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HCPCS Details
HCPC | J0174 |
Short Description | Inj, lecanemab-irmb, 1 mg |
Long Description | Injection, lecanemab-irmb, 1 mg |
Pricing indicator | 00 |
Coverage code | C |
ASC payment group code | YY |
BETOS2 code | O1E |
Action code | N |
Type of service | 1 |
Effective date | 2023-07-06 |
Date Added | 2023-07-06 |
HCPCS/NDC Cross-Walk
NDC | HCPC | Description | Drug Name | Labeler Name | HCPCS Dosage | PKG Size | PKG QTY | Bill Units | Bill Units PKG |
---|---|---|---|---|---|---|---|---|---|
62856021201 | J0174 | Inj, lecanemab-irmb, 1 mg | Leqembi | EISAI INC. | 1 MG | 2 | 1 | 200 | 200 |
62856021501 | J0174 | Inj, lecanemab-irmb, 1 mg | Leqembi | EISAI INC. | 1 MG | 5 | 1 | 500 | 500 |
HCPCS Billing Calculator
Dosage given to patient (per dose) | |
---|---|
HCPCS Dosage | 1 MG |
HCPCS/CPT Billing Units | 1 |
Total doses ordered | |
Billing Units | 1 |
Drug Details
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Lecanemab-irmb injection is used to treat Alzheimer's disease (a brain disorder that affects the ability to remember, think clearly, communicate, and perform daily activities and may cause changes in mood and personality) in patients with mild disease. Lecanemab-irmb is in a class of medications called monoclonal antibodies. It works by reducing amyloid beta plaques, abnormal proteins that develop in the brain and contribute to the progression of Alzheimer's disease.