J1411 Injection, hemgenix, per treatment dose
Also known as: hemgenix, eteplirsen gene therapy
Hemgenix (eteplirsen) injection, per treatment dose. A gene therapy administered by intravenous infusion for hemophilia B treatment.
In Plain Language
hemophilia B gene therapy; blood clotting gene treatment
Clinical Context
Used for hemophilia B (Factor IX deficiency) in patients with severe disease. Gene therapy designed to provide sustained Factor IX production. Single infusion can provide long-term correction of Factor IX deficiency.
RVU Information
CPT J1411 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 J1411?
CPT J1411 (Injection, hemgenix, per treatment dose) is a J Codes (Drugs) code. Hemgenix (eteplirsen) injection, per treatment dose. A gene therapy administered by intravenous infusion for hemophilia B treatment.
How is J1411 administered?
CPT J1411 is administered by a healthcare provider, typically via injection or infusion. Used for hemophilia B (Factor IX deficiency) in patients with severe disease. Gene therapy designed to provide sustained Factor IX production. Single infusion can provide long-term correction of Factor IX deficiency. It is used by Hematology, Hemophilia Clinic, Genetics.
When is CPT J1411 used?
Used for hemophilia B (Factor IX deficiency) in patients with severe disease. Gene therapy designed to provide sustained Factor IX production. Single infusion can provide long-term correction of Factor IX deficiency.
Track This Code in RVU Edge
Log procedures, calculate wRVUs, and benchmark against MGMA data — all in one app.
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.