SPINRAZA J Code: J2326
Injection, nusinersen, 0.1 mg
Drug & Product Overview
About SPINRAZA
Spinraza is a medication aligned to the HCPCS J Code: J2326 for billing, pricing, and reimbursement purposes in the United States. It is a Genetic Disorder drug administered via the intrathecal route and manufactured by Biogen.
Manufacturers, reach out to us to add more information.
NDC Code Information
3 NDC packages are crosswalked to J2326. Package detail is available to logged-in subscribers.
| NDC Code | Drug | Manufacturer | Billing Units / Pkg | Package Size |
|---|---|---|---|---|
| •••••-••••-•• Log in to view | SPINRAZA | •••••••••••• Log in to view | •••• Log in to view | ••• •• / • •• Log in to view |
| •••••-••••-•• Log in to view | SPINRAZA | •••••••••••• Log in to view | •••• Log in to view | ••• •• / • •• Log in to view |
| •••••-••••-•• Log in to view | SPINRAZA | •••••••••••• Log in to view | •••• Log in to view | ••• •• / • •• Log in to view |
SPINRAZA Pricing & Reimbursement
National median reimbursement across major commercial payers.
Create an account on PayerPrice for more information →SPINRAZA 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 does not include Spinraza (J2326) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing J2326. Wastage billing guide →
SPINRAZA Medically Unlikely Edits (MUE)
The most billing units of J2326 Medicare will pay for one patient in one day, as published by CMS. 1 unit = 0.1 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 →
SPINRAZA 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 Spinraza billing and coding guide?
Are there any available Spinraza patient assistance programs?
Where can I find Spinraza prescribing information?
Where can I find Spinraza side effect information?
Does billing SPINRAZA require JZ/JW wastage modifiers?
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