QUTENZA J Code: J7336
Capsaicin 8% patch, per square centimeter
Drug & Product Overview
About QUTENZA
Qutenza is a medication aligned to the HCPCS J Code: J7336 for billing, pricing, and reimbursement purposes in the United States. It is a Non-Opioid Analgesic drug administered via the topical application route and manufactured by Averitas Pharma.
According to CMS Drug Use Information: This medication is used to relieve pain caused by nerve damage due to diabetes or shingles (herpes zoster) infection. Capsaicin works by decreasing a certain natural substance in your body (substance P) that helps pass pain signals to 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 |
|---|---|---|---|---|
| 72512-0928-01 | Qutenza | Averitas Pharma Inc | 280 | 179 MG |
| 72512-0929-01 | Qutenza | Averitas Pharma Inc | 560 | 179 MG |
| 72512-0930-01 | Qutenza | Averitas Pharma Inc | 1120 | 179 MG |
QUTENZA Pricing & Reimbursement
National median reimbursement across major commercial payers.
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Login to use the calculator →QUTENZA 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 |
|---|---|
| 64620 | Destruction by neurolytic agent, intercostal nerve |
| 64632 | Destruction by neurolytic agent, plantar common digital nerve. |
| 64640 Login for More | Destruction by neurolytic agent; other peripheral nerve or branch. Login for More |
CMS has identified Qutenza (J7336) as a HCPCS code with single-dose containers. Therefore, the JW/JZ wastage modifiers could be required for billing purposes. Wastage billing guide →
QUTENZA Medically Unlikely Edits (MUE)
The most billing units of J7336 Medicare will pay for one patient in one day, as published by CMS. 1 unit = 1 sq cm.
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 →
QUTENZA 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
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