CANCIDAS J Code: J0637

Drug & Product Overview

HCPCS Descriptor Injection, caspofungin acetate, 5 mg

HCPCS Added Date January 1, 2003

Manufacturer Multiple Manufacturers

Route of Administration Intravenous

Generic Status Multi-Source; Generic

Dosage Type Single-Dose

Dosage Form Injection, Powder, Lyophilized, For Solution | Not Available

About CANCIDAS

Cancidas is a medication aligned to the HCPCS J Code: J0637 for billing, pricing, and reimbursement purposes in the United States. It is an Anti-Fungal drug administered via the intravenous route and manufactured by multiple companies.

According to CMS Drug Use Information: Caspofungin is used to treat a variety of fungal infections. Caspofungin belongs to a class of drugs known as echinocandins. It works by stopping the growth of fungi.

Disclaimer: This is a summary and does not contain all possible information about this product. For complete information about this product or your specific health needs, ask your healthcare professional.

NDC Code Information

Based on publicly available CMS files. Showing 5 of 15 NDCs — log in for the full crosswalk.

NDC Code	Drug	Manufacturer	Billing Units / Pkg	Package Size
00006-3822-10	Cancidas	Merck Sharp & Dohme LLC	10	54 MG / 10.8 ML
00781-3421-94	Caspofungin Acetate	Sandoz Inc	10	54 MG / 10.8 ML
25021-0194-10	Caspofungin Acetate	Sagent Pharmaceuticals	10	50 MG / 10 ML
59923-0613-70	Caspofungin Acetate	Areva Pharmaceuticals	14	70 MG
63323-0356-10	Caspofungin Acetate	Fresenius Kabi USA, LLC	100	54 MG / 10.8 ML
•••••-••••-•• Log in to view	CANCIDAS
	CANCIDAS
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CANCIDAS Pricing & Reimbursement

J0637 Private Payer Reimbursement

$3.59 / HCPCS unit as of Jan 2026

National median reimbursement across major commercial payers.

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Historical Graphing and Billing Calculator

per HCPCS unit

As of Q4 2026

Caspofungin Acetate 505(b)(2) Information:

HCPCS Code	Manufacturer	Active Ingredient	HCPCS Description
J0637	Generic Code (Multiple Manufacturers)	Caspofungin Acetate	Injection, caspofungin acetate, 5 mg

CANCIDAS CPT Administration Codes

CPT Code	Description
96365	Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); initial, up to 1 hour
96366	Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); each additional hour (List separately in addition to code for primary procedure)

Not on the CMS JW / JZ list

CMS does not include Cancidas (J0637) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing J0637. Wastage billing guide →

CANCIDAS Medically Unlikely Edits (MUE)

The most billing units of J0637 Medicare will pay for one patient in one day, as published by CMS. 1 unit = 5 mg.

Practitioner Office & Hospital Outpatient

20 units / day

= 100 mg per day

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 →

CANCIDAS Clinical Information

Indications and drug classification.

Treated Diseases & Conditions

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.

Candidemia and Other Candida Infections Empirical Therapy for Presumed Fungal Infections in Febrile Neutropenic Patients Esophageal Candidiasis Invasive Aspergillosis

Drug Class

Echinocandin Antifungal [EPC]Lipopeptides [CS]

Frequently Asked Questions

Is there an available Cancidas billing and coding guide?

We have not yet identified a manufacturer source of Cancidas billing and coding information.

Are there any available Cancidas patient assistance programs?

Our team did not identify a source for Cancidas patient assistance information. Please reach out to our team if you feel that this is a mistake.

Where can I find Cancidas prescribing information?

CANCIDAS prescribing information can be found at the link below. Please reach out to us if you believe this information to be innacurate or out of date. Visit Here →

Where can I find Cancidas side effect information?

Our team has not yet identified a source of side effects information for CANCIDAS. Please check back in a few weeks.

Does billing CANCIDAS require JZ/JW wastage modifiers?

CMS does not include CANCIDAS (J0637) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing J0637. For more information, visit the link below.

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