J2794 Injection risperdal consta, 0.5 milligrams
Also known as: risperdal consta, risperidone microspheres
Injection of risperidone long-acting (Risperdal Consta), 0.5 milligrams, a long-acting antipsychotic administered intramuscularly every 2 weeks.
In Plain Language
long-acting antipsychotic injection
Clinical Context
Used for maintenance treatment of schizophrenia and bipolar I disorder in stable patients requiring long-acting antipsychotic therapy.
RVU Information
CPT J2794 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 J2794?
CPT J2794 (Injection risperdal consta, 0.5 milligrams) is a J Codes (Drugs) code. Injection of risperidone long-acting (Risperdal Consta), 0.5 milligrams, a long-acting antipsychotic administered intramuscularly every 2 weeks.
How is J2794 administered?
CPT J2794 is administered by a healthcare provider, typically via injection or infusion. Used for maintenance treatment of schizophrenia and bipolar I disorder in stable patients requiring long-acting antipsychotic therapy. It is used by Psychiatry, Behavioral Health.
When is CPT J2794 used?
Used for maintenance treatment of schizophrenia and bipolar I disorder in stable patients requiring long-acting antipsychotic therapy.
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.