HCPCS drug code · CMS crosswalk
Enjaymo J-Code / HCPCS Code
In short
Enjaymo is billed under HCPCS J1302 — Injection, sutimlimab-jome, 10 mg. One billing unit is 10 mg. CMS's crosswalk lists 2 Enjaymo NDCs under this code.
Reference
- J1302
- Injection, sutimlimab-jome, 10 mgBilling unit: 10 mg
- Labelers
- Bioverativ Therapeutics Inc.; Recordati Rare Diseases Inc.
Medicare Part B payment limit
CMS ASP fileEffective October 1, 2026 through December 31, 2026. Payment allowance limits subject to the ASP methodology are based on 2Q26 ASP data. CMS note: Inflation-adjusted coinsurance. A payment limit is not a coverage decision; the Medicare contractor decides coverage. CMS ASP pricing files
Enjaymo units and claim line
Enter the dose given to get the J1302 units and the NDC line for the CMS-1500 and the 837P.
Enter the dose given to build the claim line.
Enjaymo NDCs and billing units
From CMS’s ASP NDC–HCPCS crosswalk, effective October 1, 2026 through December 31, 2026. Billing units per package are CMS’s figures for the code’s unit.
| NDC (11-digit) | HCPCS | Labeler | Package | Billing units per package |
|---|---|---|---|---|
| 55292-0820-01 | J1302 | Recordati Rare Diseases Inc. | 22 | 110 |
| 80203-0347-01 | J1302 | Bioverativ Therapeutics Inc. | 22 | 110 |
Enjaymo: common questions
- What is the J-code for Enjaymo?
- Enjaymo is billed under HCPCS J1302 — Injection, sutimlimab-jome, 10 mg. One billing unit is 10 mg. CMS's crosswalk lists 2 Enjaymo NDCs under this code.
- How many J1302 billing units are in a package of Enjaymo?
- CMS lists 110 billing units per package, depending on the NDC, where one unit is 10 mg. Units to report are based on the dose given, not the package.
- Is J1302 a CPT code?
- No. J1302 is a HCPCS Level II code from CMS for the drug itself. Giving it, for example by injection or infusion, is usually reported with a separate CPT administration code.