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J1412 HCPCS Level II Code: Injection, valoctocogene roxaparvovec-rvox, per ml, containing nominal 2 x 10^13 vector genomes

Medicare Coverage & Payment

  • CMS short descriptor: Inj roctavian ml 2x10^13vc g
  • Medicare coverage: Carrier judgment (CMS coverage code C)
  • Payment category: Drugs (pricing indicator 51)
  • BETOS: O1E — Other drugs
  • Last CMS action effective: January 1, 2024

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, 2024
    Added to the code set
    Injection, valoctocogene roxaparvovec-rvox, per ml, containing nominal 2 x 10^13 vector genomes

Contextual Map

Every relationship of J1412 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)

Change history

  • January 1, 2024 — Added to the code set [Change history]

Nearest Codes in This Family

Official HCPCS Level II classifications closest to J1412 in its code family, with their registry titles.