LUXTURNA J Code: J3398
Injection, voretigene neparvovec-rzyl, 1 billion vector genomes
Drug & Product Overview
About LUXTURNA
Luxturna is a medication aligned to the HCPCS J Code: J3398 for billing, pricing, and reimbursement purposes in the United States. Classified under Ophthalmology, it is administered via the intraocular route and manufactured by Spark Therapeutics.
Manufacturers, reach out to us to add more information.
NDC Code Information
1 NDC package is crosswalked to J3398. Package detail is available to logged-in subscribers.
| NDC Code | Drug | Manufacturer | Billing Units / Pkg | Package Size |
|---|---|---|---|---|
| •••••-••••-•• Log in to view | LUXTURNA | •••••••••••• Log in to view | •••• Log in to view | ••• •• / • •• Log in to view |
LUXTURNA Pricing & Reimbursement
National median reimbursement across major commercial payers.
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LUXTURNA 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 |
|---|---|
| 67036 | Vitrectomy, mechanical, pars plana approach |
CMS does not include Luxturna (J3398) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing J3398. Wastage billing guide →
LUXTURNA Medically Unlikely Edits (MUE)
The most billing units of J3398 Medicare will pay for one patient in one day, as published by CMS. 1 unit = 1 billion vector genomes.
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 →
LUXTURNA 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 Luxturna billing and coding guide?
Are there any available Luxturna patient assistance programs?
Where can I find Luxturna prescribing information?
Where can I find Luxturna side effect information?
Does billing LUXTURNA require JZ/JW wastage modifiers?
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