J0218 Injection olipudase alfa-rpcp 1mg
Also known as: olipudase alfa, Ophthovel
Olipudase alfa-rpcp injection 1 milligram, an enzyme replacement therapy for acid sphingomyelinase deficiency.
In Plain Language
rare genetic enzyme disease treatment; Niemann-Pick disease therapy
Clinical Context
Intravenous enzyme replacement therapy for acid sphingomyelinase deficiency (Niemann-Pick disease types A and B). Replaces deficient enzyme, reducing sphingomyelin accumulation.
RVU Information
CPT J0218 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 J0218?
CPT J0218 (Injection olipudase alfa-rpcp 1mg) is a J Codes (Drugs) code. Olipudase alfa-rpcp injection 1 milligram, an enzyme replacement therapy for acid sphingomyelinase deficiency.
How is J0218 administered?
CPT J0218 is administered by a healthcare provider, typically via injection or infusion. Intravenous enzyme replacement therapy for acid sphingomyelinase deficiency (Niemann-Pick disease types A and B). Replaces deficient enzyme, reducing sphingomyelin accumulation. It is used by Genetics, Internal Medicine, Neurology.
When is CPT J0218 used?
Intravenous enzyme replacement therapy for acid sphingomyelinase deficiency (Niemann-Pick disease types A and B). Replaces deficient enzyme, reducing sphingomyelin accumulation.
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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.