Luxturna (voretigene neparvovec-rzyl)
Billing
Code: J3398
Description: N/A
Unit: N/A
Payment: Claims for J3398 must be manually adjudicated
Pay quarter: N/A
Dosage and Frequency
Biallelic RPE65 mutation-associated retinal dystrophy
• 1.5 x 10^11 vector genomes per eye subretinal
• 1.5 x 10^11 vector genomes per eye subretinal
Calculate drug reimbursement
Total Reimbursement:
N/A(ASP: N/A, Margin: N/A)
Code:
J3398# Units to bill:
N/APrior Authorization
Prior auth criteria for Luxturna may include but is not limited to:
Insurance prior auth guidelines:
Billable NDCs
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