PROTIRELIN J Code: J2725
Injection, protirelin, per 250 mcg
Drug & Product Overview
About PROTIRELIN
Protirelin is a medication aligned to the HCPCS J Code: J2725 for billing, pricing, and reimbursement purposes in the United States. It is an Endocrinology drug administered via the intravenous route.
Manufacturers, reach out to us to add more information.
NDC Code Information
No NDC packages are aligned to J2725 in publicly available CMS files.
| NDC Code | Drug | Manufacturer | Billing Units / Pkg | Package Size |
|---|---|---|---|---|
| No public NDC alignments | ||||
PROTIRELIN Pricing & Reimbursement
National median reimbursement across major commercial payers.
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PROTIRELIN 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 |
|---|---|
| 96374 | Therapeutic, prophylactic, or diagnostic injection (specify substance or drug), IV push, single, or initial substance/drug |
CMS does not include Protirelin (J2725) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing J2725. Wastage billing guide →
PROTIRELIN Medically Unlikely Edits (MUE)
The most billing units of J2725 Medicare will pay for one patient in one day, as published by CMS. 1 unit = 250 mcg.
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 →
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Frequently Asked Questions
Is there an available Protirelin billing and coding guide?
Are there any available Protirelin patient assistance programs?
Where can I find Protirelin prescribing information?
Where can I find Protirelin side effect information?
Does billing Protirelin require JZ/JW wastage modifiers?
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