J0174 Injection, lecanemab-irmb, 1 milligrams
Also known as: lecanemab, Leqembi
Lecanemab-irmb injection 1 milligram, a monoclonal antibody against amyloid-beta for early Alzheimer's disease.
In Plain Language
Alzheimer's disease treatment; memory loss medication
Clinical Context
Intravenous monoclonal antibody targeting amyloid-beta for early symptomatic Alzheimer's disease and mild cognitive impairment. Slows cognitive decline. Requires amyloid positron emission tomography or cerebrospinal fluid biomarker confirmation.
RVU Information
CPT J0174 does not have a physician work RVU assigned by CMS. This is typical for supply, drug, and equipment codes — reimbursement is based on Average Sales Price (ASP), fee schedules, or payer contracts rather than the RVU system.
Billing & Documentation
J-codes represent drugs administered by a healthcare provider (not self-administered). Documentation must include the drug name, dosage, route of administration, and medical necessity. Most payers require the National Drug Code (NDC) on the claim. Bill the appropriate administration code (96365-96379) in addition to the drug code.
Specialties
Frequently Asked Questions
What is CPT code J0174?
CPT J0174 (Injection, lecanemab-irmb, 1 milligrams) is a J Codes (Drugs) code. Lecanemab-irmb injection 1 milligram, a monoclonal antibody against amyloid-beta for early Alzheimer's disease.
How is J0174 administered?
CPT J0174 is administered by a healthcare provider, typically via injection or infusion. Intravenous monoclonal antibody targeting amyloid-beta for early symptomatic Alzheimer's disease and mild cognitive impairment. Slows cognitive decline. Requires amyloid positron emission tomography or cerebrospinal fluid biomarker confirmation. It is used by Neurology, Geriatrics, Internal Medicine.
When is CPT J0174 used?
Intravenous monoclonal antibody targeting amyloid-beta for early symptomatic Alzheimer's disease and mild cognitive impairment. Slows cognitive decline. Requires amyloid positron emission tomography or cerebrospinal fluid biomarker confirmation.
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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.