HCPCS drug code · CMS crosswalk
Evkeeza J-Code / HCPCS Code
In short
Evkeeza is billed under HCPCS J1305 — Injection, evinacumab-dgnb, 5mg. One billing unit is 5 mg. CMS's crosswalk lists 2 Evkeeza NDCs under this code.
Reference
- J1305
- Injection, evinacumab-dgnb, 5mgBilling unit: 5 mg
- Labelers
- Regeneron Pharmaceuticals, Inc.
Medicare Part B payment limit
CMS ASP filePayment limit per unit$202.574
Per5 mg
Coinsurance20%
Effective October 1, 2026 through December 31, 2026. Payment allowance limits subject to the ASP methodology are based on 2Q26 ASP data. A payment limit is not a coverage decision; the Medicare contractor decides coverage. CMS ASP pricing files
Evkeeza units and claim line
Enter the dose given to get the J1305 units and the NDC line for the CMS-1500 and the 837P.
Enter the dose given to build the claim line.
Evkeeza 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 |
|---|---|---|---|---|
| 61755-0010-01 | J1305 | Regeneron Pharmaceuticals, Inc. | 8 | 240 |
| 61755-0013-01 | J1305 | Regeneron Pharmaceuticals, Inc. | 2.3 | 69 |
Evkeeza: common questions
- What is the J-code for Evkeeza?
- Evkeeza is billed under HCPCS J1305 — Injection, evinacumab-dgnb, 5mg. One billing unit is 5 mg. CMS's crosswalk lists 2 Evkeeza NDCs under this code.
- How many J1305 billing units are in a package of Evkeeza?
- CMS lists 69 to 240 billing units per package, depending on the NDC, where one unit is 5 mg. Units to report are based on the dose given, not the package.
- Is J1305 a CPT code?
- No. J1305 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.