J2426 Injection, invega sustenna, 1 milligrams
Also known as: invega sustenna, paliperidone palmitate
Injection of paliperidone palmitate (Invega Sustenna), 1 milligram, a long-acting atypical antipsychotic used for schizophrenia and schizoaffective disorder.
In Plain Language
long-acting antipsychotic; psychiatric medication
Clinical Context
Administered as a monthly intramuscular injection for maintenance treatment of schizophrenia and schizoaffective disorder in patients with stable symptoms.
RVU Information
CPT J2426 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 J2426?
CPT J2426 (Injection, invega sustenna, 1 milligrams) is a J Codes (Drugs) code. Injection of paliperidone palmitate (Invega Sustenna), 1 milligram, a long-acting atypical antipsychotic used for schizophrenia and schizoaffective disorder.
How is J2426 administered?
CPT J2426 is administered by a healthcare provider, typically via injection or infusion. Administered as a monthly intramuscular injection for maintenance treatment of schizophrenia and schizoaffective disorder in patients with stable symptoms. It is used by Psychiatry, Behavioral Health.
When is CPT J2426 used?
Administered as a monthly intramuscular injection for maintenance treatment of schizophrenia and schizoaffective disorder in patients with stable symptoms.
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.