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2025 HCPCS code J2799

Injection, risperidone, (Uzedy), 1 mg

Modifier JW can be used to report discarded portions of a single-dose container, subject to payer guidelines.

Medical necessity for Uzedy is established by the diagnosis of schizophrenia and the clinical appropriateness of risperidone treatment for the individual patient.

In simple words: This code represents a 1 mg injection of Uzedy (risperidone), a medication used to treat schizophrenia. It's given as a shot under the skin.

Risperidone (Uzedy) is administered via subcutaneous injection to treat schizophrenia. The dosage varies depending on individual patient factors. It's supplied in single-dose prefilled syringes (50 mg/0.14 mL to 250 mg/0.7 mL). This code is reported per 1 mg administered.

Example 1: A patient with chronic schizophrenia receives a 100 mg subcutaneous injection of Uzedy (risperidone). The code J2799 is reported 100 times., A patient transitioning from oral risperidone to Uzedy receives a 50 mg injection. J2799 is reported 50 times., Only a portion of a single-dose syringe of Uzedy is administered, and the remainder must be discarded. The administered amount is reported using J2799, and the discarded amount is reported using JW along with J2799.

Documentation should include the diagnosis (schizophrenia), the dosage of Uzedy administered, the route of administration (subcutaneous injection), and any discarded amounts, if applicable.

** This code is specific to the brand name drug Uzedy. Check with individual payers for coverage and documentation requirements. J-codes generally represent drugs that cannot be self-administered, chemotherapy drugs, inhalation solutions, and other miscellaneous drugs. Always verify payer guidelines for billing administration of the drug separately.

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