AKYNZEO J Code: J8655
Netupitant 300 mg and palonosetron 0.5 mg, oral
Q4 2026 Medicare Payment Limit for J8655, effective October 1, 2026: $455.762 per HCPCS billing unit, down 3.9% from $474.038. From CMS's final file.
Drug & Product Overview
About AKYNZEO
Akynzeo is a medication aligned to the HCPCS J Code: J8655 for billing, pricing, and reimbursement purposes in the United States. This Anti-Emetic medication is administered via the oral route and manufactured by Helsinn Therapeutics US.
Manufacturers, reach out to us to add more information.
NDC Code Information
Based on publicly available CMS files. The list of NDCs below is not exhaustive.
| NDC Code | Drug | Manufacturer | Billing Units / Pkg | Package Size |
|---|---|---|---|---|
| 69639-0101-01 | Akynzeo | Helsinn Therapeutics (U.S.), Inc. | 1 | 300 MG |
AKYNZEO Pricing & Reimbursement
National median reimbursement across major commercial payers.
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Login to use the calculator →AKYNZEO CPT Administration Codes
The below list of CPT codes is intended for informational purposes only and may not be exhaustive. CPT® codes and descriptions are copyright American Medical Association (AMA). All rights reserved.
| CPT Code | Description |
|---|---|
| 96367 | Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); additional sequential infusion of a new drug/substance, up to 1 hour (List separately in addition to code for primary procedure) |
CMS does not include Akynzeo (J8655) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing J8655. Wastage billing guide →
AKYNZEO Medically Unlikely Edits (MUE)
The most billing units of J8655 Medicare will pay for one patient in one day, as published by CMS. 1 unit = 300 mg/0.5 mg.
MAI 3 · Date of Service Edit: Clinical. Per-day limit based on clinical expectations; excess units are denied but may be appealed with documentation of medical necessity. See all MUE limits →
AKYNZEO Clinical Information
Indications and drug classification.
This list of indications is not exhaustive and may be subject to errors. The information on BuyandBill.com is intended for informational purposes only and should not be used for medical advice.
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Frequently Asked Questions
Is there an available Akynzeo billing and coding guide?
Are there any available Akynzeo patient assistance programs?
Where can I find Akynzeo prescribing information?
Where can I find Akynzeo side effect information?
Does billing AKYNZEO require JZ/JW wastage modifiers?
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