CINVANTI J Code: J0185
Injection, aprepitant, 1 mg
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.
Drug & Product Overview
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 |
CINVANTI Pricing & Reimbursement
National median reimbursement across major commercial payers.
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Login to use the calculator →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
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 →
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) |
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.
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 →
CINVANTI 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 Cinvanti billing and coding guide?
Are there any available Cinvanti patient assistance programs?
Where can I find Cinvanti prescribing information?
Where can I find Cinvanti side effect information?
Does billing CINVANTI require JZ/JW wastage modifiers?
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