Billing J3380 ↗ for Entyvio (vedolizumab) requires accurate IV infusion coding and precise 1mg unit conversions to avoid Medicare denials.
Billing Units for Entyvio (J3380)
The HCPCS definition for J3380 ↗ is "Injection, vedolizumab, 1 mg".
A standard IV dose is 300 mg. Because the code represents 1 mg increments, you must bill exactly 300 units.
| Drug | Code | Administered Dosage | Billing Units |
|---|---|---|---|
| Entyvio | J3380 | 300 mg | 300 |
Medical Necessity & ICD-10 Codes
Entyvio is primarily approved for inflammatory bowel diseases. Ensure your claim includes:
- K50.90 ↗ - Crohn's disease, unspecified, without complications
- K51.90 ↗ - Ulcerative colitis, unspecified, without complications
Administration Coding
Entyvio is an intravenous infusion typically lasting 30 minutes. Bill CPT code 96365 ↗ (Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour).