J0604 Cinacalcet, esrd on dialysis
Also known as: cinacalcet, Sensipar, calcimimetic
Cinacalcet oral for patients with end-stage renal disease on dialysis, a calcimimetic agent that increases serum calcium by enhancing parathyroid hormone sensitivity.
In Plain Language
parathyroid control medication for dialysis; calcium regulator for kidney disease
Clinical Context
Calcimimetic that enhances calcium-sensing receptor sensitivity on parathyroid glands, reducing parathyroid hormone and improving calcium-phosphate metabolism in ESRD patients on dialysis.
RVU Information
CPT J0604 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 J0604?
CPT J0604 (Cinacalcet, esrd on dialysis) is a J Codes (Drugs) code. Cinacalcet oral for patients with end-stage renal disease on dialysis, a calcimimetic agent that increases serum calcium by enhancing parathyroid hormone sensitivity.
How is J0604 administered?
CPT J0604 is administered by a healthcare provider, typically via injection or infusion. Calcimimetic that enhances calcium-sensing receptor sensitivity on parathyroid glands, reducing parathyroid hormone and improving calcium-phosphate metabolism in ESRD patients on dialysis. It is used by nephrology, dialysis, endocrinology.
When is CPT J0604 used?
Calcimimetic that enhances calcium-sensing receptor sensitivity on parathyroid glands, reducing parathyroid hormone and improving calcium-phosphate metabolism in ESRD patients on dialysis.
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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.