Interactive
Billing and Coding
Tool

Interactive
Billing and Coding
Tool

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REBLOZYL®
(luspatercept-aamt)

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Welcome to the Billing and Coding Tool

We know billing and coding for REBLOZYL can be complex. That’s why we created an interactive tool to help simplify the process. Calculate coding information to consider when completing the CMS-1450 and CMS-1500 forms.

To get started, select a care setting and indication.
Care Setting
Indication
Weight-Based Dose

Select from the dropdown one of the
FDA-recommended dosage options

Patient Weight

REBLOZYL does not have a weight restriction per the U.S. Full Prescribing Information. The maximum weight studied was 337 lb. Please consult the U.S. Full Prescribing Information for complete dosing instructions.

Enter the number of vials administered or ask the tool to calculate vial combination based on patient weight and dose.

How Many Vials Were Used?
75-mg vials
25-mg vials
OR
Auto Calculate

Calculate vial combination based on patient weight and dose.

View Results Below
Care Setting:
XXXX
Indication:
XXXX
Patient Weight (kg):
XXXX
Dosage Level (mg/kg):
XXXX
Total Dose (mg):
XXXX
Number of Injections:
XXXX
Vial Combination:
75-mg vial(s):
XXXX
NDC: 59572-0775-01
25-mg vial(s):
XXXX
NDC: 59572-0711-01
CPT Code:
Administration Code*
XXXX
[CPT code descriptor based on indication chosen]
Number of Units Provided
XXXX
J-Code:

J0896 Injection, luspatercept-aamt 0.25 mg

Administered Units Waste Units Billing and Coding Instructions
75-mg vial
Administered Units
XXXX
Waste Units
XXXX
It is required to enter J0896 and JW modifier on a separate line to record waste. Alternatively, if no wastage, enter J0896 and JZ modifier to attest there were no discarded amounts
25-mg vial
Administered Units
XXXX
Waste Units
XXXX
Billing and Coding Instructions
It is required to enter J0896 and JW modifier on a separate line to record waste. Alternatively, if no wastage, enter J0896 and JZ modifier to attest there were no discarded amounts
Total Billing Units
XXXX
MUE Template Download
MUE Appeal
Template Letter†
†Template letters are provided as examples of potential
correspondence.
Download

View interactive tutorials for claim forms for outpatient administration.

CMS-1500 tutorial CMS-1500 tutorial CMS-1450 tutorial CMS-1450 tutorial

*CPT codes are used to indicate which medical services and procedures were performed on a patient and/or how a drug or medical supply was administered. CPT codes and descriptions only are ©2024 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.

CMS publishes Average Sales Price (ASP) rates for physician-administered products quarterly.

See the latest CMS ASP information.