Home › Drug Codes › J Codes › J9165 · DIETHYLSTILBESTROL DIPHOSPHATE
Updated July 1st, 2026

DIETHYLSTILBESTROL DIPHOSPHATE J Code: J9165

Injection, diethylstilbestrol diphosphate, 250 mg

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Medicare Payment Limit ?
Not published
CMS publishes none for Q3 2026
APC Payment Limit ?
Not published
CMS publishes none for Q3 2026
ASP ?
No current ASP
Not available for Q3 2026
WAC · AWP ?
$•••.••
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NDCs Crosswalked ?
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Drug & Product Overview

HCPCS Descriptor Injection, diethylstilbestrol diphosphate, 250 mg
HCPCS Added Date January 1, 1988
Route of Administration Intravenous
Generic Status HCPCS Discontinued

About DIETHYLSTILBESTROL DIPHOSPHATE

Diethylstilbestrol Diphosphate is a medication aligned to the HCPCS J Code: J9165 for billing, pricing, and reimbursement purposes in the United States. This Oncology medication is administered via the intravenous route.

Manufacturers, reach out to us to add more information.

NDC Code Information

No NDC packages are aligned to J9165 in publicly available CMS files.

NDC Code Drug Manufacturer Billing Units / Pkg Package Size
No public NDC alignments
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DIETHYLSTILBESTROL DIPHOSPHATE 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
96401 Chemotherapy administration, subcutaneous or intramuscular; non-hormonal anti-neoplastic
Not on the CMS JW / JZ list

CMS does not include Diethylstilbestrol Diphosphate (J9165) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing J9165. Wastage billing guide →

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Frequently Asked Questions

Is there an available diethylstilbestrol diphosphate billing and coding guide?
Our team has not identified a manufacturer-published source of billing and coding information for diethylstilbestrol diphosphate. Please reach out to us if this is a mistake.
Are there any available diethylstilbestrol diphosphate patient assistance programs?
Our team has not identified a source of patient assistance information for diethylstilbestrol diphosphate. Please reach out to us if this is a mistake.
Where can I find diethylstilbestrol diphosphate prescribing information?
No available source of prescribing information for diethylstilbestrol diphosphate
Where can I find diethylstilbestrol diphosphate side effect information?
A link for diethylstilbestrol diphosphate side effect information is not available.
Does billing diethylstilbestrol diphosphate require JZ/JW wastage modifiers?
CMS does not include DIETHYLSTILBESTROL DIPHOSPHATE (J9165) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing J9165. For more information, visit the link below.

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