Billing Code/Availability Information. HCPCS Code: J0491 – Injection, anifrolumab-fnia 1 mg; 1 billable unit = 1 mg. NDC: Saphnelo 300 mg/2 mL single-dose
5-character alphanumeric codes J3301, for example, is the J-code for Kenalog (triamcinolone acetonide). J-codes are a subset of the Healthcare Common Procedure Coding System (HCPCS) codes. What is a J-code s unit? Each J-code s descriptor includes a dosage amount, known as the HCPCS code dosage, which is the billable unit for that code.
□ Anifrolumab-fnia (Saphnelo). □ Belimumab (Benlysta). NDC/HCPCS (J Code). Strength. Dosage Form. Quantity. Directions for Use. Indication/Diagnosis: Is the
Anifrolumab-fnia (Saphnelo) Table Of Contents Policy Dosage and Administration Experimental, Investigational, or Unproven CPT Codes / HCPCS Codes / ICD-10
vs. Out-of-Home for HCS Updated Prior Authorization Information for Benlysta (procedure code J0490) and Saphnelo (procedure code J0491).
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Eligible commercially insured patients with a valid prescription for SAPHNELO who enroll in this program may pay as little as $0 per administration of SAPHNELO dependent upon patient s prescription coverage of SAPHNELO. SAPHNELO Savings Program If SAPHNELO is covered by the health plan:
Blue Cross Complete HCPCS medication codes prior authorization list SAPHNELO. YES. Note: Codes and Medications not included on
Saphnelo package insert / prescribing information for healthcare professionals J Code (medical billing code): J0491 (1 mg, injection).
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