RADICAVA J Code: J1301

Drug & Product Overview

HCPCS Descriptor Injection, edaravone, 1 mg

HCPCS Added Date January 1, 2019

Manufacturer Multiple Manufacturers

Route of Administration Intravenous

Generic Status Multi-Source; Generic

Dosage Type Single-Dose

Dosage Form Injection | Injection, Solution

About RADICAVA

Radicava is a medication aligned to the HCPCS J Code: J1301 for billing, pricing, and reimbursement purposes in the United States. Classified under Neurology, it is administered via the intravenous route and manufactured by multiple companies.

According to CMS Drug Use Information: Edaravone is used to treat a certain type of nerve disease called amyotrophic lateral sclerosis (ALS, also commonly called Lou Gehrig's disease). It helps to slow down the worsening of this disease. However, it is not a cure for ALS, and it does not reverse nerve damage or muscle weakness.

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. Showing 4 of 7 NDCs — log in for the full crosswalk.

NDC Code	Drug	Manufacturer	Billing Units / Pkg	Package Size
00781-3527-20	Edaravone	Sandoz Inc	60	30 MG / 100 ML
39822-4500-02	Edaravone	XGen Pharmaceuticals DJB, Inc.	30	30 MG / 100 ML
66794-0259-64	Edaravone	Piramal Critical Care Inc.	60	30 MG / 100 ML
70510-2171-02	Radicava	Mitsubishi Tanabe Pharma America, Inc.	60	30 MG / 100 ML
•••••-••••-•• Log in to view	RADICAVA
	RADICAVA
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RADICAVA Pricing & Reimbursement

J1301 Private Payer Reimbursement

$18.30 / HCPCS unit as of Jan 2026

National median reimbursement across major commercial payers.

Create an account on PayerPrice for more information →

Historical Graphing and Billing Calculator

per HCPCS unit

As of Q3 2026

RADICAVA CPT Administration Codes

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)

Not on the CMS JW / JZ list

CMS does not include Radicava (J1301) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing J1301. Wastage billing guide →

RADICAVA Medically Unlikely Edits (MUE)

The most billing units of J1301 Medicare will pay for one patient in one day, as published by CMS. 1 unit = 1 mg.

Practitioner Office & Hospital Outpatient

60 units / day

= 60 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 →

RADICAVA 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.

Amyotrophic Lateral Sclerosis (ALS) Amyotrophic lateral sclerosis (ALS)

Frequently Asked Questions

Is there an available Radicava billing and coding guide?

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

Are there any available Radicava patient assistance programs?

RADICAVA patient assistance information can be found through Mitsubishi Tanabe. Visit Here →

Where can I find Radicava prescribing information?

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

Where can I find Radicava side effect information?

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

Does billing RADICAVA require JZ/JW wastage modifiers?

CMS does not include RADICAVA (J1301) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing J1301. For more information, visit the link below.

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