May help streamline reimbursement
Effective for dates of service (DOS) on or after January 1, 2013,
the Centers for Medicare & Medicaid Services (CMS) has issued a
new permanent HCPCS billing code for EYLEA® (aflibercept) Injection
| HCPCS code | Description | Billing unit | Effective date |
| J0178 | Injection, aflibercept, 1 mg* |
2 | January 1, 2013 |
*With the 1 mg descriptor, it is important to indicate “2” billing units on
the claim form for each 2 mg injection.
For DOS on or after January 1, 2013
CMS will discontinue the HCPCS code Q2046 for EYLEA
Providers should no longer bill using miscellaneous J3490/J3590
Implementation times may vary for other payer types
(e.g., Medicaid and commercial payers)
