MEPSEVII J Code: J3397
Injection, vestronidase alfa-vjbk, 1 mg
Drug & Product Overview
About MEPSEVII
Mepsevii is a medication aligned to the HCPCS J Code: J3397 for billing, pricing, and reimbursement purposes in the United States. It is an Enzyme Replacement Therapy drug administered via the intravenous route and manufactured by Ultragenyx Pharmaceutical.
Manufacturers, reach out to us to add more information.
NDC Code Information
1 NDC package is crosswalked to J3397. Package detail is available to logged-in subscribers.
| NDC Code | Drug | Manufacturer | Billing Units / Pkg | Package Size |
|---|---|---|---|---|
| •••••-••••-•• Log in to view | MEPSEVII | •••••••••••• Log in to view | •••• Log in to view | ••• •• / • •• Log in to view |
MEPSEVII Pricing & Reimbursement
National median reimbursement across major commercial payers.
Create an account on PayerPrice for more information →
MEPSEVII 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 |
|---|---|
| 96365 | Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); initial, up to 1 hour |
| 96366 | Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); each additional hour (List separately in addition to code for primary procedure) |
CMS does not include Mepsevii (J3397) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing J3397. Wastage billing guide →
MEPSEVII Medically Unlikely Edits (MUE)
The most billing units of J3397 Medicare will pay for one patient in one day, as published by CMS. 1 unit = 1 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 →
MEPSEVII 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.
Login for BuyandBill.com Analytics
Unlock deeper insights with BuyandBill’s Comparative Report!
- Compare ASP, WAC, and AWP across drugs.
- Visualize Drug Price Movement Over Time
- Tailor reports to drug class, manufacturer, or HCPCS Code.
- Compare Biosimilar and 505(b)(2) products.
Frequently Asked Questions
Is there an available Mepsevii billing and coding guide?
Are there any available Mepsevii patient assistance programs?
Where can I find Mepsevii prescribing information?
Where can I find Mepsevii side effect information?
Does billing MEPSEVII require JZ/JW wastage modifiers?
About BuyandBill.com:
The BuyandBill.com team is dedicated to delivering high-quality coding and billing information for office-administered drugs. We continuously research HCPCS-coded medications to expand our resources and ensure data accuracy. Manufacturers: click here to sponsor your medication, and we will ensure the most accurate and detailed information is displayed.
Related Drug Codes
Explore billing, coding, and pricing for drugs related to MEPSEVII.
