J0791 – Injection, crizanlizumab-tmca, 5 mg
HCPCS Level II code · J codes: Drugs Administered Other Than Oral Method
HCPCS codeJ0791
- Long description
- Injection, crizanlizumab-tmca, 5 mg
- Short description
- Inj crizanlizumab-tmca 5mg
- Pricing indicator
51Drugs- Medicare coverage
CCarrier judgment – coverage decided by the Medicare contractor- BETOS category
O1EOther drugs- ASC
- Approved for ambulatory surgical centers
- Added
- July 1, 2020
- Last change
- July 1, 2020 – No change
Frequently asked questions
What is HCPCS code J0791?
J0791 is a HCPCS Level II code for injection, crizanlizumab-tmca, 5 mg.
Does Medicare cover J0791?
The HCPCS file lists coverage code C: Carrier judgment – coverage decided by the Medicare contractor. Coverage and payment also depend on local coverage determinations and the patient’s plan.
Nearby J codes
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- J0751 – Emtricitabine 200mg and tenofovir alafenamide 25mg, oral, fda approved prescription, only for use as hiv pre-exposure prophylaxis (not for use as treatment of hiv)
- J0752 – Oral, lenacapavir, 300 mg, fda approved prescription, only for use as hiv pre-exposure prophylaxis (not for use as treatment for hiv)
- J0759 – Injection, clevidipine butyrate, 1 mg
- J0760 – Injection, colchicine, per 1 mg
- J0770 – Injection, colistimethate sodium, up to 150 mg
- J0775 – Injection, collagenase, clostridium histolyticum, 0.01 mg
- J0780 – Injection, prochlorperazine, up to 10 mg
- J0795 – Injection, corticorelin ovine triflutate, 1 microgram
- J0799 – Fda approved prescription drug, only for use as hiv pre-exposure prophylaxis (not for use as treatment of hiv), not otherwise classified
- J0800 – Injection, corticotropin, up to 40 units
- J0801 – Injection, corticotropin (acthar gel), up to 40 units
- J0802 – Injection, corticotropin (ani), up to 40 units
- J0833 – Injection, cosyntropin, not otherwise specified, 0.25 mg
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- J0840 – Injection, crotalidae polyvalent immune fab (ovine), up to 1 gram
Source: CMS HCPCS Level II quarterly file, October 2026. Reference only – check payer policy before billing.