J0691 Injection lefamulin 1 milligrams
Also known as: lefamulin, Xenleta, pleuromutilin antibiotic
Lefamulin injection, 1 milligram, a pleuromutilin antibiotic with novel mechanism for treatment of community-acquired bacterial pneumonia.
In Plain Language
new pneumonia treatment injection; novel antibiotic medication
Clinical Context
First-in-class pleuromutilin antibiotic for community-acquired bacterial pneumonia (CABP), including atypical pathogens and some drug-resistant organisms.
RVU Information
CPT J0691 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 J0691?
CPT J0691 (Injection lefamulin 1 milligrams) is a J Codes (Drugs) code. Lefamulin injection, 1 milligram, a pleuromutilin antibiotic with novel mechanism for treatment of community-acquired bacterial pneumonia.
How is J0691 administered?
CPT J0691 is administered by a healthcare provider, typically via injection or infusion. First-in-class pleuromutilin antibiotic for community-acquired bacterial pneumonia (CABP), including atypical pathogens and some drug-resistant organisms. It is used by infectious disease, pulmonology, hospital medicine.
When is CPT J0691 used?
First-in-class pleuromutilin antibiotic for community-acquired bacterial pneumonia (CABP), including atypical pathogens and some drug-resistant organisms.
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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.