HCPCS J-code
J0178: aflibercept
Aflibercept 1 mg (anti-VEGF, AMD/DME)
Code
J0178
Generic
aflibercept
Brands
Eylea
Drug class
Biologic drugs (mAbs and biosimilars)
Common denial patterns
- Step therapy bevacizumab
- Quantity limit per eye/month
Frequently asked questions
What is HCPCS J0178?
Aflibercept 1 mg (anti-VEGF, AMD/DME)
Why does insurance commonly deny J0178?
Step therapy bevacizumab; Quantity limit per eye/month.
What brand-name drug uses J0178?
Eylea.
Related
Appeal a J0178 denial
Upload the denial — we draft the appeal letter in 5 minutes citing the right clinical guideline.
Get started →Contact: hello@approvalhelp.com