J0178 Aflibercept injection
Also known as: aflibercept, Eylea
Aflibercept injection 1 milligram, a vascular endothelial growth factor (VEGF) trap for retinal and systemic diseases.
In Plain Language
eye injection for vision problems; macular degeneration treatment
Clinical Context
Intravitreal Vascular endothelial growth factor inhibitor for age-related macular degeneration, diabetic macular edema, and retinal vein occlusion. Inhibits new vessel formation and vascular permeability.
RVU Information
CPT J0178 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 J0178?
CPT J0178 (Aflibercept injection) is a J Codes (Drugs) code. Aflibercept injection 1 milligram, a vascular endothelial growth factor (VEGF) trap for retinal and systemic diseases.
How is J0178 administered?
CPT J0178 is administered by a healthcare provider, typically via injection or infusion. Intravitreal Vascular endothelial growth factor inhibitor for age-related macular degeneration, diabetic macular edema, and retinal vein occlusion. Inhibits new vessel formation and vascular permeability. It is used by Ophthalmology, Retinal Surgery.
When is CPT J0178 used?
Intravitreal Vascular endothelial growth factor inhibitor for age-related macular degeneration, diabetic macular edema, and retinal vein occlusion. Inhibits new vessel formation and vascular permeability.
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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.