HCPCS drug code · CMS crosswalk
Visudyne J-Code / HCPCS Code
In short
Visudyne is billed under HCPCS J3396 — Injection, verteporfin, 0.1 mg. One billing unit is 0.1 mg. CMS's crosswalk lists 2 Visudyne NDCs under this code.
Reference
- J3396
- Injection, verteporfin, 0.1 mgBilling unit: 0.1 mg
- Labelers
- Bausch & Lomb Americas Inc.
Medicare Part B payment limit
CMS ASP filePayment limit per unit$11.342
Per0.1 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
Visudyne units and claim line
Enter the dose given to get the J3396 units and the NDC line for the CMS-1500 and the 837P.
Enter the dose given to build the claim line.
Visudyne 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 |
|---|---|---|---|---|
| 00187-5600-15 | J3396 | Bausch & Lomb Americas Inc. | 1 | 150 |
| 24208-0560-15 | J3396 | Bausch & Lomb Americas Inc. | 1 | 150 |
Visudyne: common questions
- What is the J-code for Visudyne?
- Visudyne is billed under HCPCS J3396 — Injection, verteporfin, 0.1 mg. One billing unit is 0.1 mg. CMS's crosswalk lists 2 Visudyne NDCs under this code.
- How many J3396 billing units are in a package of Visudyne?
- CMS lists 150 billing units per package, depending on the NDC, where one unit is 0.1 mg. Units to report are based on the dose given, not the package.
- Is J3396 a CPT code?
- No. J3396 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.