PRACTICE RESOURCES
Support & Billing
LEQVIO® Service Center
The LEQVIO Service Center is dedicated to your practice and your patients. It provides simple, reliable, and supportive solutions to help your patients start and stay on LEQVIO, while providing your practice with billing and coding information, insurance support, and more.
Your single point of contact is a dedicated specialist who can handle all your inquiries and requests for LEQVIO. Reach out to your specialist for:
- Support with insurance
- Billing & coding information
- Patient savings options
Call 1-833-LEQVIO2 (1-833-537-8462) M-F 8:00 AM to 8:00 PM (ET)
Access & Reimbursement Manager
- Offers resources and educational information on acquisition and billing & coding
- Available for in-office visits or by phone
Sales Specialist
Get in touch with a sales specialist for support with product details, acquisition options, and co-pay assistance. Sales specialists do not have access to patient-level data.
LEQVIO Billing & Coding Information
Find the codes you need to file a claim
| Healthcare Common Procedure Coding System Level II Code1,2 | J1306 - Injection, inclisiran, 1 mg; Billing units: 284 JZ modifier: Effective July 1, 2023, providers and suppliers are required to report the JZ modifier on all claims that bill for drugs from single-dose containers that are separately payable under Medicare Part B when there are no discarded amounts. |
| Current Procedural Terminology Code3* | 96372 - Therapeutic, Prophylactic, and Diagnostic Injection (specific substance or drug; subcutaneous or intramuscular) |
| International Classification of Diseases, 10th Revision, Clinical Modification | To find a full list of ICD-10 codes that may be relevant for LEQVIO, download our Billing & coding guide |
| National Drug Code4 | 10-digit: 0078-1000-60 11-digit: 00078-1000-60 |
| Revenue Codes5 (hospital outpatient department administration only) | 0636 - Drugs requiring detailed coding 0250 - General pharmacy 0500 - General outpatient services 0510 - General clinic services |
Helpful Billing & Coding Guide
To find a full list of codes that may be related to LEQVIO, download our Billing & Coding Guide.
Annotated CMS Claim Forms
To see example claim forms for LEQVIO, download our Annotated Claim Forms.
Download CMS-1500 Claim Form
Download CMS-1450 (UB-04) Claim Form
Forms and Guides Library
Resources and forms for every step of the way
Enrollment
Start Form
Start Form - Spanish
Patient Consent Form
Patient Consent Form - Spanish
Service Center Portal Overview
Patient Coverage
Prior Authorization & Appeals Guide
Letter of Medical Necessity Checklist
Sample Letter of Medical Necessity
Letter of Medical Exception Checklist
Sample Letter of Medical Exception
Letter of Appeal Checklist
Sample Letter of Appeal
Financial Support
Patient Co-pay Checklist
Provider Co-pay Checklist
Co-pay Flashcard
Co-pay Portal Overview
Patient and Provider Co-pay Claim Form
Specialty Pharmacy Commercial Co-pay Claim Form
Acquisition
LEQVIO Prescription Considerations
Buy-and-Bill 5 Step Guide
Buy-and-Bill Checklist
Distribution & Acquisition Flashcard
Alternate Site of Care Referral Guide
Alternate Site of Care Referral Order Form
Alternate Site of Care Clinical Documentation Referral Checklist
LEQVIO Patient Tracker
LEQVIO Patient Management Tracker: Instructions for Use
LEQVIO Therapy Plan - Epic EHR
Reimbursement
Billing & Coding Guide
Claim Filing Checklist
Annotated CMS-1500 Form
Annotated CMS-1450 (UB-04) Form
*CPT © 2023
The information herein is provided for educational purposes only. Novartis cannot guarantee insurance coverage or reimbursement. Coverage and reimbursement may vary significantly by payer, plan, patient, and setting of care. It is the sole responsibility of the health care provider to select the proper codes and ensure the accuracy of all statements used in seeking coverage and reimbursement for an individual patient.
There's more to know about LEQVIO
Discover supportive resources available to help your patients get started on LEQVIO to help reduce LDL-C.
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