J0596 HCPCS Level II Code: Injection, c1 esterase inhibitor (recombinant), ruconest, 10 units
Coding at a Glance
- Drug products
- 1 NDC product
- CMS cross-references
- 1 related code
Medicare Coverage & Payment
- CMS short descriptor: Injection, ruconest
- Medicare coverage: Carrier judgment (CMS coverage code C)
- Payment category: Drugs (pricing indicator 51)
- BETOS: O1E — Other drugs
- Last CMS action effective: January 1, 2016
Source: CMS HCPCS Level II release. Coverage codes indicate how Medicare treats the code, not whether a specific claim will be paid; payer policy and documentation still govern.
Change history
- January 1, 2016Added to the code setInjection, c1 esterase inhibitor (recombinant), ruconest, 10 units
Related Codes
CMS cross-reference from deleted or non-Medicare codes
The CMS HCPCS Level II code set cross-references these codes (deleted or not valid for Medicare) to this code.
C9445 — Injection, c-1 esterase inhibitor (recombinant), ruconest, 10 units
Drug products (NDC)
CMS ASP NDC-HCPCS Crosswalk · 2026 Q3
Medicare Part B payment limit (ASP + 6%): $37.83
71274-0350-02 — Ruconest — Pharming Healthcare Inc. (size 1 × qty 1 (10 UNITS per billing unit))
From the CMS ASP NDC-HCPCS Crosswalk and Part B Payment Limit File. Payment limits apply per HCPCS billing code, not per package.
Contextual Map
Every relationship of J0596 in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.
Nearest codes (35)
- J0500 — Injection, dicyclomine hcl, up to 20 mg[Sibling]
- J0515 — Injection, benztropine mesylate, per 1 mg[Sibling]
- J0517 — Injection, benralizumab, 1 mg[Sibling]
- J0520 — Injection, bethanechol chloride, myotonachol or urecholine, up to 5 mg[Sibling]
- J0525 — Injection, cefotetan disodium, 10 mg[Sibling]
- J0528 — Injection, fosfomycin disodium, 20 mg[Sibling]
- J0558 — Injection, penicillin g benzathine and penicillin g procaine, 100,000 units[Sibling]
- J0561 — Injection, penicillin g benzathine, 100,000 units[Sibling]
- and 27 more
CMS cross-reference
- C9445 — Injection, c-1 esterase inhibitor (recombinant), ruconest, 10 units[Cross-referenced from]
Change history
- January 1, 2016 — Added to the code set [Change history]
Nearest Codes in This Family
Official HCPCS Level II classifications closest to J0596 in its code family, with their registry titles.
- J0588 — Injection, incobotulinumtoxin a, 1 unit
- J0589 — Injection, daxibotulinumtoxina-lanm, 1 unit
- J0591 — Injection, deoxycholic acid, 1 mg
- J0592 — Injection, buprenorphine hydrochloride, 0.1 mg
- J0593 — Injection, lanadelumab-flyo, 1 mg (code may be used for medicare when drug administered under direct supervision of a physician, not for use when drug is self-administered)
- J0594 — injection, busulfan, 1 mg
- J0595 — Injection, butorphanol tartrate, 1 mg
- J0597 — Injection, c-1 esterase inhibitor (human), berinert, 10 units
- J0598 — Injection, c-1 esterase inhibitor (human), cinryze, 10 units
- J0599 — Injection, c-1 esterase inhibitor (human), (haegarda), 10 units