Zolgensma (onasemnogene abeparvovec-xioi)
Billing
Code: J3399
Description: N/A
Unit: N/A
Payment: Claims for J3399 must be manually adjudicated
Pay quarter: N/A
Dosage and Frequency
Spinal Muscular Atrophy (SMA)
• 1.1 x 10^14 vector genomes per kg IV
• 1.1 x 10^14 vector genomes per kg IV
Calculate drug reimbursement
Total Reimbursement:
N/A(ASP: N/A, Margin: N/A)
Code:
J3399# Units to bill:
N/APrior Authorization
Prior auth criteria for Zolgensma may include but is not limited to:
Insurance prior auth guidelines:
Billable NDCs
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