J1426 Injection, casimersen, 10 milligrams
Also known as: casimersen, DMD antisense therapy
Casimersen injection, 10 milligrams. An antisense oligonucleotide for Duchenne muscular dystrophy treatment.
In Plain Language
muscular dystrophy injection; genetic muscle disease treatment
Clinical Context
Used for Duchenne muscular dystrophy (DMD) with confirmed dystrophin exon 45 deletion mutations. Antisense oligonucleotide that promotes skipping of exon 45 to restore partial dystrophin function.
RVU Information
CPT J1426 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 J1426?
CPT J1426 (Injection, casimersen, 10 milligrams) is a J Codes (Drugs) code. Casimersen injection, 10 milligrams. An antisense oligonucleotide for Duchenne muscular dystrophy treatment.
How is J1426 administered?
CPT J1426 is administered by a healthcare provider, typically via injection or infusion. Used for Duchenne muscular dystrophy (DMD) with confirmed dystrophin exon 45 deletion mutations. Antisense oligonucleotide that promotes skipping of exon 45 to restore partial dystrophin function. It is used by Neurology, Genetics, Pediatrics.
When is CPT J1426 used?
Used for Duchenne muscular dystrophy (DMD) with confirmed dystrophin exon 45 deletion mutations. Antisense oligonucleotide that promotes skipping of exon 45 to restore partial dystrophin function.
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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.