SPEVIGO J Code: J1747
Injection, spesolimab-sbzo, 1 mg
Drug & Product Overview
About SPEVIGO
Spevigo is a medication aligned to the HCPCS J Code: J1747 for billing, pricing, and reimbursement purposes in the United States. It is a Misc. drug administered via the intravenous or subcutaneous routes and manufactured by Boehringer Ingelheim.
According to CMS Drug Use Information: This medication is used to treat a severe form of psoriasis (generalized pustular psoriasis). Spesolimab belongs to a class of drugs known as monoclonal antibodies. It works by blocking a certain natural protein in your body (interleukin-36) that may cause inflammation and swelling.
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 5 NDCs — log in for the full crosswalk.
| NDC Code | Drug | Manufacturer | Billing Units / Pkg | Package Size |
|---|---|---|---|---|
| 00597-0035-10 | Spevigo | Boehringer Ingelheim Pharmaceuticals, Inc. | 900 | 450 MG / 7.5 ML |
| 00597-0620-20 | Spevigo | Boehringer Ingelheim Pharmaceuticals, Inc. | 300 | 150 MG |
| 00597-7705-41 | Spevigo | Boehringer Ingelheim Pharmaceuticals, Inc. | 300 | 300 MG |
| 00597-7705-72 | Spevigo | Boehringer Ingelheim Pharmaceuticals, Inc. | 600 | 300 MG |
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SPEVIGO Pricing & Reimbursement
National median reimbursement across major commercial payers.
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Login to use the calculator →SPEVIGO 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) |
CMS has identified Spevigo (J1747) as a HCPCS code with single-dose containers. Therefore, the JW/JZ wastage modifiers could be required for billing purposes. Wastage billing guide →
SPEVIGO Medically Unlikely Edits (MUE)
The most billing units of J1747 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 →
SPEVIGO 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 Spevigo billing and coding guide?
Are there any available Spevigo patient assistance programs?
Where can I find Spevigo prescribing information?
Where can I find Spevigo side effect information?
Does billing SPEVIGO require JZ/JW wastage modifiers?
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