Home › Drug Codes › J Codes › J3387 · SKYSONA
Updated October 1st, 2026

SKYSONA J Code: J3387

Injection, elivaldogene autotemcel, per treatment

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Medicare Payment Limit ?
Not published
CMS publishes none for Q4 2026
APC Payment Limit ?
$3,180,000.00
/ HCPCS billing unit · APC 0906
ASP ?
No current ASP
Not available for Q4 2026
WAC · AWP ?
$•••.••
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NDCs Crosswalked ?
1
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Drug & Product Overview

HCPCS Descriptor Injection, elivaldogene autotemcel, per treatment
HCPCS Added Date January 1, 2026
Manufacturer Genetix Biotherapeutics
Route of Administration Intravenous
Generic Status Single-Source; Branded
Dosage Form Suspension

About SKYSONA

Skysona is a medication aligned to the HCPCS J Code: J3387 for billing, pricing, and reimbursement purposes in the United States. This Genetic Disorder medication is administered via the intravenous route and manufactured by Genetix Biotherapeutics.

Manufacturers, reach out to us to add more information.

NDC Code Information

1 NDC package is crosswalked to J3387. Package detail is available to logged-in subscribers.

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SKYSONA Pricing & Reimbursement

J3387 Private Payer Reimbursement
$10,016.67 / HCPCS unit as of Jan 2026

National median reimbursement across major commercial payers.

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UnitedHealthcare, BlueCross BlueShield, Aetna, Cigna

Elivaldogene 505(b)(2) Information:

HCPCS Code Manufacturer Active Ingredient HCPCS Description
J3387 Genetix Biotherapeutics Elivaldogene Injection, elivaldogene autotemcel, per treatment

SKYSONA 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
96413 Chemotherapy administration, intravenous infusion technique; up to 1 hour, single or initial substance/drug
96415 Chemotherapy administration, intravenous infusion technique; each additional hour (List separately in addition to code for primary procedure)
Not on the CMS JW / JZ list

This product is new and does not yet appear on the CMS list of HCPCS pertaining to single-dose containers. Wastage billing guide →

SKYSONA Medically Unlikely Edits (MUE)

The most billing units of J3387 Medicare will pay for one patient in one day, as published by CMS. 1 unit = per therapeutic dose.

Practitioner Office & Hospital Outpatient
1 unit / day
Same limit in both settings

MAI 2 · Date of Service Edit: Policy. Absolute per-day limit set by policy or regulation; units above it are not payable, and denials are not appealable on medical-necessity grounds. See all MUE limits →

SKYSONA 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.

Cerebral Adrenoleukodystrophy (CALD)

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Frequently Asked Questions

Is there a manufacturer-published SKYSONA billing and coding guide?
Our team has not identified a manufacturer-published source of billing and coding information for SKYSONA.
Is there an available SKYSONA patient assistance program?
SKYSONA patient assistance information can be found through Bluebird Bio, Inc.. Visit Here →
Where can I find SKYSONA prescribing information?
SKYSONA prescribing information can be found at the link below. Visit Here →
Where can I find SKYSONA side effect information?
SKYSONA side effect information can be found through MedlinePlus. Visit Here →
Does billing SKYSONA require JZ/JW wastage modifiers?
CMS does not include SKYSONA (J3387) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing J3387. For more information, visit the link below.

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