Home › Drug Codes › J Codes › J7336 · QUTENZA
Updated October 1st, 2026

QUTENZA J Code: J7336

Capsaicin 8% patch, per square centimeter

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Medicare Payment Limit ?
$3.509
/ HCPCS billing unit
APC Payment Limit ?
$3.509
/ HCPCS billing unit · APC 9071
ASP ?
$•••.••
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WAC · AWP ?
$•••.••
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NDCs Crosswalked ?
3
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Drug & Product Overview

HCPCS Descriptor Capsaicin 8% patch, per square centimeter
HCPCS Added Date January 1, 2015
Manufacturer Averitas Pharma
Route of Administration Topical application
Generic Status Single-Source; Branded
Dosage Form Kit

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
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QUTENZA Pricing & Reimbursement

J7336 Private Payer Reimbursement
$3.32 / 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 Q4 2026

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
JW / JZ modifiers apply

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.

Practitioner Office & Hospital Outpatient
1,120 units / day
= 1,120 sq cm 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 →

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

QUTENZA 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.

Neuropathic pain associated with postherpetic neuralgia (PHN) Neuropathic pain associated with diabetic peripheral neuropathy (DPN) of the feet

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Frequently Asked Questions

Is there an available Qutenza billing and coding guide?
Billing and coding information for QUTENZA can be found through Averitas Pharma. Visit Here →
Are there any available Qutenza patient assistance programs?
QUTENZA patient assistance information can be found through Averitas Pharma. Visit Here →
Where can I find Qutenza prescribing information?
QUTENZA prescribing information can be found at the link below: Visit Here →
Where can I find Qutenza side effect information?
Information regarding QUTENZA's side effects can be found at MedlinePlus Visit Here →
Does billing QUTENZA require JZ/JW wastage modifiers?
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. See CMS guidelines on use of the JZ and JW wastage modifiers below.

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