOA?
Not yet. CMS sets ASP-based payment limits for permanent codes. Until then the MAC prices LUMVOA claims manually.