CANCIDAS J Code: J0637
Injection, caspofungin acetate, 5 mg
Q4 2026 Medicare Payment Limit for J0637, effective October 1, 2026: $2.463 per HCPCS billing unit, down 14.4% from $2.879. From CMS's final file.
Drug & Product Overview
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 |
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CANCIDAS Pricing & Reimbursement
National median reimbursement across major commercial payers.
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Login to use the calculator →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
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 |
|---|---|
| 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) |
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.
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.
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
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Does billing CANCIDAS require JZ/JW wastage modifiers?
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