Eylea Injection โ€“ Billing Guide

Eylea

Eylea is a high-cost drug used in retinal disease treatment.


๐Ÿ”น What is Eylea?

Used for:

  • Wet macular degeneration
  • Diabetic macular edema
  • Retinal vein occlusion

๐Ÿ”น HCPCS Code

  • J0178 โ€“ Injection, aflibercept (Eylea)

๐Ÿ”น Procedure Code

  • 67028 โ€“ Intravitreal injection

๐Ÿ”น Billing Essentials

  • Bill drug + procedure separately
  • Include:
    • Units
    • NDC number
    • Diagnosis

๐Ÿ”น High-Value Claim Tip

๐Ÿ‘‰ Always double-check:

  • Units billed vs administered
  • NDC format (11-digit)
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