J2794, Injection, risperidone (risperdal consta), 0.5 mg
HCPCS/CPT
Prior Authorization
Prior Auth Required
Conditional coverage; review criteria to confirm PA need (medium confidence)
Medicare Pricing
Work RVU
0.00
Facility
N/A
Non-Facility
N/A
2 Active Policies
FLORIDA_BLUE-FLBLUE-RYKINDO-RISPERIDONE-ER-INJECTABLE-SUSPENSION-18C376F310, Rykindo (Risperidone ER injectable suspension)
FL
HEALTHNET_OR-HNOR-RISPERIDONE-LONG-ACTING-INJECTIONS-PERSERIS-RISPERDAL-CO-75EFE100F7, Risperidone Long-Acting Injections (Perseris, Risperdal Consta, Rykindo, Uzedy); CP.PHAR.293
OR
Related Codes
Have a follow-up question?
Ask Verity about documentation requirements, denial risks, or coverage in your state.