Home Drug Codes J Codes J0185 · CINVANTI
Updated July 1st, 2026

CINVANTI J Code: J0185

Injection, aprepitant, 1 mg

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Q4 2026 Medicare Payment Limit for J0185, effective October 1, 2026: $1.624 per HCPCS billing unit, up 2.1% from $1.591. From CMS's final file.

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Medicare Payment Limit ?
$1.591
/ HCPCS billing unit · Q3 2026
APC Payment Limit ?
$1.591
/ HCPCS billing unit · APC 9463
ASP ?
$•••.••
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WAC · AWP ?
$•••.••
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NDCs Crosswalked ?
1
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Drug & Product Overview

HCPCS Descriptor Injection, aprepitant, 1 mg
HCPCS Added Date January 1, 2019
Manufacturer Heron Therapeutics
Route of Administration Intravenous
Generic Status Single-Source; Branded
Dosage Type Single-Dose
Dosage Form Injection, Emulsion

About CINVANTI

Cinvanti is a medication aligned to the HCPCS J Code: J0185 for billing, pricing, and reimbursement purposes in the United States. Classified under Anti-Emetic, it is administered via the intravenous route and manufactured by Heron Therapeutics.

According to CMS Drug Use Information: Aprepitant is used to prevent nausea and vomiting caused by cancer drug treatment (chemotherapy) or surgery. It works by blocking one of the body's natural substances (substance P/neurokinin 1) that causes vomiting.

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. The list of NDCs below is not exhaustive.

NDC Code Drug Manufacturer Billing Units / Pkg Package Size
47426-0201-01 Cinvanti Heron Therapeutics, Inc. 130 130 MG / 18 ML
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CINVANTI Pricing & Reimbursement

J0185 Private Payer Reimbursement
$1.53 / HCPCS unit as of Jan 2026

National median reimbursement across major commercial payers.

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UnitedHealthcare, BlueCross BlueShield, Aetna, Cigna

Historical Graphing and Billing Calculator

per HCPCS unit
As of Q3 2026

Aprepitant 505(b)(2) Information:

HCPCS Code Manufacturer Active Ingredient HCPCS Description
J0185 Heron Therapeutics Aprepitant Injection, aprepitant, 1 mg
J8502 Heron Therapeutics Aprepitant Injection, aprepitant (aponvie), 1 mg

CINVANTI Claims Performance

Claims from Jan 2026 – Aug 2026
Claim Denial Rate 11.17%
Avg. Days to File 9.8days
Avg. Days to Pay 24.3days

Real-world claims performance from FocalPoint, OnPoint Oncology's reimbursement analytics platform, with claims data accrued at the clearing house level.

Explore J0185 claims analytics on FocalPoint →
OnPoint Oncology

CINVANTI 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)
Not on the CMS JW / JZ list

CMS does not include Cinvanti (J0185) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing J0185. Wastage billing guide →

CINVANTI Medically Unlikely Edits (MUE)

The most billing units of J0185 Medicare will pay for one patient in one day, as published by CMS. 1 unit = 1 mg.

Practitioner Office & Hospital Outpatient
130 units / day
= 130 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 →

mg Enter a dose to see how many billing units it is and whether it is under the limit.

CINVANTI 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.

delayed nausea and vomiting associated with moderately emetogenic cancer chemotherapy (MEC) nausea and vomiting associated with highly emetogenic cancer chemotherapy (HEC) nausea and vomiting associated with moderately emetogenic cancer chemotherapy (MEC)
Drug Class
Cytochrome P450 2C9 Inducers [MoA]Cytochrome P450 3A4 Inducers [MoA]Cytochrome P450 3A4 Inhibitors [MoA]Neurokinin 1 Antagonists [MoA]Substance P/Neurokinin-1 Receptor Antagonist [EPC]

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Frequently Asked Questions

Is there an available Cinvanti billing and coding guide?
Billing and coding information for CINVANTI can be found through Heron Therapeutics. Visit Here →
Are there any available Cinvanti patient assistance programs?
CINVANTI patient assistance information can be found through Heron Therapeutics. Visit Here →
Where can I find Cinvanti prescribing information?
CINVANTI prescribing information can be found at the link below: Visit Here →
Where can I find Cinvanti side effect information?
Information regarding CINVANTI's side effects can be found at MedlinePlus Visit Here →
Does billing CINVANTI require JZ/JW wastage modifiers?
CMS does not include CINVANTI (J0185) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing J0185. For more information, visit the link below.

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