Home Drug Codes J Codes J0485 · NULOJIX
Updated July 1st, 2026

NULOJIX J Code: J0485

Injection, belatacept, 1 mg

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Q4 2026 Medicare Payment Limit for J0485, effective October 1, 2026: $3.883 per HCPCS billing unit, down 0.1% from $3.885. From CMS's final file.

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Medicare Payment Limit ?
$3.885
/ HCPCS billing unit · Q3 2026
APC Payment Limit ?
$3.885
/ HCPCS billing unit · APC 9286
ASP ?
$•••.••
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WAC · AWP ?
$•••.••
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NDCs Crosswalked ?
1
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Drug & Product Overview

HCPCS Descriptor Injection, belatacept, 1 mg
HCPCS Added Date January 1, 2013
Manufacturer BMS
Route of Administration Intravenous
Generic Status Single-Source; Branded
Dosage Type Single-Dose
Dosage Form Injection, Powder, Lyophilized, For Solution

About NULOJIX

Nulojix is a medication aligned to the HCPCS J Code: J0485 for billing, pricing, and reimbursement purposes in the United States. Classified under Immunosuppressant, it is administered via the intravenous route and manufactured by BMS.

According to CMS Drug Use Information: Belatacept is used to help prevent organ rejection in people who have received a kidney transplant. It is used along with other medications (such as mycophenolate, corticosteroids) to allow your new organ to function normally. Belatacept belongs to a class of drugs known as immunosuppressants. It works by weakening your body's natural defense (immune system) to prevent your body from rejecting the new kidney.

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
00003-0371-13 Nulojix E.R. Squibb & Sons, L.L.C. 250 250 MG
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NULOJIX Pricing & Reimbursement

J0485 Private Payer Reimbursement
$3.69 / HCPCS unit as of Jan 2026

National median reimbursement across major commercial payers.

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UnitedHealthcare, BlueCross BlueShield, Aetna, Cigna

Historical Graphing and Billing Calculator

per HCPCS unit
As of Q3 2026

NULOJIX 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)
JW / JZ modifiers apply

CMS has identified Nulojix (J0485) as a HCPCS code with single-dose containers. Therefore, the JW/JZ wastage modifiers could be required for billing purposes. Wastage billing guide →

NULOJIX Medically Unlikely Edits (MUE)

The most billing units of J0485 Medicare will pay for one patient in one day, as published by CMS. 1 unit = 1 mg.

Practitioner Office & Hospital Outpatient
1,500 units / day
= 1,500 mg per day

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 →

mg Enter a dose to see how many billing units it is and whether it is under the limit.

NULOJIX Clinical Information

Indications and drug classification.

Treated Diseases & Conditions

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.

Prophylaxis of organ rejection in kidney transplant
Drug Class
CD80-directed Antibody Interactions [MoA]CD86-directed Antibody Interactions [MoA]Selective T Cell Costimulation Blocker [EPC]T Lymphocyte Costimulation Activity Blockade [PE]

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Frequently Asked Questions

Is there an available Nulojix billing and coding guide?
Our team has not identified a manufacturer-published source of billing and coding information for NULOJIX.
Are there any available Nulojix patient assistance programs?
NULOJIX patient assistance information can be found through Bristol Myers Squibb. Visit Here →
Where can I find Nulojix prescribing information?
NULOJIX prescribing information can be found at the link below: Visit Here →
Where can I find Nulojix side effect information?
Information regarding NULOJIX's side effects can be found at MedlinePlus Visit Here →
Does billing NULOJIX require JZ/JW wastage modifiers?
CMS has identified NULOJIX(J0485) as a HCPCS code with single-dose containers. Therefore, the JW/JZ wastage modifiers could be required for billing purposes. See CMS guidelines on use of the JZ and JW wastage modifiers below.

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