Spinraza (nusinersen)
Billing
Code: J2326
Description: N/A
Unit: N/A
Payment: Claims for J2326 must be manually adjudicated
Pay quarter: N/A
Dosage and Frequency
Spinal Muscular Atrophy (SMA)
Loading dose:
• 12mg intrathecally every 2 weeks for 3 doses
• 12mg intrathecally 30 days after the third dose
Maintenance:
• 12mg intrathecally every 4 months
Loading dose:
• 12mg intrathecally every 2 weeks for 3 doses
• 12mg intrathecally 30 days after the third dose
Maintenance:
• 12mg intrathecally every 4 months
Calculate drug reimbursement
Total Reimbursement:
N/A(ASP: N/A, Margin: N/A)
Code:
J2326# Units to bill:
N/APrior Authorization
Prior auth criteria for Spinraza may include but is not limited to:
Insurance prior auth guidelines:
Billable NDCs
Resources