Vimpat C Code: C9254
Injection, lacosamide, 1 mg
Drug & Product Overview
About Vimpat
Vimpat is a medication aligned to the HCPCS C Code: C9254 for billing, pricing, and reimbursement purposes in the United States. It is a Neurology drug administered via the intravenous route and manufactured by UCB Pharma.
Manufacturers, reach out to us to add more information.
NDC Code Information
1 NDC package is crosswalked to C9254. Package detail is available to logged-in subscribers.
| NDC Code | Drug | Manufacturer | Billing Units / Pkg | Package Size |
|---|---|---|---|---|
| •••••-••••-•• Log in to view | Vimpat | •••••••••••• Log in to view | •••• Log in to view | ••• •• / • •• Log in to view |
Vimpat Pricing & Reimbursement
National median reimbursement across major commercial payers.
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Vimpat 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 |
|---|---|
| 96374 | Therapeutic, prophylactic, or diagnostic injection (specify substance or drug), IV push, single, or initial substance/drug |
CMS does not include Vimpat (C9254) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing C9254. Wastage billing guide →
Vimpat Medically Unlikely Edits (MUE)
The most billing units of C9254 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 →
Vimpat 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 Vimpat billing and coding guide?
Are there any available Vimpat patient assistance programs?
Where can I find Vimpat prescribing information?
Where can I find Vimpat side effect information?
Does billing Vimpat require JZ/JW wastage modifiers?
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