J1961 Injection lenacapavir (hiv tx) 1mg
Also known as: lenacapavir, Lenla, capsid inhibitor
Injection of lenacapavir (HIV treatment), 1 milligram. A novel long-acting HIV capsid inhibitor.
In Plain Language
HIV treatment injection; long-acting HIV medication
Clinical Context
Used as part of antiretroviral therapy for HIV-1 infection with ultra-long-acting subcutaneous dosing every 6 months. Lenacapavir inhibits HIV capsid assembly.
RVU Information
CPT J1961 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 J1961?
CPT J1961 (Injection lenacapavir (hiv tx) 1mg) is a J Codes (Drugs) code. Injection of lenacapavir (HIV treatment), 1 milligram. A novel long-acting HIV capsid inhibitor.
How is J1961 administered?
CPT J1961 is administered by a healthcare provider, typically via injection or infusion. Used as part of antiretroviral therapy for HIV-1 infection with ultra-long-acting subcutaneous dosing every 6 months. Lenacapavir inhibits HIV capsid assembly. It is used by Infectious Disease, Internal Medicine.
When is CPT J1961 used?
Used as part of antiretroviral therapy for HIV-1 infection with ultra-long-acting subcutaneous dosing every 6 months. Lenacapavir inhibits HIV capsid assembly.
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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.