J1306 Injection, inclisiran, 1 milligrams
Also known as: Leqvio, inclisiran
Inclisiran injection supplied in 1 milligram units, a small interfering ribonucleic acid for reduction of low-density lipoprotein cholesterol.
In Plain Language
Gene-based cholesterol medicine
Clinical Context
Used for reduction of low-density lipoprotein cholesterol in patients with familial or severe hypercholesterolemia via proprotein convertase subtilisin/kexin type 9 inhibition.
RVU Information
CPT J1306 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 J1306?
CPT J1306 (Injection, inclisiran, 1 milligrams) is a J Codes (Drugs) code. Inclisiran injection supplied in 1 milligram units, a small interfering ribonucleic acid for reduction of low-density lipoprotein cholesterol.
How is J1306 administered?
CPT J1306 is administered by a healthcare provider, typically via injection or infusion. Used for reduction of low-density lipoprotein cholesterol in patients with familial or severe hypercholesterolemia via proprotein convertase subtilisin/kexin type 9 inhibition. It is used by Cardiology, Internal Medicine, Lipidology.
When is CPT J1306 used?
Used for reduction of low-density lipoprotein cholesterol in patients with familial or severe hypercholesterolemia via proprotein convertase subtilisin/kexin type 9 inhibition.
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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.