Bristol-Myers Squibb is committed to helping appropriate patients get access to our medications by providing access and reimbursement support services.

This information is intended for U.S. healthcare professionals and/or healthcare professionals involved in healthcare reimbursement.

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INDICATION
  • NULOJIX (in combination with basiliximab induction, mycophenolate mofetil [MMF], and corticosteroids) is indicated for prophylaxis of organ rejection in adults receiving a kidney transplant
  • Use NULOJIX only in patients who are Epstein-Barr virus (EBV) seropositive
  • Use of NULOJIX for prophylaxis of organ rejection in transplanted organs other than kidney has not been established

Billing and Diagnostic Codes icon

Billing and
Diagnosis Codes

The accurate completion of reimbursement- or coverage-related documentation is the responsibility of the healthcare provider and patient. Bristol-Myers Squibb and its agents make no guarantee regarding reimbursement for any service or item.


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Type a keyword to find a specific HCPCS, CPT, NDC or ICD-10 code
Healthcare Common Procedure Coding System (HCPCS) Codes1 Issued by CMS
J0485

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Injection, belatacept, 1 mg

Current Procedural Terminology (CPT)2,†
96413

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Chemotherapy administration, intravenous infusion technique; up to 1 hour, single or initial substance/drug

96365

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Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); initial, up to 1 hour

National Drug Codes (NDC)3 Issued by the FDA

Note:Payers require the submission of the 11-digit NDC on healthcare claim forms. Please use the 11-digit codes shown here.

00003-0371-13

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One 250-mg vial, single use; one 12-mL syringe

International Classification of Diseases, Tenth Revision, Clinical Modification Diagnosis Codes (ICD-10-CM)4

Z94.0

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Kidney transplant status

NULOJIX may be purchased through a network of approved wholesalers and specialty distributors listed below.

Wholesaler Phone Orders
AmerisourceBergen Contact your local ABC Representative
Anda 1-800-331-2632
Cardinal Health 1-800-926-3161
H.D. Smith Contact your local H.D. Smith Representative
McKesson Corporation: Pharmacy Customer Support for Hospital & Health System Customers 1-855-625-4677
Service First: 1-800-793-9875
Morris and Dickson 1-800-388-3833
Distributor Phone Orders
ASD Healthcare 1-800-746-6273
Besse Medical 1-800-543-2111
Cardinal Health Specialty
Pharmaceutical Distribution
1-866-677-4844
CuraScript Specialty Distribution 1-877-599-7748
McKesson Specialty Health 1-800-482-6700
Metro Medical Supply 1-800-768-2002
Oncology Supply 1-800-633-7555

Above information is accurate as of 12/2015.

The NULOJIX distribution program includes extended payment terms to Bristol-Myers Squibb authorized NULOJIX distributors. Healthcare providers and institutions should contact their NULOJIX distributor to understand specific payment terms that may be available to them from their distributor.

 

 

*Healthcare providers should code healthcare claims based upon the service that is rendered, the patient's medical record, the coding requirements of each health insurer, and best coding practices. Coding guidance provided under this heading does not provide a guarantee of reimbursement and should be considered together with all applicable coding guidance and standards. All of the coding information presented by this website is applicable to outpatient procedures only.

CPT codes and descriptions only are ©2015 by American Medical Association (AMA). All rights reserved. The AMA assumes no liability for data contained or not contained herein. CPT is a registered trademark of the American Medical Association.

References:

  1. American Medical Association. 2017 HCPCS Level II. Professional ed. Chicago, IL: American Medical Association; 2016.
  2. American Medical Association. Current Procedural Terminology 2017. Professional ed. Chicago, IL: American Medical Association; 2016.
  3. NULOJIX [package insert]. Princeton, NJ: Bristol-Myers Squibb Company.
  4. American Medical Association. 2017 ICD-10-CM: The Complete Official Codebook. Chicago, IL: American Medical Association; 2016.

The accurate completion of reimbursement- or coverage-related documentation is the responsibility of the healthcare provider and patient. Bristol-Myers Squibb and its agents make no guarantee regarding reimbursement for any service or item.

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Use of the information on this site is subject to the terms of our Legal Notice and Privacy Statement. The coding, coverage, and payment information contained within this website is current as of 03/17.

721US1605616-01-01 03/17