Home › Drug Codes › J Codes › J7356 · VYALEV
Updated October 1st, 2026

VYALEV J Code: J7356

Injection, foscarbidopa 0.25 mg/foslevodopa 5 mg

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Medicare Payment Limit ?
$0.702
/ HCPCS billing unit
APC Payment Limit ?
Not published
CMS publishes none for Q4 2026
ASP ?
$•••.••
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WAC · AWP ?
$•••.••
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NDCs Crosswalked ?
1
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Drug & Product Overview

HCPCS Descriptor Injection, foscarbidopa 0.25 mg/foslevodopa 5 mg
HCPCS Added Date July 1, 2025
Manufacturer AbbVie
Route of Administration Subcutaneous
Generic Status Single-Source; Branded
Dosage Type Single-Dose
Dosage Form Injection

About VYALEV

Vyalev is a medication aligned to the HCPCS J Code: J7356 for billing, pricing, and reimbursement purposes in the United States. This Neurology medication is administered via the subcutaneous route and manufactured by AbbVie.

According to CMS Drug Use Information: This combination medication is used to treat symptoms of Parkinson's disease (such as shakiness, stiffness, difficulty moving). It is used when other treatments for Parkinson's disease are not working as well. Parkinson's disease is thought to be caused by too little of a naturally occurring substance (dopamine) in the brain. Foslevodopa changes into dopamine in the brain, helping to control movement. Foscarbidopa prevents the breakdown of foslevodopa in the bloodstream so more foslevodopa can enter the brain. Foscarbidopa can also reduce some of foslevodopa's side effects such as nausea and vomiting.

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
00074-0501-01 Vyalev AbbVie Inc. 3360 120 MG / 10 ML
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VYALEV Pricing & Reimbursement

J7356 Private Payer Reimbursement
$0.83 / 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 Q4 2026

Foscarbidopa/foslevodopa 505(b)(2) Information:

HCPCS Code Manufacturer Active Ingredient HCPCS Description
J7356 AbbVie Foscarbidopa/foslevodopa Injection, foscarbidopa 0.25 mg/foslevodopa 5 mg

VYALEV 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
96372 Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); intramuscular
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 →

VYALEV Medically Unlikely Edits (MUE)

The most billing units of J7356 Medicare will pay for one patient in one day, as published by CMS. 1 unit = 0.25 mg - 5 mg.

Practitioner Office & Hospital Outpatient
960 units / day
= 240 mg - 5 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 - 5 mg Enter a dose to see how many billing units it is and whether it is under the limit.

VYALEV 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.

Advanced Parkinson’s disease

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Frequently Asked Questions

Is there an available VYALEV billing and coding guide?
Billing and coding information for VYALEV can be found through Abbvie. Visit Here →
Are there any available VYALEV patient assistance programs?
VYALEV patient assistance information can be found through Abbvie. Visit Here →
Where can I find VYALEV prescribing information?
VYALEV prescribing information can be found at the link below. Visit Here →
Where can I find VYALEV side effect information?
Side effect information for VYALEV can be found through MedlinePlus. Visit Here →
Does billing VYALEV require JZ/JW wastage modifiers?
CMS does not include VYALEV (J7356) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing J7356. For more information, visit the link below.

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