EYLEA (aflibercept) Injection Receives Permanent J-Code J0178

Posted Thursday, November 1, 2012

May help streamline reimbursement
Effective for dates of service (DOS) on or after January 1, 2013,
the Centers for Medicare & Medicaid Services (CMS) has issued a
new permanent HCPCS billing code for EYLEA® (aflibercept) Injection

HCPCS code Description Billing unit Effective date
J0178  Injection,
aflibercept, 1 mg*
2  January 1, 2013

*With the 1 mg descriptor, it is important to indicate “2” billing units on
the claim form for each 2 mg injection.

For DOS on or after January 1, 2013
CMS will discontinue the HCPCS code Q2046 for EYLEA
Providers should no longer bill using miscellaneous J3490/J3590
Implementation times may vary for other payer types
(e.g., Medicaid and commercial payers)

[Print Piece from Regeneron]

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