J1628 Injection., guselkumab, 1 milligrams
Also known as: guselkumab, Tremfya, IL-23 inhibitor
Guselkumab injection, 1 milligram. An interleukin-23 inhibitor monoclonal antibody for psoriasis and psoriatic arthritis treatment.
In Plain Language
psoriasis biologic treatment; immune system targeted therapy
Clinical Context
Used for moderate-to-severe plaque psoriasis and psoriatic arthritis. Interleukin-23 inhibitor addressing pathogenic IL-23 signaling in skin and joint inflammation.
RVU Information
CPT J1628 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 J1628?
CPT J1628 (Injection., guselkumab, 1 milligrams) is a J Codes (Drugs) code. Guselkumab injection, 1 milligram. An interleukin-23 inhibitor monoclonal antibody for psoriasis and psoriatic arthritis treatment.
How is J1628 administered?
CPT J1628 is administered by a healthcare provider, typically via injection or infusion. Used for moderate-to-severe plaque psoriasis and psoriatic arthritis. Interleukin-23 inhibitor addressing pathogenic IL-23 signaling in skin and joint inflammation. It is used by Dermatology, Rheumatology, Internal Medicine.
When is CPT J1628 used?
Used for moderate-to-severe plaque psoriasis and psoriatic arthritis. Interleukin-23 inhibitor addressing pathogenic IL-23 signaling in skin and joint inflammation.
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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.