J3396 HCPCS Level II code: Injection, verteporfin, 0.1 mg

J3396 is the HCPCS code for “Injection, verteporfin, 0.1 mg” in CMS’s October 2026 release, in effect from Oct 1, 2026.

Official description

J3396

Injection, verteporfin, 0.1 mg

Short description: Verteporfin injection

HCPCS · United States

Medicare details

The indicators CMS publishes with J3396 in its October 2026 file. They describe Medicare’s handling, not another payer’s.

Medicare coverage
Special coverage instructions apply
Medicare pricing
Drugs
ASC
Approved for ambulatory surgical centers
Type of service
Other medical items or services
BETOS category
Other drugs
Added
Jan 1, 2005

Where J3396 sits

  1. 1J codesDrugs administered other than orally
  2. 2Active code J3396Injection, verteporfin, 0.1 mg

Source and release

Data release
HCPCS Level II · October 2026
Effective date
Oct 1, 2026
Publisher
CMS

This page is built from the HCPCS Level II catalog that Vero Codes reads when it suggests codes: Centers for Medicare & Medicaid Services’s October 2026 release, imported from the publisher’s file and checked against it. The description, notes and structured data come from the same record.

Frequently asked questions

What does HCPCS code J3396 mean?

J3396 is the HCPCS code for “Injection, verteporfin, 0.1 mg” in CMS’s HCPCS Level II October 2026 release.

Does Medicare cover J3396?

CMS lists J3396’s Medicare coverage as “Special coverage instructions apply” and its pricing as “Drugs”. Coverage and payment still depend on the patient, the setting, the documentation and the payer.

Which HCPCS Level II release does this page use?

It uses CMS’s October 2026 release, in effect from Oct 1, 2026 to Dec 31, 2026. It is a reference: confirm the code against the current list and the payer’s rules before you submit it.