J2516 Injection, pentamidine isethionate
Also known as: pentamidine, pentamidine isethionate
Injection of pentamidine isethionate, an antimicrobial agent used for treatment of Pneumocystis pneumonia (PCP) and other protozoal infections.
In Plain Language
infection treatment for immune-compromised
Clinical Context
Used for prophylaxis and treatment of Pneumocystis pneumonia in human immunodeficiency virus (HIV)-positive patients and other immunocompromised populations.
RVU Information
CPT J2516 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 J2516?
CPT J2516 (Injection, pentamidine isethionate) is a J Codes (Drugs) code. Injection of pentamidine isethionate, an antimicrobial agent used for treatment of Pneumocystis pneumonia (PCP) and other protozoal infections.
How is J2516 administered?
CPT J2516 is administered by a healthcare provider, typically via injection or infusion. Used for prophylaxis and treatment of Pneumocystis pneumonia in human immunodeficiency virus (HIV)-positive patients and other immunocompromised populations. It is used by Infectious Disease, Pulmonology, Critical Care.
When is CPT J2516 used?
Used for prophylaxis and treatment of Pneumocystis pneumonia in human immunodeficiency virus (HIV)-positive patients and other immunocompromised populations.
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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.