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    HCPCS Details

    HCPC J1306
    Short Description Injection, inclisiran, 1 mg
    Long Description Injection, inclisiran, 1 mg
    Pricing indicator 51
    Coverage code C
    ASC payment group code YY
    BETOS2 code O1E
    Action code N
    Type of service 1
    Effective date 2022-07-01
    Date Added 2022-07-01

    HCPCS/NDC Cross-Walk

    NDC HCPC Description Drug Name Labeler Name HCPCS Dosage PKG Size PKG QTY Bill Units Bill Units PKG
    00078100060 J1306 Injection, inclisiran, 1 mg Leqvio NOVARTIS PHARMACEUTICALS CORP. 1 MG 1.5 1 284 284
    The ASP crosswalks are maintained by the Division of Data Analysis and Market Based Pricing to support ASP-based Medicare Part B payments only. The crosswalks are intended to help the public (including entities that submit manufacturer ASP data and providers who bill for drugs) understand which drug products (identified by NDCs) are assigned to which HCPCS billing codes. The crosswalks are not intended to be a comprehensive list of all drugs/NDCs available in the United States. The NDC to HCPCS Crosswalk also includes information on the NDC package size and the number of billable units (as defined by the HCPCS code descriptor). Comments on the file may be sent to [email protected].

    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

    • Inclisiran injection is used along with diet alone or in combination with other cholesterol-lowering medications to decrease the amount of low-density lipoprotein (LDL) cholesterol ('bad cholesterol') in the blood in people with familial heterozygous hypercholesterolemia (HeFH) (an inherited condition in which cholesterol cannot be removed from the body normally). It is also used along with diet changes and other treatments to reduce the amount of low-density lipoprotein (LDL) cholesterol ('bad cholesterol') in the blood in people who have clinical atherosclerotic cardiovascular disease (ASCVD). Inclisiran injection is in a class of medications called proprotein convertase subtilisin kexin type 9 (PCSK9)-interfering mRNA. It works by decreasing the amount of LDL cholesterol in the blood to decrease the amount of cholesterol that may build up on the walls of the arteries and block blood flow to the heart, brain, and other parts of the body.