Home › Drug Codes › J Codes › J0480 · SIMULECT
Updated July 1st, 2026

SIMULECT J Code: J0480

Injection, basiliximab, 20 mg

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Q4 2026 Medicare Payment Limit for J0480, effective October 1, 2026: $4,917.63 per HCPCS billing unit, up 0.3% from $4,905.049. From CMS's final file.

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Medicare Payment Limit ?
$4,905.049
/ HCPCS billing unit · Q3 2026
APC Payment Limit ?
$4,905.049
/ HCPCS billing unit · APC 1683
ASP ?
$•••.••
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WAC · AWP ?
$•••.••
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NDCs Crosswalked ?
2
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Drug & Product Overview

HCPCS Descriptor Injection, basiliximab, 20 mg
HCPCS Added Date January 1, 2006
Manufacturer Novartis
Route of Administration Intravenous
Generic Status Single-Source; Branded
Dosage Type Single-Dose
Dosage Form Injection, Powder, For Solution

About SIMULECT

Simulect is a medication aligned to the HCPCS J Code: J0480 for billing, pricing, and reimbursement purposes in the United States. This Immunosuppressant medication is administered via the intravenous route and manufactured by Novartis.

According to CMS Drug Use Information: Basiliximab is used to prevent organ rejection in people who have received a kidney transplant. It is usually taken along with other medications (such as cyclosporine, corticosteroids) to allow your new organ to function normally. Basiliximab is an immunosuppressant drug known as a monoclonal antibody. It works by slowing down your body's defense system (immune system) to prevent your body from rejecting the new kidney after surgery (acute rejection).

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
00078-0331-84 Simulect Novartis Pharmaceuticals Corporation 1 20 MG / 5 ML
00078-0393-61 Simulect Novartis Pharmaceuticals Corporation 1 10 MG / 2.5 ML
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SIMULECT Pricing & Reimbursement

J0480 Private Payer Reimbursement
$4,781.05 / 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 Q3 2026

SIMULECT 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)
JW / JZ modifiers apply

CMS has identified Simulect (J0480) as a HCPCS code with single-dose containers. Therefore, the JW/JZ wastage modifiers could be required for billing purposes. Wastage billing guide →

SIMULECT Medically Unlikely Edits (MUE)

The most billing units of J0480 Medicare will pay for one patient in one day, as published by CMS. 1 unit = 20 mg.

Practitioner Office & Hospital Outpatient
1 unit / day
= 20 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 →

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

SIMULECT 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.

Prophylaxis of acute organ rejection in renal transplantation
Drug Class
Interleukin 2 Receptor Antagonists [MoA]Interleukin 2 Receptor-directed Antibody Interactions [MoA]Interleukin-2 Receptor Blocking Antibody [EPC]

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Frequently Asked Questions

Is there an available Simulect billing and coding guide?
Our team has not identified a manufacturer-published source of billing and coding information for SIMULECT.
Are there any available Simulect patient assistance programs?
SIMULECT patient assistance information can be found through Novartis. Visit Here →
Where can I find Simulect prescribing information?
SIMULECT prescribing information can be found at the link below: Visit Here →
Where can I find Simulect side effect information?
Information regarding SIMULECT's side effects can be found at MedlinePlus Visit Here →
Does billing SIMULECT require JZ/JW wastage modifiers?
CMS has identified SIMULECT(J0480) 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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