Eylea Injection – Billing Guide

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

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🔹 What is Eylea?

Used for:

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

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🔹 HCPCS Code

• J0178 – Injection, aflibercept (Eylea)

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🔹 Procedure Code

• 67028 – Intravitreal injection

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🔹 Billing Essentials

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

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🔹 High-Value Claim Tip

👉 Always double-check:

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