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HCPCS code J2777: Faricimab injection, per 0.1 mg2026 Medicare rate & RVUs

J2777 reports faricimab administered by intravitreal injection for retinal conditions such as neovascular age-related macular degeneration and diabetic macular edema.

CMS RVU26DEffective Oct 1, 2026109 payment localities

Medicare rate · J2777

Faricimab injection, per 0.1 mg

Office or facility?

Work RVUs
0
Total RVUs
0.00
Global days
XXX

National rate · 2026

—

Not priced in the facility setting.

See every locality for J2777 →Billed by an NP, PA or therapist? →

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

Your location

Medicare pays by the payment locality where the service is performed.

On this page 10 sections
  1. Medicare rate
  2. What J2777 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What J2777 covers

Faricimab is an intravitreal medication used to treat neovascular age-related macular degeneration, diabetic macular edema, and macular edema following retinal vein occlusion. An ophthalmologist typically administers it into the vitreous in an office or outpatient setting. The drug code identifies the medication; CPT 67028 describes the injection procedure when performed and separately reportable.

CMS assigns J2777 physician fee schedule status E, meaning it is excluded from the physician fee schedule. When Medicare covers the drug, it generally pays under the Part B drug payment method using CMS quarterly ASP drug pricing files. Coverage is left to the Medicare contractor’s judgment. Each billing unit represents 0.1 mg of faricimab; a 6 mg dose corresponds to 60 units. Report units based on the amount administered.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

Where J2777 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

J2777 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailableUnavailable
AlaskaUnavailableUnavailable
ArizonaUnavailableUnavailable
ArkansasUnavailableUnavailable
Atlanta, GAUnavailableUnavailable
Austin, TXUnavailableUnavailable
Bakersfield, CAUnavailableUnavailable
Baltimore area, MDUnavailableUnavailable
Beaumont, TXUnavailableUnavailable
Brazoria, TXUnavailableUnavailable

J2777 rates by state

Office rate range in each state. Select a state to see its payment localities.

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

Explore a state

Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

View every state and territory as a table
J2777 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

How the J2777 rate is calculated

Each of J2777’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

How the rate is built · J2777

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.00

0.00 RVUs× 1.000 GPCI

Practice expense0.00

0.00 RVUs× 1.000 GPCI

Malpractice0.00

0.00 RVUs× 1.000 GPCI

Adjusted RVUs

0.0000

Conversion factor

$33.4009

Medicare rate

$0.00

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

Payment rules and modifiers for J2777

J2777 has no global surgery period, no multiple-procedure, bilateral or assistant-at-surgery adjustment, and no professional/technical split. What changes the payment is where the service happens: the place of service on the claim decides whether Medicare pays the office or the facility rate.

Place of service · J2777

Which rate does Medicare pay?

The POS code on the claim line (CMS-1500 box 24B).

POS 11 · non-facility rate · national

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J2777 isn’t priced in this setting.

J2777 compared with similar codes

Compare codes · National

J2777 vs J2778 vs J2779: Medicare rates

Office or facility?

  • J2777

    Faricimab injection, per 0.1 mg0 wRVU

    Not priced

  • J2778

    Ranibizumab injection, per 0.1 mg0 wRVU

    Not priced

  • J2779

    Susvimo ranibizumab, per 0.1 mg0 wRVU

    Not priced

How to choose

J2778Ranibizumab injectionPer 0.1 mg
J2778 identifies ranibizumab; J2777 identifies faricimab. Use the code matching the drug administered.
J2779Susvimo ranibizumabPer 0.1 mg
J2779 identifies ranibizumab administered through an ocular implant system, not an injection of faricimab.

Codes related to J2777

Related codes aren’t interchangeable: bill the code that matches the service performed.

Codes related to J2777
CodeHow it relatesNational office range
Often billed with
67028Intravitreal injection, medication delivered into vitreous cavityDescribes the intravitreal injection procedure used to administer the drug.$103.45–$145.87
Used instead
J2778Ranibizumab injection, per 0.1 mgIdentifies ranibizumab, another intravitreal drug used for neovascular retinal disease.No office rate
J2779Susvimo ranibizumab, per 0.1 mgIdentifies ranibizumab administered through an ocular implant system for neovascular age-related macular degeneration.No office rate

J2777 billing questions

How does J2777 differ from J2778?

J2777 identifies faricimab, while J2778 identifies ranibizumab. Select the code for the drug actually administered.

Does J2777 include the intravitreal injection procedure?

No. J2777 identifies the drug; CPT 67028 describes the intravitreal injection procedure when performed and separately reportable.

How many units are reported for a 6 mg dose?

J2777 represents 0.1 mg per unit, so a 6 mg dose corresponds to 60 units.

What documentation supports J2777?

Document the drug administered, the amount given, and the treated retinal condition. The units should reflect the administered dose in 0.1 mg increments.

How does Medicare treat J2777?

CMS excludes J2777 from the physician fee schedule with status E. When covered, the drug generally uses the Part B drug payment method, and the Medicare contractor determines coverage.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Open CMS sourceHow we calculate rates

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