J3396 Verteporfin injection
Also known as: verteporfin, Visudyne, photosensitizing agent
Verteporfin injection is a photosensitizing dye used with light activation for photodynamic therapy in age-related macular degeneration.
In Plain Language
macular degeneration light therapy; vision treatment injection
Clinical Context
Used in age-related macular degeneration with subfoveal choroidal neovascularization. Intravenous injection followed by laser light activation to treat abnormal blood vessels. Minimizes damage to healthy retinal tissue.
RVU Information
CPT J3396 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 J3396?
CPT J3396 (Verteporfin injection) is a J Codes (Drugs) code. Verteporfin injection is a photosensitizing dye used with light activation for photodynamic therapy in age-related macular degeneration.
How is J3396 administered?
CPT J3396 is administered by a healthcare provider, typically via injection or infusion. Used in age-related macular degeneration with subfoveal choroidal neovascularization. Intravenous injection followed by laser light activation to treat abnormal blood vessels. Minimizes damage to healthy retinal tissue. It is used by Ophthalmology, Retinal Specialists.
When is CPT J3396 used?
Used in age-related macular degeneration with subfoveal choroidal neovascularization. Intravenous injection followed by laser light activation to treat abnormal blood vessels. Minimizes damage to healthy retinal tissue.
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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.