PERSERIS J Code: J2798

Drug & Product Overview

HCPCS Descriptor Injection, risperidone, (perseris), 0.5 mg

HCPCS Added Date October 1, 2019

Manufacturer Indivior

Route of Administration Subcutaneous

Generic Status Single-Source; Branded

Dosage Type Single-Dose

Dosage Form Kit

About PERSERIS

Perseris is a medication aligned to the HCPCS J Code: J2798 for billing, pricing, and reimbursement purposes in the United States. Classified under Psychiatric, it is administered via the subcutaneous route and manufactured by Indivior.

According to CMS Drug Use Information: This medication is used to treat certain mental/mood disorders (such as schizophrenia, bipolar disorder). Risperidone belongs to a class of drugs known as atypical antipsychotics. It works by helping to restore the balance of certain natural substances in the brain.

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
12496-0090-01	Perseris	Indivior Inc.	180	Kit
12496-0120-01	Perseris	Indivior Inc.	240	Kit

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PERSERIS Pricing & Reimbursement

J2798 Private Payer Reimbursement

$12.16 / HCPCS unit as of Jan 2026

National median reimbursement across major commercial payers.

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Historical Graphing and Billing Calculator

per HCPCS unit

As of Q3 2026

Risperidone 505(b)(2) Information:

HCPCS Code	Manufacturer	Active Ingredient	HCPCS Description
J2794	Generic Code (Multiple Manufacturers)	Risperidone	Injection, risperidone (risperdal consta), 0.5 mg
J2798	Indivior	Risperidone	Injection, risperidone, (perseris), 0.5 mg
J2799	Teva	Risperidone	Injection, risperidone (uzedy), 1 mg
J2801	Shandong Luye Pharmaceuticals	Risperidone	Injection, risperidone (rykindo), 0.5 mg

PERSERIS CPT Administration Codes

CPT Code	Description
96372	Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); intramuscular

Not on the CMS JW / JZ list

CMS does not include Perseris (J2798) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing J2798. Wastage billing guide →

PERSERIS Medically Unlikely Edits (MUE)

The most billing units of J2798 Medicare will pay for one patient in one day, as published by CMS. 1 unit = 0.5 mg.

Practitioner Office & Hospital Outpatient

240 units / day

= 120 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 →

PERSERIS 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.

Schizophrenia

Frequently Asked Questions

Is there an available Perseris billing and coding guide?

Our team has not identified a manufacturer-published source of billing and coding information for PERSERIS.

Are there any available Perseris patient assistance programs?

Our team has not identified a manufacturer-published source of patient assistance information for PERSERIS.

Where can I find Perseris prescribing information?

PERSERIS prescribing information can be found at the link below: Visit Here →

Where can I find Perseris side effect information?

Information regarding PERSERIS's side effects can be found at MedlinePlus Visit Here →

Does billing PERSERIS require JZ/JW wastage modifiers?

CMS does not include PERSERIS (J2798) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing J2798. For more information, visit the link below.

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