Updated October 1st, 2026
Wainua C Code: C9311
Injection, eplontersen, 1 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)
Medicare Payment Limit ?
Not published
CMS publishes none for Q4 2026 APC Payment Limit ?
$997.816
/ HCPCS billing unit ASP ?
No current ASP
Not available for Q4 2026 HCPCS Code Discontinued Effective January 1, 2027
CMS will discontinue C9311 effective January 1, 2027. It stays billable through December 31, 2026.
It is replaced by J0226.
Source: CMS HCPCS application summary, Third Quarter 2026.