Code CPT/HCPCS Code Description Drug Brand Name CGS Administrators, LLC (HHH MAC, MAC - Part A, MAC - Part B) J0129 Injection, abatacept, 10 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) Abatacept Orencia Orencia Clickjet Note: If being
Input HCPCS code. NDC and appropriate. CPT administration code(s) and abatacept (Orencia), anakinra (Kineret), certolizumab. (Cimzia), or
Abatacept, SQ Orencia Orencia Prefilled Syringe Orencia Clickjet Note: Note: If billed under any other miscellaneous code (i.e, J3590, J9999, or C9399) same rules applySpecial Instruction: (Note: J0129 Abatacept is only to be used when administered by IV infusion under direct supervision of a physician) Note: End dating and adding code J0129
HCPCS Code: J3590 Unclassified biologics (For use when drug is self-administered) NDC: Orencia ClickJect 125 mg/mL Autoinjector and prefilled syringe: xx Orencia prefilled syringe 50 mg/0.4 mL: xx Orencia prefilled syringe 87.5 mg/0.7 mL: xx VII. References 1. Orencia [package insert].
The inclusion of a code does not imply any Requests for Orencia (abatacept) may not be approved if the following criteria are met:.
Orencia (abatacept) [package insert]. J: Administrative update: Removed expired C Codes C9166 and C9168 and added J Codes J3247 and.
C9077 cabotegravir and rilpivirine (CABENUVA). C9078 trilaciclib (COSELA) J Codes. J0129 abatacept (ORENCIA). J0172 aducanumab-avwa (ADUHELM). J0174
VI. Billing Code/Availability Information JCode: J0129 Orencia (Bristol-Myers Squibb) 125 mg, 250mg vial for Injection : 1 billable unit = 10mg NDC: Orencia 125 mg syringe: (Bristol-Myers Squibb) Orencia 125mg ClickJect Autoinjector: (Bristol-Myers Squibb)
The use of the JA and JB modifiers is required for drugs which have one HCPCS Level II (J or Q) code but multiple routes of administration. Orencia
R.