HCPCS code J2779: Susvimo ranibizumab, per 0.1 mg2026 Medicare rate & RVUs in New Mexico

CMS doesn’t publish a rate for J2779 in New Mexico.

Check a contract rate as a % of Medicare · J2779 nationwide

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

What J2779 covers

J2779 represents ranibizumab administered through the Susvimo implant, a refillable intravitreal drug delivery system used to treat neovascular, or wet, age-related macular degeneration. Retina specialists and other ophthalmologists implant the device and provide its subsequent refills in ophthalmic surgical or procedure settings. The drug enters the eye through the implant rather than through a conventional intravitreal injection at each treatment visit.

CMS assigns physician fee schedule status E, meaning the code is excluded from the physician fee schedule. When Medicare covers the drug, payment is under another payment method; the HCPCS pricing method identifies it as a Part B drug generally paid using CMS quarterly Average Sales Price files. Coverage is left to the Medicare contractor’s judgment. Each billing unit represents 0.1 mg of ranibizumab. Report the drug separately from the procedure performed to insert or refill the implant, using the applicable procedure coding.

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.

How New Mexico compares for J2779

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J2779 rates by state

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

See J2779 in every payment locality

How the J2779 rate is calculated

Each of J2779’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.

Payment rules and modifiers for J2779

J2779 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.

Codes related to J2779

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

How J2779 has changed in New Mexico

Price J2779 for an earlier date of service

Where the New Mexico rate applies

New Mexico is a Medicare payment area, not a city. Our Census mapping connects it to 528 cities and communities in New Mexico. Some span more than one payment area; confirm with the service ZIP.

• Abeytas
• Abiquiu
• Acomita Lake
• Adelino
• Agua Fria
• Alamillo
• Alamo
• Alamogordo

Browse all communities in New Mexico

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