ROCTAVIAN J Code: J1412
Injection, valoctocogene roxaparvovec-rvox, per ml, containing nominal 2 x 10^13 vector genomes
Drug & Product Overview
About ROCTAVIAN
Roctavian is a medication aligned to the HCPCS J Code: J1412 for billing, pricing, and reimbursement purposes in the United States. Classified under Hematology, it is administered via the intravenous route and manufactured by BioMarin Pharmaceutical Inc.
Manufacturers, reach out to us to add more information.
NDC Code Information
2 NDC packages are crosswalked to J1412. Package detail is available to logged-in subscribers.
| NDC Code | Drug | Manufacturer | Billing Units / Pkg | Package Size |
|---|---|---|---|---|
| •••••-••••-•• Log in to view | ROCTAVIAN | •••••••••••• Log in to view | •••• Log in to view | ••• •• / • •• Log in to view |
| •••••-••••-•• Log in to view | ROCTAVIAN | •••••••••••• Log in to view | •••• Log in to view | ••• •• / • •• Log in to view |
ROCTAVIAN Pricing & Reimbursement
National median reimbursement across major commercial payers.
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ROCTAVIAN 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 |
|---|---|
| 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) |
This product is new and does not yet appear on the CMS list of HCPCS pertaining to single-dose containers. Wastage billing guide →
ROCTAVIAN Medically Unlikely Edits (MUE)
The most billing units of J1412 Medicare will pay for one patient in one day, as published by CMS. 1 unit = 1 ml.
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 →
ROCTAVIAN 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
Is there an available Roctavian billing and coding guide?
Are there any available Roctavian patient assistance programs?
Where can I find Roctavian prescribing information?
Where can I find Roctavian side effect information?
Does billing ROCTAVIAN require JZ/JW wastage modifiers?
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