SCENESSE J Code: J7352
Afamelanotide implant, 1 mg
Drug & Product Overview
About SCENESSE
Scenesse is a medication aligned to the HCPCS J Code: J7352 for billing, pricing, and reimbursement purposes in the United States. Classified under Misc., it is administered via the subcutaneous route and manufactured by Clinuvel.
Manufacturers, reach out to us to add more information.
NDC Code Information
1 NDC package is crosswalked to J7352. Package detail is available to logged-in subscribers.
| NDC Code | Drug | Manufacturer | Billing Units / Pkg | Package Size |
|---|---|---|---|---|
| •••••-••••-•• Log in to view | SCENESSE | •••••••••••• Log in to view | •••• Log in to view | ••• •• / • •• Log in to view |
SCENESSE Pricing & Reimbursement
National median reimbursement across major commercial payers.
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SCENESSE 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 |
|---|---|
| 96450 | Chemotherapy administration, into CNS (eg, intrathecal), requiring and including spinal puncture |
CMS has identified Scenesse (J7352) as a HCPCS code with single-dose containers. Therefore, the JW/JZ wastage modifiers could be required for billing purposes. Wastage billing guide →
SCENESSE Medically Unlikely Edits (MUE)
The most billing units of J7352 Medicare will pay for one patient in one day, as published by CMS. 1 unit = 1 mg.
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 →
SCENESSE 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 Scenesse billing and coding guide?
Are there any available Scenesse patient assistance programs?
Where can I find Scenesse prescribing information?
Where can I find Scenesse side effect information?
Does billing SCENESSE require JZ/JW wastage modifiers?
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