J0791 Injection crizanlizumab-tmca 5mg
Also known as: Adakveo, crizanlizumab
Crizanlizumab-tmca monoclonal antibody injection supplied in 5 milligram units, a selective adhesion molecule inhibitor for vaso-occlusive crisis prevention.
In Plain Language
Medicine to prevent sickle cell pain crises
Clinical Context
Used in adults with sickle cell disease to reduce the frequency of vaso-occlusive crises by inhibiting vascular adhesion of red blood cells.
RVU Information
CPT J0791 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 J0791?
CPT J0791 (Injection crizanlizumab-tmca 5mg) is a J Codes (Drugs) code. Crizanlizumab-tmca monoclonal antibody injection supplied in 5 milligram units, a selective adhesion molecule inhibitor for vaso-occlusive crisis prevention.
How is J0791 administered?
CPT J0791 is administered by a healthcare provider, typically via injection or infusion. Used in adults with sickle cell disease to reduce the frequency of vaso-occlusive crises by inhibiting vascular adhesion of red blood cells. It is used by Hematology, Internal Medicine, Sickle Cell Specialty.
When is CPT J0791 used?
Used in adults with sickle cell disease to reduce the frequency of vaso-occlusive crises by inhibiting vascular adhesion of red blood cells.
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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.