HCPCS drug code · CMS crosswalk
Itvisma J-Code / HCPCS Code
In short
Itvisma is billed under HCPCS J3405 — Injection, onasemnogene abeparvovec-brve, per treatment. One billing unit is per treatment. CMS's crosswalk lists 1 Itvisma NDC under this code.
Reference
- J3405
- Injection, onasemnogene abeparvovec-brve, per treatmentBilling unit: per treatment
- Labelers
- Novartis Gene Therapies, 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: Added October 2026. A payment limit is not a coverage decision; the Medicare contractor decides coverage. CMS ASP pricing files
Itvisma units and claim line
Enter the dose given to get the J3405 units and the NDC line for the CMS-1500 and the 837P.
Enter the units to build the claim line.
Itvisma 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 |
|---|---|---|---|---|
| 71894-0200-02 | J3405 | Novartis Gene Therapies, Inc. | 3 | 1 |
Itvisma: common questions
- What is the J-code for Itvisma?
- Itvisma is billed under HCPCS J3405 — Injection, onasemnogene abeparvovec-brve, per treatment. One billing unit is per treatment. CMS's crosswalk lists 1 Itvisma NDC under this code.
- How many J3405 billing units are in a package of Itvisma?
- CMS lists 1 billing units per package, depending on the NDC, where one unit is per treatment. Units to report are based on the dose given, not the package.
- Is J3405 a CPT code?
- No. J3405 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.