MAKENA J Code: J1726
Injection, hydroxyprogesterone caproate, (makena), 10 mg
Drug & Product Overview
About MAKENA
Makena is a medication aligned to the HCPCS J Code: J1726 for billing, pricing, and reimbursement purposes in the United States. It is a Fertility drug manufactured by multiple companies.
Manufacturers, reach out to us to add more information.
NDC Code Information
1 NDC package is crosswalked to J1726. Package detail is available to logged-in subscribers.
| NDC Code | Drug | Manufacturer | Billing Units / Pkg | Package Size |
|---|---|---|---|---|
| •••••-••••-•• Log in to view | MAKENA | •••••••••••• Log in to view | •••• Log in to view | ••• •• / • •• Log in to view |
MAKENA 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 |
|---|---|
| 96401 | Chemotherapy administration, subcutaneous or intramuscular; non-hormonal anti-neoplastic |
CMS does not include Makena (J1726) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing J1726. Wastage billing guide →
MAKENA Medically Unlikely Edits (MUE)
The most billing units of J1726 Medicare will pay for one patient in one day, as published by CMS. 1 unit = 10 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 →
MAKENA 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 Makena billing and coding guide?
Are there any available Makena patient assistance programs?
Where can I find Makena prescribing information?
Where can I find Makena side effect information?
Does billing MAKENA require JZ/JW wastage modifiers?
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