J1427 Injection. viltolarsen
Also known as: viltolarsen, DMD exon 53 therapy
Viltolarsen injection. An antisense oligonucleotide for Duchenne muscular dystrophy exon 53 mutation treatment.
In Plain Language
muscular dystrophy genetic treatment; muscle-wasting disease injection
Clinical Context
Used for Duchenne muscular dystrophy in patients with exon 53 deletions. Antisense oligonucleotide that facilitates exon 53 skipping to restore dystrophin production and slow disease progression.
RVU Information
CPT J1427 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 J1427?
CPT J1427 (Injection. viltolarsen) is a J Codes (Drugs) code. Viltolarsen injection. An antisense oligonucleotide for Duchenne muscular dystrophy exon 53 mutation treatment.
How is J1427 administered?
CPT J1427 is administered by a healthcare provider, typically via injection or infusion. Used for Duchenne muscular dystrophy in patients with exon 53 deletions. Antisense oligonucleotide that facilitates exon 53 skipping to restore dystrophin production and slow disease progression. It is used by Neurology, Genetics, Pediatrics.
When is CPT J1427 used?
Used for Duchenne muscular dystrophy in patients with exon 53 deletions. Antisense oligonucleotide that facilitates exon 53 skipping to restore dystrophin production and slow disease progression.
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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.